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Baseline prevalences of HIV, C. HIV incidence was 3. HIV infection was associated with freelance SW adjusted odds ratio, 5. Venue of sex work and drug prevention should be considered in prevention programs. Cambodia has one of Asia's most severe HIV epidemics, with heterosexual sex as the main transmission route. Overall, HIV prevalence among SWs working in indirect sex establishments entertainment and drinking establishments such as beer gardens, nightclubs, karaoke, restaurants, and massage parlors was lower, Drug use, particularly amphetamine-type stimulants ATS , has emerged as a potential significant problem among SWs in Cambodia, and Asia overall.
Although yama pills are swallowed, both forms are usually melted and the vapors inhaled, with rapid neurologic effects.
We examine prevalence and incidence of infections and associated risk factors, including ATS use, in this population. It was conducted by a multidisciplinary collaborative prevention research group comprised of academic, governmental, and community HIV prevention specialists from the United States, Australia, and Cambodia. Inclusion criteria were as follows: Field assistants from the Cambodia Women's Development Association were trained to conduct recruitment, to provide study information, and to conduct eligibility screening.
Women were recruited from: Eligible women who expressed interest in enrollment were consented as a group at a community location used by various SW organizations. Between June and June , data were collected during quarterly visits. A structured questionnaire was administered verbally by trained interviewers in Khmer at baseline and quarterly visits, which included sociodemographic characteristics, occupational and sexual risk history, and alcohol and ATS use.
STI treatment was provided at no cost, and women with HIV infection were referred for free medical evaluation and treatment where indicated. Contact information was collected to facilitate participant tracking and maximize follow-up. Sociodemographic variables included age, marital status, education, and income. Women were surveyed regarding their current last 30 days base sex venue of work, duration of sex work years , and whether they currently had an employer manager, boss, or supervisor.