AIDSWEEKLY Plus; Monday, August 13, 2007
Staff Medical Writers

“Trafficking across or within national borders for purposes of sexual exploitation including forced prostitution, i.e., sex trafficking, is recognized as a major gender-based human rights violation with significant individual and public health consequences and is increasingly discussed as a potentially critical mechanism in the spread of human immunodeficiency virus (HIV) across developing nations,” the authors write.

There are an estimated 150,000 girls and women trafficked each year within and across the countries of South Asia, with approximately 5,000 to 7,000 Nepalese girls and women trafficked to India’s commercial sex industry each year, according to background information in the article. Data on HIV prevalence among survivors of sex trafficking and roles of trafficking-related exposures in HIV infection have been limited.

Jay G. Silverman, Ph.D., of the Harvard School of Public Health, Boston, and colleagues examined the prevalence and risk factors for HIV infection among 287 repatriated Nepalese girls and women sex trafficked to brothels in India. Medical and case records were reviewed of the girls and women, who received rehabilitative services between January 1997 and December 2005.

The researchers found that among the 287 girls and women, 38.0 percent tested positive for HIV. Among those with complete documentation of trafficking experiences (n = 225), median (midpoint) age at time of trafficking was 17.0 years, with 33 girls (14.7 percent) trafficked prior to age 15 years. Compared with those trafficked at 18 years or older, girls trafficked prior to age 15 years had an increased risk for HIV, with 20 of 33 (60.6 percent) infected among this youngest age group.

Additional factors associated with being HIV positive included being trafficked to Mumbai (India’s second largest city) and longer duration of forced prostitution (indicating increased risk per additional month in a brothel). Additional analyses indicated that girls trafficked prior to age 15 years had five times the increased odds of having been detained in multiple brothels and more likely to be in brothels for a duration of 1 year or more vs. those trafficked at age 18 years or older.

The authors write, “Findings of the present study emphasize the critical need to strengthen efforts to prevent sex trafficking and to intervene to protect trafficking survivors so as to shield young girls and women, both from this form of sexual violence and from the high risk of HIV infection. Currently, relatively few such efforts exist, and organizations that do engage in this work often lack adequate political or financial support. Furthermore, the high rates of HIV documented herein support concerns that sex trafficking may be a significant factor in the expansion of the South Asian HIV epidemic, both within higher-prevalence nations such as India and also from such nations to their lower-prevalence neighbors (e.g., Nepal). Moreover, the current demonstration of the very young age of many of those trafficked and sexually exploited, and the further harm to these young lives through high rates of HIV infection, requires attention from public health researchers and strategists to better understand and reduce the demand for sexual services from prostituted girls and women.”

Keywords: HIV/AIDS, AIDS, Acquired Immunodeficiency Syndrome, HIV, Human Immunodeficiency Virus, Public Health, Virology, Harvard School of Public Health.

This article was prepared by AIDS Weekly editors from staff and other reports. Copyright 2007, AIDS Weekly via NewsRx.com.

Reference

Silverman JG, Decker MR, Gupta J, et al., HIV prevalence and predictors of infection in sex-trafficked Nepalese girls and women, JAMA. 2007 Aug 1;298(5):536-42.

2007-08-13
AW070804

Copyright © 2007 - Charles Henderson, Publisher. All rights Reserved. Permission to reproduce granted to AEGIS by Charles W. Henderson. Authorization to reproduce for personal use granted granted by C. W. Henderson, Publisher, provided that the fee of US$4.50 per copy, per page is paid directly to the Copyright Clearance Center, 27 Congress Street, Salem, Massachusetts 01970, USA. Published by Charles Henderson, Publisher. Editorial & Publishing Office: P.O. Box 5528, Atlanta, GA 30307-0528 / Telephone: (800) 633-4931; Subscription Office: P.O. Box 830409, Birmingham, AL 35283-0409 / FAX: (205) 995-1588 http://www.newsrx.net

AEGiS is made possible through unrestricted grants from Boehringer Ingelheim, Elton John AIDS Foundation, Bridgestone/Firestone Charitable Trust, the National Library of Medicine, and donations from users like you. Always watch for outdated information. This article first appeared in 2007. This material is designed to support, not replace, the relationship that exists between you and your doctor.

AEGiS presents published material, reprinted with permission and neither endorses nor opposes any material. All information contained on this website, including information relating to health conditions, products, and treatments, is for informational purposes only. It is often presented in summary or aggregate form. It is not meant to be a substitute for the advice provided by your own physician or other medical professionals. Always discuss treatment options with a doctor who specializes in treating HIV.

Copyright © 1980,2007. AEGiS. All materials appearing on AEGiS are protected by copyright as a collective work or compilation under U.S. copyright and other laws and are the property of AEGiS, or the party credited as the provider of the content.