دورية أكاديمية
HIV and associated factors among female sex workers in Tajikistan: Analysis from a national bio-behavioral survey.
| العنوان: | HIV and associated factors among female sex workers in Tajikistan: Analysis from a national bio-behavioral survey. |
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| المؤلفون: | Alaei A; Institute for International Health and Education, Albany, NY, USA., Bromberg DJ; Department of Social and Behavioral Sciences, Yale School of Public Health, 50296Yale University, New Haven, CT, USA.; Center for Interdisciplinary Research on AIDS, Yale University, New Haven, CT, USA., Tate MM; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, 50296Yale University, New Haven, CT, USA., Karimov S; Republican AIDS Centre, 231154Tajikistan Ministry of Health, Dushanbe, Tajikistan., Saidi D; Republican AIDS Centre, 231154Tajikistan Ministry of Health, Dushanbe, Tajikistan., Alaei K; Institute for International Health and Education, Albany, NY, USA.; Department of Health Science, 14668California State University Long Beach, CA, USA. |
| المصدر: | International journal of STD & AIDS [Int J STD AIDS] 2021 Jul; Vol. 32 (8), pp. 678-686. Date of Electronic Publication: 2021 Mar 26. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Country of Publication: England NLM ID: 9007917 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1758-1052 (Electronic) Linking ISSN: 09564624 NLM ISO Abbreviation: Int J STD AIDS Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Dec. 2012- : London : Sage Original Publication: London, U.K. : Royal Society of Medicine Services, c1990- |
| مواضيع طبية MeSH: | HIV Infections*/epidemiology , Sex Workers* , Syphilis*/epidemiology, Cross-Sectional Studies ; Female ; Humans ; Prevalence ; Tajikistan/epidemiology |
| مستخلص: | Tajikistan, a country of approximately nine million people, has a relatively small but quickly growing HIV epidemic. No peer-reviewed study has assessed factors associated with HIV, or associated risk factors, among female sex workers (FSWs) in Tajikistan. The purpose of the current study is to elucidate the factors associated with HIV status and risk factors in the Tajikistani context and add to the scant literature on risk factors among FSWs in Tajikistan and Central Asia. We used cross-sectional data from an HIV bio-behavioral survey (BBS) conducted among FSWs in the Republic of Tajikistan ( n = 2174) in 2017. Using Respondent Driven Sampling Analysis Tool software, we calculated the prevalence of HIV, diagnosed cases, linkage to antiretroviral therapy (ART), and the prevalence of syphilis for FSWs in Tajikistan. Prevalence data were adjusted for network size and any clustering effects in the network. Further, using univariate and multivariable logistic regression, we determined correlates of HIV-positive status. Results were as follows: Of all FSWs in Tajikistan, 2.6% (95% CI: 1.7-3.8%) are HIV positive, 2.3% (95% CI: 1.4-3.5%) are diagnosed and aware of their status, and 2.0% (95% CI: 1.2-3.1%) are on ART. About 5.7% (95% CI: 4.5-7.4%) of FSWs in Tajikistan have ever had syphilis, and 0.8% (95% CI: 0.4-1.3%) have active syphilis infections. The epidemic of injection drug use was found to be strongly synergistic with HIV infection as having had sex with a person who injects drugs was shown to be strongly associated with HIV-positive status (OR: 5.2; 95% CI: 2.6-10.2) in the multivariable model. While this study estimates that HIV prevalence among Tajikistani FSWs is relatively low, it is likely an underestimated due to selection and social desirability biases. To curb the small, but potentially volatile, HIV epidemic among FSWs, the government should consider targeted testing and linkage-to-care efforts for FSWs who inject drugs or who have people who inject drugs partners. Services should also be prioritized in Gorno-Badakhshan, which has a higher number of FSWs per capita relative to other regions. Additionally, the link between HIV and experiences of stigma, violence, and discrimination against FSWs should motivate advocates to protect Tajikistani FSWs from these experiences. |
| References: | PLoS One. 2014 Sep 29;9(9):e105645. (PMID: 25265158) Lancet. 2015 Jan 17;385(9964):274-86. (PMID: 25059941) BMC Public Health. 2020 Sep 10;20(1):1379. (PMID: 32912203) Women Health. 2013;53(1):56-73. (PMID: 23421339) PLoS One. 2020 Jul 7;15(7):e0234551. (PMID: 32634136) AIDS Behav. 2018 Aug;22(8):2435-2457. (PMID: 29464430) J Acquir Immune Defic Syndr. 2008 May 1;48(1):97-103. (PMID: 18344875) Occup Environ Med. 2020 Jun;77(6):353-354. (PMID: 32393575) Sex Transm Infect. 2019 May;95(3):193-200. (PMID: 30842347) J Int AIDS Soc. 2016 Jul 18;19(4 Suppl 3):20883. (PMID: 27435716) Lancet Infect Dis. 2013 Mar;13(3):214-22. (PMID: 23260128) BMJ Open. 2013 Jul 24;3(7):. (PMID: 23883879) Health Res Policy Syst. 2019 Feb 28;17(1):23. (PMID: 30819203) J Urban Health. 2006 Nov;83(6 Suppl):i98-112. (PMID: 16937083) Sex Transm Dis. 2006 Aug;33(8):496-501. (PMID: 16601658) |
| معلومات مُعتمدة: | F31 DA054861 United States DA NIDA NIH HHS; T32 MH020031 United States MH NIMH NIH HHS |
| فهرسة مساهمة: | Keywords: Female sex workers; HIV/AIDS; post-Soviet states |
| تواريخ الأحداث: | Date Created: 20210326 Date Completed: 20210920 Latest Revision: 20230111 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9827419 |
| DOI: | 10.1177/0956462420984696 |
| PMID: | 33769910 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1758-1052 |
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| DOI: | 10.1177/0956462420984696 |