HIV prevalence and associated risk factors among female sex workers in Dar es Salaam, Tanzania: tracking the epidemic
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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HIV prevalence and associated risk factors among female sex workers in Dar es Salaam, Tanzania : tracking the epidemic. / Mizinduko, M. M.; Moen, K.; Likindikoki, S.; Mwijage, A.; Leyna, G. H.; Makyao, N.; Leshabari, M. T.; Ramadhan, A.; Kambi, M. B.; Meyrowitsch, D.; Tersbøl, B.; Mmbaga, E. J.
I: International Journal of STD & AIDS, Bind 31, Nr. 10, 2020, s. 950-957.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - HIV prevalence and associated risk factors among female sex workers in Dar es Salaam, Tanzania
T2 - tracking the epidemic
AU - Mizinduko, M. M.
AU - Moen, K.
AU - Likindikoki, S.
AU - Mwijage, A.
AU - Leyna, G. H.
AU - Makyao, N.
AU - Leshabari, M. T.
AU - Ramadhan, A.
AU - Kambi, M. B.
AU - Meyrowitsch, D.
AU - Tersbøl, B.
AU - Mmbaga, E. J.
PY - 2020
Y1 - 2020
N2 - Since 2014, HIV care and treatment services among key populations including female sex workers (FSWs) have intensified in Tanzania. We sought to track the epidemic among FSWs in Dar es Salaam, Tanzania. We conducted a cross-sectional integrated bio-behavioral survey using respondent-driven sampling and a structured questionnaire. Blood was drawn for HIV testing. Modified Poisson regression was used to determine factors associated with HIV infection. We recruited 958 FSWs (median age 26 years) of whom 952 consented to HIV testing. The HIV prevalence was 15.3% (95%CI: 12.5-18.6). Factors associated with higher HIV prevalence included old age (25-34 years: aPR 2.38; 95%CI: 1.23, 4.60 and over 35 years: aPR = 6.08; 95%CI: 3.19, 11.58) and having experienced sexual violence in the past year (aPR = 1.94; 95%CI: 1.34, 2.82). Attaining higher education level was associated with lower HIV prevalence (aPR = 0.51; 95%CI: 0.36, 0.73 for primary school level and aPR = 0.20; 95%CI: 0.08, 0.46 for secondary school level and/or above). The HIV prevalence among FSWs in Dar es Salaam has decreased by half since 2013. Prevention strategies should target older FSWs, aim to educate young girls, and institute approaches to mitigate violence among FSWs.
AB - Since 2014, HIV care and treatment services among key populations including female sex workers (FSWs) have intensified in Tanzania. We sought to track the epidemic among FSWs in Dar es Salaam, Tanzania. We conducted a cross-sectional integrated bio-behavioral survey using respondent-driven sampling and a structured questionnaire. Blood was drawn for HIV testing. Modified Poisson regression was used to determine factors associated with HIV infection. We recruited 958 FSWs (median age 26 years) of whom 952 consented to HIV testing. The HIV prevalence was 15.3% (95%CI: 12.5-18.6). Factors associated with higher HIV prevalence included old age (25-34 years: aPR 2.38; 95%CI: 1.23, 4.60 and over 35 years: aPR = 6.08; 95%CI: 3.19, 11.58) and having experienced sexual violence in the past year (aPR = 1.94; 95%CI: 1.34, 2.82). Attaining higher education level was associated with lower HIV prevalence (aPR = 0.51; 95%CI: 0.36, 0.73 for primary school level and aPR = 0.20; 95%CI: 0.08, 0.46 for secondary school level and/or above). The HIV prevalence among FSWs in Dar es Salaam has decreased by half since 2013. Prevention strategies should target older FSWs, aim to educate young girls, and institute approaches to mitigate violence among FSWs.
KW - HIV
KW - AIDS
KW - sex workers
KW - Africa
KW - prevention
KW - SURVEILLANCE
KW - INFECTION
KW - VIOLENCE
U2 - 10.1177/0956462420917848
DO - 10.1177/0956462420917848
M3 - Journal article
C2 - 32772690
VL - 31
SP - 950
EP - 957
JO - International Journal of S T D & A I D S
JF - International Journal of S T D & A I D S
SN - 0956-4624
IS - 10
ER -
ID: 249765035