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Up to 40% of sex workers in countries that suffer prostitution are infected with HIV



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Up to 40% of sex workers in countries that suffer prostitution are infected with HIV.
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In their work presented at the annual conference of the International Association for AIDS (IAS 2019), held in Mexico City, researchers explain that the legal and political environment is a "key structural determinant" of the risk of HIV. gender experts

Penalizing prostitution increases the risk of HIV infection among female sex workers, according to a study by researchers at the Bloomberg Public Health School Johns Hopkins (USA), which was carried out in ten sub-Saharan African countries with various sexual practices laws. paid.

In their work presented at the annual conference of the International Association for AIDS (IAS 2019), held in Mexico City, researchers explain that the legal and political environment is a "key structural determinant" of the risk of HIV. Sex experts In fact, they have demonstrated a clear relationship between the HIV virus and the legal status of prostitution.

In 2011-2018, the persons responsible for the study employed sex workers in 10 countries: Burkina Faso, Cameroon, Côte d'Ivoire, Gambia, Guinea-Bissau, Lesotho, Senegal, Swaziland, South Africa and Togo. They carried out socio-behavioral questionnaires and biological tests for HIV detection. The legal status of sex work in individual countries was defined as follows: indefinite, partially legalized and penalized.

According to their results, the prevalence of HIV among sex workers in countries with partial legalization was 11.6 percent; 19.6 percent in cases where the sale of sex is not determined by law; 40.4 percent in criminal environments. Thus, compared with countries with partial legalization, the status of a perpetrator of an offense or unlawfully determined is associated with an increased possibility of HIV infection.

The legal background of sexual activity was consistently linked to the prevalence of an individual HIV infection among sex workers. These results show that laws contribute to the results at the individual level and that decriminalization, together with support services, needs to be established to effectively address the HIV epidemic, "they argue, responsible for this research.

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On the other hand, this study, which was also presented on Monday at IAS 2019, found that some police practices, such as the syringe attachment, were systematically associated with an increased risk of HIV infection in people who inject drugs. In their work, researchers from the University of California, San Diego, USA, carried out a systematic overview of quantitative studies conducted between 1981 and 2018, which included estimates of HIV infection or risky behavior of these drug users, as well as associations with police practices in this group, such as arrests.

Of the 801 examined examinations, a series of scientific articles were selected in nine countries: Russia, Mexico, the United States, Canada, Ukraine, Thailand, Malaysia, China and India. HIV infection was fundamentally linked to confiscation of syringes, not buying new ones due to fear of the police, unreasonable injections due to the presence of police or the seizure of pre-filled syringes.

"Police practices that have an impact on the risk of HIV and drug-related infection are present everywhere in the population of people who inject people, with high HIV infections in different environments. It is imperative to intervene in order to turn police interventions into this collective from a source of damage to a source of harm reduction, "the investigators said. (DPA / Europa Press).

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