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Introduction: Since the emergence of the HIV pandemic in the s, high rates of condom use for penetrative sex have been reported among sex workers in Australia. The sex industry in Australia and elsewhere has changed over the previous decade with increasing proportions of sex workers working privately and lower proportions of sex workers working in brothels. There has also been some evidence of reductions in condom use, particularly during penetrative oral sex. We therefore decided to investigate sex workers' use of condoms during penetrative sex with clients. Methods: This was a cross-sectional mixed methods study of sex workers in Western Australia. The study involved an environmental scan of the sex industry in Western Australia, visits to brothels and other sexual services premises, a survey of sex workers and in-depth interviews.
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Revealed: the truth about brothels

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Choice on offer in brothels not consistent with sex trafficking

The anal sex among heterosexual couples is on the rise as reported in many scientific studies. Considering that unprotected anal sex has higher risk of human immunodeficiency virus HIV transmission than the vaginal sex, we undertook a study to understand the anal sex practices among Female Sex Workers FSW. A structured questionnaire was administered to the FSW attending these clinics by project clinic counselors. Informed consent was obtained from all the study participants. Factors associated with anal sex were higher number of clients, higher duration of sex work, higher income, and older age group. There is a need to focus on anal sex education and use of lubricants along with condoms during anal sex in FSW-targeted interventions in AP. Unprotected anal sex is associated with the highest risk of transmission of sexually transmitted infections STIs and the human immunodeficiency virus HIV.
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Declining Condom Use Among Sex Workers in Western Australia

Current evidence suggests that anal intercourse AI during sex work is common in sub-Saharan Africa, but there have been few studies in which the contribution of heterosexual AI to human immunodeficiency virus HIV epidemics has been investigated. Poisson regressions were used to identify AI determinants. Despite representing a small fraction of all sex acts, AI is an underestimated source of HIV transmission. Increasing availability and uptake of condoms, lubricants, and pre-exposure prophylaxis for women engaging in AI could help mitigate HIV risk. Female sex workers FSWs share a disproportionately high burden of human immunodeficiency virus HIV infection worldwide 1.
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We assessed the influence of participant and study characteristics on AI prevalence e. Of 15, identified studies, were included. Pooled prevalences varied little by recall period lifetime: Across all study participants, between 2.
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