Engagement with HIV Prevention Treatment and Care among Female Sex Workers in Zimbabwe: a Respondent Driven Sampling Survey
Engagement with HIV Prevention Treatment and Care among Female Sex Workers in Zimbabwe: a Respondent Driven Sampling Survey
复制标题
DOI：
10.1371/journal.pone.0077080
复制
发表时间：
2013-10-15
期刊：
影响因子：
3.7
通讯作者：
Hargreaves, James R.
中科院分区：
文献类型：
--
作者：
Cowan, Frances M.;Mtetwa, Sibongile;Hargreaves, James R.
目标（S）：为了确定艾滋病病毒的流行率和程度的参与与艾滋病病毒的预防和护理之间的津巴布韦性工作者在维多利亚瀑布，万基和Mujet.Design的代表性样本：受访者驱动的抽样（RDS）进行调查，在每个site.Methods：性工作者被招募使用受访者驱动的抽样与每个受访者限于招募2同行。参与者完成了一份由面试官管理的问卷，并提供了一份手指采血样本用于HIV抗体检测。结果：三个调查点共调查妇女870人。艾滋病毒感染率在50%至70%之间。在确认艾滋病毒呈阳性的人中，约有一半人知道自己的艾滋病毒状况，其中50-70%的人报告参加了艾滋病毒护理方案。总体而言，只有25-35%的实验室确诊艾滋病毒感染者获得抗逆转录病毒治疗。在报告艾滋病毒阴性的人中，21-28%报告在过去6个月内进行了艾滋病毒检测。在艾滋病毒检测呈阴性的人中，大多数（65-82%）不知道自己的状况。大约三分之二的性工作者报告说，他们与客户一致使用避孕套。在其他环境中，性工作者报告的基于性别的暴力和警察harass.Conclusions高利率：这项调查表明，艾滋病毒的流行率是高的性工作者在津巴布韦和他们的参与与预防，治疗和护理是次优。加强对性工作者的预防和护理干预措施，有可能显著减少津巴布韦和该区域其他地方性工作者、其客户和一般民众的艾滋病毒和社会风险。
Objective(S): To determine the HIV prevalence and extent of engagement with HIV prevention and care among a representative sample of Zimbabwean sex workers working in Victoria Falls, Hwange and Mutare.Design: Respondent driven sampling (RDS) surveys conducted at each site.Methods: Sex workers were recruited using respondent driven sampling with each respondent limited to recruiting 2 peers. Participants completed an interviewer-administered questionnaire and provided a finger prick blood sample for HIV antibody testing. Statistical analysis took account of sampling method.Results: 870 women were recruited from the three sites. HIV prevalence was between 50 and 70%. Around half of those confirmed HIV positive were aware of their HIV status and of those 50-70% reported being enrolled in HIV care programmes. Overall only 25-35% of those with laboratory-confirmed HIV were accessing antiretroviral therapy. Among those reporting they were HIV negative, 21-28% reported having an HIV test in the last 6 months. Of those tested HIV negative, most (65-82%) were unaware of their status. Around two-thirds of sex workers reported consistent condom use with their clients. As in other settings, sex workers reported high rates of gender based violence and police harassment.Conclusions: This survey suggests that prevalence of HIV is high among sex workers in Zimbabwe and that their engagement with prevention, treatment and care is sub-optimal. Intensifying prevention and care interventions for sex workers has the potential to markedly reduce HIV and social risks for sex workers, their clients and the general population in Zimbabwe and elsewhere in the region.