Motivators and barriers to HIV testing among street-based female sex workers in St. Petersburg, Russia
Motivators and barriers to HIV testing among street-based female sex workers in St. Petersburg, Russia
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DOI：
10.1080/17441692.2015.1124905
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发表时间：
2017-01-01
影响因子：
3.3
通讯作者：
Bowling, J. Michael
中科院分区：
文献类型：
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作者：
King, Elizabeth J.;Maman, Suzanne;Bowling, J. Michael
在俄罗斯，女性性工作者特别容易感染艾滋病毒。然而，缺乏关于他们利用艾滋病毒服务的信息。一项混合方法横断面研究旨在调查俄罗斯圣彼得堡街头性工作者进行艾滋病毒检测的动机和障碍。健康信念模型是本研究的理论框架。 2009 年 2 月至 9 月期间，29 名性工作者参与了深度访谈，139 名性工作者完成了访谈员管理的调查。进行艾滋病毒检测的障碍包括害怕得知结果、担心其他人会认为自己生病了，以及获得服务所需的路程较长。接受检测的动机是保护他人免受感染、想了解自己的状况以及在确诊后接受治疗。 Logistic 回归分析表明，了解 HIV 感染者 [aOR=6.75，95% CI (1.11, 41.10)] 和自开始注射吸毒以来的时间长度 [aOR=0.30，95% CI (0.09, 0.97)] 与最近接受检测显着相关。在制定公共卫生干预措施以帮助俄罗斯女性性工作者了解她们的艾滋病毒状况并在需要时获得护理和治疗服务时，需要考虑这些结果。
Female sex workers are particularly susceptible to HIV-infection in Russia. However, a dearth of information exists on their utilisation of HIV services. A mixed-methods, cross-sectional study was conducted to examine motivators and barriers to HIV testing among street-based sex workers in St. Petersburg, Russia. The health belief model was the theoretical framework for the study. Twenty-nine sex workers participated in in-depth interviews, and 139 sex workers completed interviewer-administered surveys between February and September 2009. Barriers to getting an HIV test were fear of learning the results, worrying that other people would think they were sick, and the distance needed to travel to obtain services. Motivators for getting tested were protecting others from infection, wanting to know one's status and getting treatment if diagnosed. Logistic regression analysis demonstrated that knowing people living with HIV [aOR=6.75, 95% CI (1.11, 41.10)] and length of time since start of injection drug use [aOR=0.30, 95% CI (0.09, 0.97)] were significantly associated with recently getting tested. These results are important to consider when developing public health interventions to help female sex workers in Russia learn their HIV status and get linked to care and treatment services if needed.