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Tytuł:
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HIV infections among female sex workers in Mombasa, Kenya: current prevalence and trends over 25 years.
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Autorzy:
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Manguro GO; International Centre for Reproductive Health Kenya, Mombasa, Kenya.
Gichuki C; International Centre for Reproductive Health Kenya, Mombasa, Kenya.
Ampt FH; Burnet Institute, Melbourne, Australia.; School of Population Health and Preventive Medicine, Monash University, Melbourne, Australia.
Agius PA; Burnet Institute, Melbourne, Australia.; School of Population Health and Preventive Medicine, Monash University, Melbourne, Australia.
Lim MS; Burnet Institute, Melbourne, Australia.; School of Population Health and Preventive Medicine, Monash University, Melbourne, Australia.
Jaoko WG; Department of Medical Microbiology, University of Nairobi, Nairobi, Kenya.
Hellard M; Burnet Institute, Melbourne, Australia.; School of Population Health and Preventive Medicine, Monash University, Melbourne, Australia.; Doherty Institute, University of Melbourne, Melbourne, Australia.; Department of Infectious Diseases, Alfred Hospital Melbourne, Melbourne, Australia.
L'Engle K; Department of Population Health Sciences, University of San Francisco, San Francisco, CA, USA.
Stoové M; Burnet Institute, Melbourne, Australia.; School of Population Health and Preventive Medicine, Monash University, Melbourne, Australia.
Mandaliya K; Pathcare Laboratories, Mombasa, Kenya.
Chersich MF; Wits Reproductive Health and HIV Institute, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Temmerman M; International Centre for Reproductive Health Kenya, Mombasa, Kenya.; Department of Obstetrics and Gynaecology, Aga Khan University Hospital, Nairobi, Kenya.; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Luchters S; Burnet Institute, Melbourne, Australia.; School of Population Health and Preventive Medicine, Monash University, Melbourne, Australia.; International Centre for Reproductive Health, Department of Obstetrics and Gynaecology, Ghent University, Ghent, Belgium.; Department of Population Health, Aga Khan University, Nairobi, Kenya.
Gichangi P; International Centre for Reproductive Health Kenya, Mombasa, Kenya.; Department of Public Health and Primary Care, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.; Technical University of Mombasa, Mombasa, Kenya.
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Źródło:
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International journal of STD & AIDS [Int J STD AIDS] 2020 Dec; Vol. 31 (14), pp. 1389-1397. Date of Electronic Publication: 2020 Oct 25.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: Dec. 2012- : London : Sage
Original Publication: London, U.K. : Royal Society of Medicine Services, c1990-
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MeSH Terms:
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HIV Infections/*epidemiology
Safe Sex/*statistics & numerical data
Sex Workers/*statistics & numerical data
Adolescent ; Adult ; Female ; HIV Infections/transmission ; Humans ; Kenya/epidemiology ; Prevalence ; Risk Factors ; Risk-Taking ; Sex Work/psychology ; Sexually Transmitted Diseases/epidemiology ; Young Adult
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Contributed Indexing:
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Keywords: HIV; Kenya; complex sampling; female sex workers; key populations; prevalence
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Entry Date(s):
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Date Created: 20201026 Date Completed: 20210618 Latest Revision: 20210618
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Update Code:
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20240105
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DOI:
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10.1177/0956462420950571
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PMID:
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33103582
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Over 20 years, interventions have targeted HIV among female sex workers (FSWs) in Kenya given their central role in new infections. To determine the effects of these interventions, we assessed the prevalence and correlates of HIV among a random sample of FSWs and modelled prevalence estimates from studies since 1993. FSWs aged 16-34 years were enrolled through multi-stage sampling. Regression models identified correlates of HIV infection. Generalised linear mixed modelling estimated temporal changes in prevalence between 1993 and 2016. 882 FSWs were enrolled. Prevalence rose from 3.6% among 16-20-year-olds to 31.6% among 31-34-year-old FSWs. Those aged 31 to 34 years had greater odds of HIV compared to those 16 to 20 years (AOR 14.2, 95% CI, 5.5-36.8). Infection was less prevalent among FSWs with tertiary education compared to those with primary or no education (AOR 0.23, 95% CI, 0.07-0.78). There was an overall 30% reduction in prevalence from 1993 to 2016 with an average annual decline of 3%. About one in ten FSWs in Mombasa are currently infected with HIV. Considering FSWs' central role in sustaining population-level infections, these initiatives require continued support, focusing on reducing transmission from older FSWs and those with less education.
