Prevalence and structural correlates of HIV and STI testing among a community-based cohort of women sex workers in Vancouver Canada.
Prevalence and structural correlates of HIV and STI testing among a community-based cohort of women sex workers in Vancouver Canada.
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DOI：
10.1371/journal.pone.0283729
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
鉴于女性性工作者在艾滋病毒和性传播感染方面的严重不平等，需要有经验证据，为方便性工作者的自愿、保密和非强制性艾滋病毒和性传播感染检测模式提供信息。我们在加拿大温哥华的一个大型的、以社区为基础的女性性工作者队列中评估了过去6个月内艾滋病毒/性传播感染检测的流行率和结构相关性。数据来自一个开放的社区为基础的开放队列的女性性工作者（2010年1月至2021年8月）在不同的街道，室内和在线环境中工作在温哥华，加拿大。使用经验（性工作者）和社区工作人员收集的问卷数据，我们测量了患病率，并使用双变量和多变量logistic回归模型的相关性最近的HIV/STI检测在登记。在897名参与者中，37.2%（n = 334）被确定为土著，31.4%为有色人种/黑人妇女（n = 282），31.3%（n = 281）为白色。入组时，45.5%（n = 408）报告了HIV检测，44.9%（n = 403）报告了STI检测，32.6%（n = 292）报告接受了HIV和STI检测，57.9%（n = 519）在过去6个月内接受了HIV和/或STI检测。在调整后的多变量分析中，获得性工作者领导的/特定服务的妇女最近进行艾滋病毒/性传播感染检测的几率较高（调整后的比值比（AOR）：1.91，95%置信区间（CI）：1.33-2.75），而有色人种妇女和黑人妇女（AOR：0.52，95%CI：0.28-0.98）最近进行艾滋病毒/性传播感染检测的几率明显较低。建议扩大以社区为基础、性工作者主导和量身定制的服务，以加强自愿、保密和安全地获得综合艾滋病毒/性传播感染检测的机会，特别是针对有色人种妇女和黑人妇女。需要提供文化上安全的多语种艾滋病毒/性传播感染检测服务，并在卫生系统内外更广泛地努力解决系统性种族主义问题，以减少不平等现象，促进被种族化的性工作者安全地参与服务。
In light of the stark inequities in HIV and sexually transmitted infections (STIs) experienced by women sex workers, empirical evidence is needed to inform accessible and sex worker-friendly models of voluntary, confidential and non-coercive HIV and STI testing. We evaluated the prevalence and structural correlates of HIV/STI testing in the last 6 months in a large, community-based cohort of women sex workers in Vancouver, Canada. Data were drawn from an open community-based open cohort of women sex workers (January 2010-August 2021) working across diverse street, indoor, and online environments in Vancouver, Canada. Using questionnaire data collected by experiential (sex workers) and community-based staff, we measured prevalence and used bivariate and multivariable logistic regression to model correlates of recent HIV/STI testing at enrollment. Of 897 participants, 37.2% (n = 334) identified as Indigenous, 31.4% as Women of Color/Black (n = 282), and 31.3% (n = 281) as White. At enrollment, 45.5% (n = 408) reported HIV testing, 44.9% (n = 403) reported STI testing, 32.6% (n = 292) reported receiving both HIV and STI testing, and 57.9% (n = 519) had received an HIV and/or STI test in the last 6 months. In adjusted multivariable analysis, women accessing sex worker-led/specific services had higher odds of recent HIV/STI testing, (Adjusted Odds Ratio (AOR): 1.91, 95% Confidence Interval (CI): 1.33–2.75), whereas Women of Color and Black women (AOR: 0.52, 95%CI: 0.28–0.98) faced significantly lower odds of recent HIV/STI testing. Scaling-up community-based, sex worker-led and tailored services is recommended to enhance voluntary, confidential, and safe access to integrated HIV/STI testing, particularly for Women of Color and Black Women. Culturally safe, multilingual HIV/STI testing services and broader efforts to address systemic racism within and beyond the health system are needed to reduce inequities and promote safe engagement in services for racialized sex workers.
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DOI：
10.1097/qai.0000000000002123
发表时间：
2019-10-01
影响因子：
3.6
作者：
Kerrigan, Deanna;Mbwambo, Jessie;Galai, Noya
通讯作者：
Galai, Noya
影响因子：
56.3
作者：
Baral, Stefan;Beyrer, Chris;Kerrigan, Deanna
通讯作者：
Kerrigan, Deanna
影响因子：
3.1
作者：
Duff, Putu;Shoveller, Jean;Shannon, Kate
通讯作者：
Shannon, Kate
影响因子：
3.7
作者：
Atuhaire L;Adetokunboh O;Shumba C;Nyasulu PS
通讯作者：
Nyasulu PS
DOI：
10.1503/cmaj.201579
发表时间：
2021-01-11
期刊：
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
影响因子：
--
作者：
Dryden O;Nnorom O
通讯作者：
Nnorom O