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Language: English French. Classification of professional and non-professional female sex workers FSWs into different categories, never previously reported in the Central African Republic CAR , may be useful to assess the dynamics of the human immunodeficiency virus HIV epidemic, design operational intervention programmes to combat HIV and other sexually transmitted infections STIs and to adapt these programmes to the broad spectrum of sexual transactions in the CAR.
Our study proposes a socio-behavioural classification of FSWs living in the CAR and engaged in transactional and commercial sex. Thus, the aims of the study were these: i to categorize FSWs according to socio-anthropologic criteria in Bangui and ii to examine the association between a selection of demographic and risk variables with the different categories of female sex work as an outcome. A cross-sectional questionnaire survey was conducted in to describe the spectrum of commercial sex work CSW in Bangui among sexually active women having more than 2 sexual partners, other than their regular partner, during the prior 3 months and reporting to have received money or gifts in return for their sexual relationships.
According to socio-behavioural characteristics, FSWs were classified into six different categories. Professional FSWs, constituting Non-professional FSWs, constituting The groups of katas and street vendors were poorer and less educated, consumed more alcohol or other psycho-active substances cannabis, tramadol and glue and, consequently, were more exposed to STI. Specifically, a strong synergistic association between heterosexual transmission and acquisition of HIV and genital herpes type 2 has been demonstrated in sexually active adults LeGoff et al.
In Africa, sex work may be stigmatized and illegal, and female sex workers FSWs represent a particularly marginalized section of the population. Current research on the extent and context of CSW in sub-Saharan Africa includes several important outcomes Ngugi et al.
Indeed, policy debates are often fuelled by passionate advocates both for and against the selling of sex. Feminist debates on the issue are fervent and often polarized, with one side arguing CSW is always forced and, thus, equates to rape Schwitters et al. Finally, the categorization of FSW could help to conceive and adapt public health interventions in the direction of specific groups of vulnerable women, by improving understanding of the location, population size, density and organizational typologies of CSW Ikpeazu et al.