High-Risk Behavior of HIV/AIDS among Females Sex Workers in Bangladesh: Survey in Rajshahi City

Female sex workers (FSWs) and their clients are one of the major sources of spread of HIV/AIDS in Bangladesh. The purpose of this study was to determine the rate of unprotected sex among FSWs in Rajshahi City Bangladesh. A total of 200 FSWs were randomly selected for the survey from February to September 2012. The age range of FSWs was 16-41 years (average age 24.52 +/- 6.26 years) and the majority of these women (84.4%) were married. More than 88% of FSWs reported practicing unprotected sex because of clients insistence. Further analysis showed a significantly higher rate of protected sex among unmarried FSWs (P < 0.01). Approximately 32% of FSWs did not undergo voluntary counseling and testing (VCT) for HIV and this factor was significantly associated with the education level (P < 0.01) age (P < 0.01) and economic status (P < 0.05). Furthermore 89.5% respondents did not ask their new clients about VCT/HIV status and this factor was associated with the resident area (P < 0.05) age (P < 0.05) and economic status (P < 0.01) of FSWs. Authorities in this country should focus their HIV/AIDS prevention efforts on illiterate FSWs married FSWs and FSWs aged below 21 years or above 30 years.