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Perceived barriers to pre-exposure prophylaxis use and the role of syndemic factors among female sex workers in the Mexico-United States border region: a latent class analysis.
Jain, Jennifer P; Strathdee, Steffanie A; Patterson, Thomas L; Semple, Shirley J; Harvey-Vera, Alicia; Magis-Rodríguez, Carlos; Martinez, Gustavo; Pines, Heather A.
Afiliação
  • Jain JP; Department of Medicine, University of California, San Diego, CA, USA.
  • Strathdee SA; Department of Medicine, University of California, San Diego, CA, USA.
  • Patterson TL; Department of Psychiatry, University of California, San Diego, CA, USA.
  • Semple SJ; Department of Psychiatry, University of California, San Diego, CA, USA.
  • Harvey-Vera A; Department of Medicine, University of California, San Diego, CA, USA.
  • Magis-Rodríguez C; Ministry of Health, Centro Nacional para la Prevención del VIH/SIDA (CENSIDA), Mexico City, Mexico.
  • Martinez G; Federación Mexicana de Asociaciones Privadas, Ciudad Juarez, Mexico.
  • Pines HA; Department of Medicine, University of California, San Diego, CA, USA.
AIDS Care ; 32(5): 557-566, 2020 05.
Article em En | MEDLINE | ID: mdl-31163975
Female sex workers (FSWs) experience syndemic factors (e.g., polydrug use, hazardous alcohol consumption, client-perpetrated violence, depression, and sexually transmitted infections) that often heighten vulnerability to HIV and limit healthcare utilization. We hypothesized that syndemic factors will limit FSWs' uptake of pre-exposure prophylaxis (PrEP). From 2016 to 2017, 295 HIV-negative FSWs were enrolled in a behavioral HIV prevention trial in Tijuana and Ciudad Juarez, Mexico, underwent STI testing, and completed surveys on syndemic factors and perceived barriers to PrEP use. Syndemic scores (0-5) were calculated by summing syndemic factors. Latent class analysis (LCA) was used to identify homogeneous classes with respect to perceived barriers to PrEP use. We identified four classes: (1) perceived healthcare access barriers (8.3%), (2) perceived financial barriers (18.7%), (3) high level of perceived barriers (19.9%), and (4) low level of perceived barriers (53.0%) to PrEP use. Those experiencing three (adjusted odds ratio [aOR] = 3.63, 95% confidence interval [CI] = 1.24-10.67) and four or five (aOR = 6.30, 95% CI = 1.70-23.35) syndemic factors had a higher odds of membership in the class characterized by a high level of perceived barriers than in the class characterized by a low level of perceived barriers. Addressing syndemic factors may maximize PrEP's impact among FSWs along Mexico's northern border.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aceitação pelo Paciente de Cuidados de Saúde / Infecções por HIV / Transtornos Relacionados ao Uso de Álcool / Profissionais do Sexo / Profilaxia Pré-Exposição Tipo de estudo: Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Female / Humans País/Região como assunto: Mexico Idioma: En Revista: AIDS Care Assunto da revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aceitação pelo Paciente de Cuidados de Saúde / Infecções por HIV / Transtornos Relacionados ao Uso de Álcool / Profissionais do Sexo / Profilaxia Pré-Exposição Tipo de estudo: Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Female / Humans País/Região como assunto: Mexico Idioma: En Revista: AIDS Care Assunto da revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido