Considerable distance to reach 90-90-90 targets among female sex workers, men who have sex with men and transgender women in Port Moresby, Papua New Guinea: findings from a cross-sectional respondent-driven sampling survey.
Considerable distance to reach 90-90-90 targets among female sex workers, men who have sex with men and transgender women in Port Moresby, Papua New Guinea: findings from a cross-sectional respondent-driven sampling survey.
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DOI：
10.1136/sextrans-2019-053961
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发表时间：
2020-03
影响因子：
3.6
通讯作者：
Kauntim mi tu Study Team
中科院分区：
文献类型：
--
作者：
Hakim AJ;Badman SG;Weikum D;Amos A;Willie B;Narokobi R;Gabuzzi J;Pekon S;Kupul M;Hou P;Aeno H;Neo Boli R;Nembari J;Ase S;Kaldor JM;Vallely AJ;Kelly-Hanku A;Kauntim mi tu Study Team
联合国艾滋病毒/艾滋病联合规划署在巴布亚新几内亚莫尔斯比港的女性性工作者（FSW）和男男性行为者(MSM)/变性妇女（TGW）之间的90-90-90级联。2016年6月至10月，我们对巴布亚新几内亚莫尔兹比港的FSW和MSM/TGW进行了受访者驱动的抽样调查。所有的参与者都说英语或普通话，年龄在10到12岁之间。女侍必须是出生时为女性，并在过去6个月内与男性发生性交易。MSM/TGW必须出生为男性，并且在过去6个月内与另一个男性出生的人发生过口交/肛交。参与者接受了采访，并提供了快速的艾滋病毒诊断和病毒载量检测。HIV病毒抑制（VS）定义为<1000拷贝/mL。我们招募了674名FSW和400名MSM/TGW；HIV患病率分别为15.2% （95% CI 11.7 ~ 18.8）和8.5% （95% CI 5.0 ~ 11.9）。在感染艾滋病毒的女同性恋中，39.0% （95% CI 26.6 - 51.4）自我报告已被诊断；其中79.6% （95% CI 62.7 - 96.5）自我报告正在接受抗逆转录病毒治疗（ART）， 54.1% （95% CI 31.8 - 76.4）实现了VS.在感染艾滋病毒的MSM/TGW中，24.4% （95% CI 4.7 - 44.1）自我报告已被诊断；其中43.9% （95% CI 33.6 - 54.8）自我报告正在接受抗逆转录病毒治疗，86.1% （95% CI 71.1 - 93.9）在了解自己艾滋病毒状况的人群中实现了抗逆转录病毒治疗。然而，女性女性和男男性行为者/女性女性对艾滋病毒感染状况的认识普遍较低，女性女性接受抗逆转录病毒治疗的几率较低，这表明迫切需要创新策略，以增加这些人群的检测接受度和抗逆转录病毒治疗的依从性。监测耐药性可能是必要的。
To characterise the Joint United Nations Programme on HIV/AIDS 90-90-90 cascade among female sex workers (FSW) and men who have sex with men (MSM)/transgender women (TGW) in Port Moresby, Papua New Guinea (PNG). We conducted respondent-driven sampling surveys among FSW and MSM/TGW in Port Moresby, PNG from June to October 2016. All participants spoke English or Tok Pisin and were aged >12 years. FSW had to be born female and sell/exchange sex with a male in the past 6 months. MSM/TGW had to be born male and have oral/anal sex with another male-born person in the past 6 months. Participants were interviewed and offered rapid HIV diagnostic and viral load testing. HIV viral suppression (VS) was defined as <1000 copies/mL. We recruited 674 FSW and 400 MSM/TGW; HIV prevalence was 15.2% (95% CI 11.7 to 18.8) and 8.5% (95% CI 5.0 to 11.9), respectively. Among FSW living with HIV, 39.0% (95% CI 26.6 to 51.4) self-reported having been diagnosed; of them 79.6% (95% CI 62.7 to 96.5) self-reported being on antiretroviral therapy (ART), and 54.1% (95% CI 31.8 to 76.4) achieved VS. Among MSM/TGW living with HIV, 24.4% (95% CI 4.7 to 44.1) self-reported having been diagnosed; of them 43.9% (95% CI 33.6 to 54.8) self-reported being on ART, and 86.1% (95% CI 71.1 to 93.9) achieved VS. ART use among those aware of their HIV status is encouraging. However, the generally low awareness of infection status among FSW and MSM/TGW with HIV and the low VS among FSW on ART indicate an urgent need for innovative strategies to increase testing uptake and ART adherence among these populations. Monitoring drug resistance may be warranted.
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影响因子：
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作者：
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