Abstract
Key populations are groups with unmet HIV prevention needs that put them at high risk of HIV acquisition and transmission. Male clients of female sex workers (CFSW) may contribute to HIV transmission through sexual relations with both female sex workers (FSW) and other partners.
We performed random-effect meta-analyses of 72 population-based Demographic and Health Surveys (DHS) conducted in Sub-Saharan Africa (SSA) from 2000 to 2018. We extracted HIV prevalence, population size, testing (ever and past 12 months), and condom use at last paid sex, then pooled by region and overall.
We found that, despite having higher HIV testing, CFSW in SSA are 57% more likely to be living with HIV compared to non-clients. These results highlight the importance of improving prevention efforts for CFSW, including improving access to HIV testing, condom use initiatives, and treatment services.
