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Sex Work during the 2010 FIFA World Cup: Results from a Three-Wave Cross-Sectional Survey

BACKGROUND: In the months leading up to the 2010 FIFA World Cup in South Africa, international media postulated that at least 40,000 foreign sex workers would enter South Africa, and that an increased HIV incidence would follow. To strengthen the evidence base of future HIV prevention and sexual hea...

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Autores principales: Delva, Wim, Richter, Marlise, De Koker, Petra, Chersich, Matthew, Temmerman, Marleen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3233553/
https://www.ncbi.nlm.nih.gov/pubmed/22163298
http://dx.doi.org/10.1371/journal.pone.0028363
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author Delva, Wim
Richter, Marlise
De Koker, Petra
Chersich, Matthew
Temmerman, Marleen
author_facet Delva, Wim
Richter, Marlise
De Koker, Petra
Chersich, Matthew
Temmerman, Marleen
author_sort Delva, Wim
collection PubMed
description BACKGROUND: In the months leading up to the 2010 FIFA World Cup in South Africa, international media postulated that at least 40,000 foreign sex workers would enter South Africa, and that an increased HIV incidence would follow. To strengthen the evidence base of future HIV prevention and sexual health programmes during international sporting events, we monitored the supply and demand of female sex work in the weeks before, during and after the 2010 FIFA World Cup. METHODOLOGY/PRINCIPAL FINDINGS: We conducted three telephonic surveys of female sex workers advertising online and in local newspapers, in the last week of May, June and July 2010. The overall response rate was 73.4% (718/978). The number of sex workers advertising online was 5.9% higher during the World Cup than before. The client turnover rate did not change significantly during (adjusted rate ratio [aRR] = 1.05; 95%CI: 0.90–1.23) or after (aRR = 1.06; 95%CI: 0.91–1.24) the World Cup. The fraction of non-South African sex workers declined during (adjusted odds ratio [aOR] = 0.50; 95%CI: 0.32–0.79) and after (aOR = 0.56; 95%CI: 0.37–0.86) the World Cup. Relatively more clients were foreign during the World Cup among sex workers advertising in the newspapers (aOR = 2.74; 95%CI: 1.37–5.48) but not among those advertising online (aOR = 1.06; 95%CI: 0.60–1.90). Self-reported condom use was high (99.0%) at baseline, and did not change during (aOR = 1.07; 95% CI: 0.16–7.30) or after (aOR = 1.13; 95% CI: 0.16–8.10) the Word Cup. CONCLUSIONS/SIGNIFICANCE: Our findings do not provide evidence for mass-immigration of foreign sex workers advertising online and in local newspapers, nor a spike in sex work or risk of HIV transmission in this subpopulation of sex workers during the World Cup. Public health programmes focusing on sex work and HIV prevention during international sporting events should be based on evidence, not media-driven sensationalism that further heightens discrimination against sex workers and increases their vulnerability.
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spelling pubmed-32335532011-12-12 Sex Work during the 2010 FIFA World Cup: Results from a Three-Wave Cross-Sectional Survey Delva, Wim Richter, Marlise De Koker, Petra Chersich, Matthew Temmerman, Marleen PLoS One Research Article BACKGROUND: In the months leading up to the 2010 FIFA World Cup in South Africa, international media postulated that at least 40,000 foreign sex workers would enter South Africa, and that an increased HIV incidence would follow. To strengthen the evidence base of future HIV prevention and sexual health programmes during international sporting events, we monitored the supply and demand of female sex work in the weeks before, during and after the 2010 FIFA World Cup. METHODOLOGY/PRINCIPAL FINDINGS: We conducted three telephonic surveys of female sex workers advertising online and in local newspapers, in the last week of May, June and July 2010. The overall response rate was 73.4% (718/978). The number of sex workers advertising online was 5.9% higher during the World Cup than before. The client turnover rate did not change significantly during (adjusted rate ratio [aRR] = 1.05; 95%CI: 0.90–1.23) or after (aRR = 1.06; 95%CI: 0.91–1.24) the World Cup. The fraction of non-South African sex workers declined during (adjusted odds ratio [aOR] = 0.50; 95%CI: 0.32–0.79) and after (aOR = 0.56; 95%CI: 0.37–0.86) the World Cup. Relatively more clients were foreign during the World Cup among sex workers advertising in the newspapers (aOR = 2.74; 95%CI: 1.37–5.48) but not among those advertising online (aOR = 1.06; 95%CI: 0.60–1.90). Self-reported condom use was high (99.0%) at baseline, and did not change during (aOR = 1.07; 95% CI: 0.16–7.30) or after (aOR = 1.13; 95% CI: 0.16–8.10) the Word Cup. CONCLUSIONS/SIGNIFICANCE: Our findings do not provide evidence for mass-immigration of foreign sex workers advertising online and in local newspapers, nor a spike in sex work or risk of HIV transmission in this subpopulation of sex workers during the World Cup. Public health programmes focusing on sex work and HIV prevention during international sporting events should be based on evidence, not media-driven sensationalism that further heightens discrimination against sex workers and increases their vulnerability. Public Library of Science 2011-12-07 /pmc/articles/PMC3233553/ /pubmed/22163298 http://dx.doi.org/10.1371/journal.pone.0028363 Text en Delva et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Delva, Wim
Richter, Marlise
De Koker, Petra
Chersich, Matthew
Temmerman, Marleen
Sex Work during the 2010 FIFA World Cup: Results from a Three-Wave Cross-Sectional Survey
title Sex Work during the 2010 FIFA World Cup: Results from a Three-Wave Cross-Sectional Survey
title_full Sex Work during the 2010 FIFA World Cup: Results from a Three-Wave Cross-Sectional Survey
title_fullStr Sex Work during the 2010 FIFA World Cup: Results from a Three-Wave Cross-Sectional Survey
title_full_unstemmed Sex Work during the 2010 FIFA World Cup: Results from a Three-Wave Cross-Sectional Survey
title_short Sex Work during the 2010 FIFA World Cup: Results from a Three-Wave Cross-Sectional Survey
title_sort sex work during the 2010 fifa world cup: results from a three-wave cross-sectional survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3233553/
https://www.ncbi.nlm.nih.gov/pubmed/22163298
http://dx.doi.org/10.1371/journal.pone.0028363
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