{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:43:08Z","timestamp":1786725788496,"version":"build-2736575974"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Adolescent female sex workers are at high risk of acquiring human immunodeficiency virus (HIV)\/acquired immunodeficiency syndrome (AIDS) infection. There was paucity of information regarding their sexual practices. The main objective of this study was to study the sexual behavior, condom use practices, and physical and sexual violence experienced by adolescent female sex workers (FSWs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This study was a secondary data analysis of the data collected during the nationwide IBBS 2014\u201315 survey. All adolescent FSWs aged 15 to 19 years were included in the analysis. The primary outcome variable was HIV serostatus, and independent variables included sexual behavior and condom use practices and socio-demographic variables. Descriptive analyses were performed to estimate the prevalence of independent variables. Ethical approval of the original IBBS study was obtained by the Ethics Committee of National AIDS Control Organization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 948 adolescent FSWs were included in the final analysis. The prevalence of HIV in adolescent FSWs was 1.2% [95% confidence interval, 0.1\u20131.9%]. The mean age [standard deviation (SD)] of FSWs was 18.2 (0.9) years. The mean (SD) age at first sexual intercourse was 15.6 (1.7) years, and the mean (SD) age of starting sex work was 16.6 (1.5) years. The majority of the FSWs (94%) had used condom during the last sexual intercourse with a commercial partner, and about one-thirds (66%) had consistently used condom with a commercial partner. About a quarter (26%) of the FSWs had anal intercourse with a commercial partner in the last 1 month. About one in five FSWs (21%) had experienced physical violence in the last 1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Almost one-third of FSWs had high-risk sexual behavior like multiple clients, anal intercourse, inconsistent condom use, and so on. These behaviors in turn increase their vulnerability to HIV infection.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_2508_22","type":"journal-article","created":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T05:01:47Z","timestamp":1700456507000},"page":"2645-2651","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Description of HIV risk behavior among adolescent female sex workers: Findings from the nationwide cross-sectional integrated biological and behavioral surveillance (IBBS) 2014\u201315 survey for HIV in India"],"prefix":"10.4103","volume":"12","author":[{"given":"Sanjay K.","family":"Rai","sequence":"first","affiliation":[{"name":"Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nishakar","family":"Thakur","sequence":"additional","affiliation":[{"name":"Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreya","family":"Jha","sequence":"additional","affiliation":[{"name":"Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep","family":"Kumar","sequence":"additional","affiliation":[{"name":"National AIDS Control Organization, Ministry of Health and Family Welfare, Government of India, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Partha","family":"Haldar","sequence":"additional","affiliation":[{"name":"Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashi","family":"Kant","sequence":"additional","affiliation":[{"name":"Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puneet","family":"Misra","sequence":"additional","affiliation":[{"name":"Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srinivas","family":"Venkatesh","sequence":"additional","affiliation":[{"name":"Department of Strategic Information, NACO, Ministry of Health and Family Welfare, Government of India, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,11,21]]},"reference":[{"key":"R1-20260512","first-page":"2","article-title":"Contributing factors to high-risk sexual behaviors among Iranian adolescent girls: A systematic review","volume":"5","author":"Alimoradi","year":"2017","journal-title":"Int J Community Based Nurs Midwifery"},{"key":"R4-20260512","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/j.yhbeh.2013.03.007","article-title":"Puberty and adolescent sexuality","volume":"64","author":"Fortenberry","year":"2013","journal-title":"Horm Behav"},{"key":"R5-20260512","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1136\/adc.2009.178715","article-title":"Adolescent female sex workers: Invisibility, violence and HIV","volume":"96","author":"Silverman","year":"2011","journal-title":"Arch Dis Child"},{"key":"R6-20260512","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1097\/QAI.0b013e3182a98ee6","article-title":"Early sex work initiation independently elevates odds of HIV infection and police arrest among adult sex workers in a Canadian setting","volume":"65","author":"Goldenberg","year":"2014","journal-title":"J Acquir Immune Defic Syndr"},{"key":"R7-20260512","article-title":"Protocol to Prevent, Suppress and Punish Trafficking in Persons Especially Women and Children, supplementing the United Nations Convention against Transnational Organized Crime","journal-title":"OHCHR"},{"key":"R9-20260512","article-title":"Strategic Approach for Targeted Intervention among Female Sex Workers. 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