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HIV Prevalence, Risk Factors for Infection, and Uptake of Prevention, Testing, and Treatment among Female Sex Workers in Namibia.
Jonas, Anna; Patel, Sadhna V; Katuta, Frieda; Maher, Andrew D; Banda, Karen M; Gerndt, Krysta; Pietersen, Ismelda; Menezes de Prata, Neia; Mutenda, Nicholus; Nakanyala, Tuli; Kisting, Esme; Kawana, Brown; Nietschke, Ann-Marie; Prybylski, Dimitri; McFarland, Willi; Lowrance, David W.
Afiliación
  • Jonas A; Ministry of Health and Social Services, Windhoek, Namibia.
  • Patel SV; Division of Global HIV and Tuberculosis, U.S. Centers for Disease Control and Prevention, Windhoek, Namibia.
  • Katuta F; Division of Global HIV and Tuberculosis, U.S. Centers for Disease Control and Prevention, Atlanta, USA.
  • Maher AD; Ministry of Health and Social Services, Windhoek, Namibia.
  • Banda KM; University of California San Francisco, Institute for Global Health Sciences, San Francisco, USA.
  • Gerndt K; Ministry of Health and Social Services, Windhoek, Namibia.
  • Pietersen I; University of California San Francisco, Institute for Global Health Sciences, San Francisco, USA.
  • Menezes de Prata N; Ministry of Health and Social Services, Windhoek, Namibia.
  • Mutenda N; Division of Global HIV and Tuberculosis, U.S. Centers for Disease Control and Prevention, Windhoek, Namibia.
  • Nakanyala T; Division of Global HIV and Tuberculosis, U.S. Centers for Disease Control and Prevention, Atlanta, USA.
  • Kisting E; Ministry of Health and Social Services, Windhoek, Namibia.
  • Kawana B; Ministry of Health and Social Services, Windhoek, Namibia.
  • Nietschke AM; Ministry of Health and Social Services, Windhoek, Namibia.
  • Prybylski D; University of California San Francisco, Institute for Global Health Sciences, San Francisco, USA.
  • McFarland W; Ministry of Health and Social Services, Windhoek, Namibia.
  • Lowrance DW; Division of Global HIV and Tuberculosis, U.S. Centers for Disease Control and Prevention, Windhoek, Namibia.
J Epidemiol Glob Health ; 10(4): 351-358, 2020 12.
Article en En | MEDLINE | ID: mdl-32959617
BACKGROUND: In most settings, Female Sex Workers (FSW) bear a disproportionate burden of Human Immunodeficiency Virus (HIV) disease worldwide. Representative data to inform the development of behavioral and biomedical interventions for FSW in Namibia have not been published. OBJECTIVES: Our objectives were to measure HIV prevalence, identify risk factors for infection, and describe uptake of prevention, testing, and treatment among FSW in Namibia. METHODS: We conducted cross-sectional surveys using Respondent-driven Sampling (RDS) in the Namibian cities of Katima Mulilo, Oshikango, Swakopmund/Walvis Bay, and Windhoek. Participating FSW completed behavioral questionnaires and rapid HIV testing. RESULTS: City-specific ranges of key indicators were: HIV prevalence (31.0-52.3%), reached by prevention programs in the past 12 months (46.9-73.6%), condom use at last sex with commercial (82.1-91.1%) and non-commercial (87.0-94.2%) partners, and tested for HIV within past 12 months or already aware of HIV-positive serostatus (56.9-82.1%). Factors associated with HIV infection varied by site and included: older age, having multiple commercial or non-commercial sex partners, unemployment, being currently out of school, and lower education level. Among HIV-positive FSW, 57.1% were aware of their HIV-positive serostatus and 33.7% were on antiretroviral treatment. DISCUSSION: Our results indicate extremely high HIV prevalence and low levels of case identification and treatment among FSW in Namibia. Our results, which are the first representative community-based estimates among FSW in Namibia, can inform the scale-up of interventions to reduce the risk for HIV acquisition and onward transmission, including treatment as prevention and pre-exposure prophylaxis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aceptación de la Atención de Salud / Infecciones por VIH / Trabajadores Sexuales Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Female / Humans País/Región como asunto: Africa Idioma: En Revista: J Epidemiol Glob Health Año: 2020 Tipo del documento: Article País de afiliación: Namibia Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aceptación de la Atención de Salud / Infecciones por VIH / Trabajadores Sexuales Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Female / Humans País/Región como asunto: Africa Idioma: En Revista: J Epidemiol Glob Health Año: 2020 Tipo del documento: Article País de afiliación: Namibia Pais de publicación: Suiza