Compared to other sexually active adults, female sex workers have a significantly higher HIV prevalence. One reason is their practice of anal sex for financial influence. Another reason is their poor decision making power. The resulting inconsistent use of condoms during anal intercourse increases the risk of HIV transmission. The purpose of this study was to investigate whether female sex workers are aware of the risks of HIV transmission during anal intercourse.
Despite the fact that female sex workers are disproportionately affected by HIV, there has been little research on the anal sexual experience of FSWs. This study was designed to investigate how aware female sex workers in Dir Dawa were of the risks of HIV transmission during anal intercourse.
In this study, 18 female sex workers were interviewed. Participants were recruited from two different sources. They were identified by their sex work type, age, and diversity of experience. The mean age of the participants was 24.8 years. They were paid £$ USD to recruit eligible FSWs. The study also included anal intercourse with an HIV-positive partner. The male sexual partner placed the penis in the anus of the FSW. During anal intercourse, the HIV-positive partner did not use condoms. In addition, the HIV-positive partner had undetectable viral load at the end of the study.
The results of this study indicated that female sex workers were unaware of the risks of HIV transmission during anal intercourse. In fact, 9 out of the 18 FSWs had inconsistent condom use during anal intercourse. The study also revealed that the HIV-positive partner was unaware of the risks of HIV transmission during anal intercourse. These findings are important because they suggest that the Ministry of Health should incorporate awareness raising programs into its HIV intervention programs.
The risk of HIV transmission during anal intercourse is exacerbated by the improper use of condoms and the lack of risk reduction techniques. A relatively high payment for anal sex increased the likelihood that FSWs would accept anal sex offers. Although only a small proportion of intercourse acts may contribute to HIV transmission, this practice is still very dangerous.
A number of sexually transmitted diseases such as gonorrhoea, syphilis, herpes, and hepatitis A are transmitted through oral sex. A woman’s risk of HIV acquisition during UAI may be as high as 18-fold. However, the risk of HIV transmission during anal intercourse is far higher than during vaginal intercourse.
Another study showed that female sex workers were unaware of the risks of HIV transmission during anal intercourse. The study also found that female sex workers do not use lubricants when performing anal sex. This lack of lubricants is likely to be the reason for their vulnerability to HIV. The receptive partner in condomless sex is at risk of HIV infection in the semen. However, the risk of HIV transmission in the receptive partner during anal intercourse with an HIV-positive partner is very low.
Although the prevalence of HIV in Dir Dawa town is only 1.5%, female sex workers are disproportionately vulnerable to HIV. These findings suggest that the Ministry of Health should consider awareness raising programs for female sex workers to improve their anal sexual practices.