Differences in Access to HIV Services and Risky Sexual Behaviors Among Malawian Women at Social Venues Who Do and Do Not Engage in Sex Work.

Differences in Access to HIV Services and Risky Sexual Behaviors Among Malawian Women at Social Venues Who Do and Do Not Engage in Sex Work.
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DOI:
10.1007/s10461-021-03289-7
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发表时间:
2021-09
期刊:
影响因子:
4.4
通讯作者:
Pence BW
Pence BW
中科院分区:
医学2区
文献类型:
--
作者:
Frascino NY;Edwards JK;Herce ME;Maselko J;Pettifor AE;Mbeye N;Weir SS;Pence BW

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在艾滋病毒高负担国家马拉维,女性性工作者(FSW)是受艾滋病毒影响最严重的人群之一。马拉维地方艾滋病控制工作优先事项在社会场所调查了1 004名自认为是性暴力受害者的妇女、213名其他性暴力受害者(性暴力受害者办公室)和130名其他高风险妇女(人权观察)。使用调查加权对数二项回归模型对三组进行分析比较。每个群体都有不同的使用和获得服务的模式:OFSW和FSW更容易获得避孕套,而FSW中使用避孕套的比例最高。几乎所有妇女都知道在哪里进行艾滋病毒检测,但很少有人使用FSW的救助中心。艾滋病毒感染率在所有三个群体中都很高(35%的FSW,20%的OFSW,20%的OHRW)。鉴于这些结果,艾滋病毒服务应针对马拉维社会场所的所有妇女,无论其性工作者身份如何,以改善健康结果并限制艾滋病毒的进一步传播。
In the high HIV-burden country of Malawi, female sex workers (FSW) are one of the populations most profoundly affected by HIV. The Malawi Priorities for Local AIDS Control Efforts (PLACE) surveyed 1,004 self-identified FSW, 213 other FSW (OFSW), and 130 other high risk women (OHRW) at social venues. Analyses compared the three groups using survey-weighted log binomial regression models. Each group had a distinct pattern of usage and access to services: OFSW and FSW had greater access to condoms, while using a condom ever was greatest among FSW. Nearly all women knew where to get tested for HIV but very few used FSW drop-in centers. HIV prevalence was high in all three groups (35% FSW, 20% OFSW, 20% OHRW). Given these results, HIV services should be targeted to all women at social venues in Malawi, regardless of sex worker status to improve health outcomes and limit onward transmission of HIV.
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