Prevalence and predictors of HIV and sexually transmitted infections among vulnerable women engaged in sex work: Findings from the Kyaterekera Project in Southern Uganda.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2022
2022
Historique:
received:
29
10
2021
accepted:
03
08
2022
entrez:
29
9
2022
pubmed:
30
9
2022
medline:
4
10
2022
Statut:
epublish
Résumé
Women engaged in sex work (WESW) have an elevated risk of the human immunodeficiency virus (HIV) and sexually transmitted infections (STI). Estimates are three times higher than the general population. Understanding the predictors of HIV and STI among WESW is crucial in developing more focused HIV and STI prevention interventions among this population. The study examined the prevalence and predictors of HIV and STI among WESW in the Southern part of Uganda. Baseline data from the Kyaterekera study involving 542 WESW (ages 18-55) recruited from 19 HIV hotspots in the greater Masaka region in Uganda was utilized. HIV and STI prevalence was estimated using blood and vaginal fluid samples bioassay. Hierarchical regression models were used to determine the predictors of HIV and STI among WESW. Of the total sample, 41% (n = 220) were found to be HIV positive; and 10.5% (n = 57) tested positive for at least one of the three STI (Neisseria gonorrhoeae, Chlamydia trachomatis and Trichomonas vaginalis) regardless of their HIV status. Older age (b = 0.09, 95%CI = 0.06, 0.13, p≤0.001), lower levels of education (b = -0.79, 95%CI = -1.46, -0.11, p≤0.05), fewer numbers of children in the household (b = -0.18, 95%CI = -0.36, -0.01), p≤0.05), location (i.e., fishing village (b = 0.51, 95%CI = 0.16, 0.85, p≤0.01) or small town (b = -0.60, 95%CI = -0.92, -0.28, p≤0.001)), drug use (b = 0.58, 95%CI = 0.076, 1.08, p≤0.05) and financial self-efficacy (b = 0.05, 95%CI = -0.10, 0.00, p≤0.05), were associated with the risk of HIV infections among WESW. Domestic violence attitudes (b = -0.24, 95%CI = -0.42, -0.07, p≤0.01) and financial distress (b = -0.07, 95%CI = -0.14, -0.004, p≤0.05) were associated with the risk of STI infection among WESW. Study findings show a high prevalence of HIV among WESW compared to the general women population. Individual and family level, behavioural and economic factors were associated with increased HIV and STI infection among WESW. Therefore, there is a need for WESW focused HIV and STI risk reduction and economic empowerment interventions to reduce these burdens.
Identifiants
pubmed: 36174054
doi: 10.1371/journal.pone.0273238
pii: PONE-D-21-34621
pmc: PMC9522279
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0273238Subventions
Organisme : NIMH NIH HHS
ID : R01 MH116768
Pays : United States
Organisme : NIMH NIH HHS
ID : R25 MH067127
Pays : United States
Organisme : NIMH NIH HHS
ID : R25 MH118935
Pays : United States
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
AIDS Res Ther. 2021 Mar 25;18(1):8
pubmed: 33766062
Public Health Rep. 1999 May-Jun;114(3):262-8
pubmed: 10476996
BMC Public Health. 2015 Dec 09;15:1226
pubmed: 26652160
Int J STD AIDS. 2008 Apr;19(4):264-7
pubmed: 18482947
J Int Assoc Provid AIDS Care. 2020 Jan-Dec;19:2325958220925659
pubmed: 32618484
Soc Sci Med. 1994 Oct;39(7):931-48
pubmed: 7992126
BMC Public Health. 2017 Jun 10;17(1):565
pubmed: 28601086
Trop Med Int Health. 2002 Sep;7(9):793-802
pubmed: 12225512
PLoS One. 2020 Jul 27;15(7):e0236052
pubmed: 32716966
Sociol Health Illn. 2009 Jan;31(1):1-16
pubmed: 19144087
BMC Public Health. 2009 Jan 09;9:7
pubmed: 19134203
BMC Public Health. 2016 Aug 17;16(1):803
pubmed: 27530401
Sex Transm Dis. 2011 Apr;38(4):316-23
pubmed: 23330152
PLoS One. 2016 May 12;11(5):e0155383
pubmed: 27171270
Int J STD AIDS. 2017 Oct;28(11):1082-1089
pubmed: 28081683
Global Health. 2009 Nov 17;5:16
pubmed: 19919703
Global Health. 2010 Feb 11;6:1
pubmed: 20181213
Child Youth Serv Rev. 2014 Sep 1;44:417-421
pubmed: 25136142
Glob Public Health. 2022 Jul;17(7):1215-1231
pubmed: 33881949
AIDS Behav. 2017 Mar;21(3):833-844
pubmed: 27624727
BMC Womens Health. 2019 Aug 17;19(1):111
pubmed: 31419968
Lancet. 2015 Jan 17;385(9964):287-301
pubmed: 25059950
Lancet Infect Dis. 2012 Jul;12(7):538-49
pubmed: 22424777
BMC Public Health. 2015 Oct 08;15:1033
pubmed: 26449622
AIDS Care. 2011 Jan;23(1):69-74
pubmed: 21218278
Tanzan J Health Res. 2009 Jul;11(3):126-35
pubmed: 20734709
BMJ Glob Health. 2018 Oct 19;3(5):e000824
pubmed: 30398222
Sex Transm Infect. 2007 Dec;83(7):534-40
pubmed: 17942575
Am J Community Psychol. 1998 Feb;26(1):53-71
pubmed: 9574498
Drug Alcohol Depend. 2008 Jan 1;92(1-3):132-40
pubmed: 17714888
AIDS Care. 2012;24(10):1226-32
pubmed: 22375826
AIDS Care. 2011 May;23(5):619-27
pubmed: 21293991
Global Health. 2014 Apr 03;10:22
pubmed: 24708844
BMC Int Health Hum Rights. 2013 Jul 25;13:32
pubmed: 23886019
Lancet. 2015 Jan 3;385(9962):55-71
pubmed: 25059947
Open Womens Health J. 2011 Dec 30;5:26-32
pubmed: 24900163
Int J STD AIDS. 2005 Mar;16(3):256-61
pubmed: 15829029
AIDS Behav. 2012 May;16(4):920-33
pubmed: 21750918
Soc Sci Med. 2009 Jul;69(2):191-8
pubmed: 19520472
Am J Public Health. 2015 Mar;105(3):e95-102
pubmed: 25602889
BMC Womens Health. 2020 Sep 5;20(1):193
pubmed: 32891151
PLoS One. 2021 Apr 1;16(4):e0249465
pubmed: 33793652
J Epidemiol Community Health. 2013 Mar;67(3):225-30
pubmed: 23410851
Lancet. 2015 Jan 3;385(9962):e1-e2
pubmed: 25592905
AIDS Behav. 2019 Jan;23(1):1-14
pubmed: 30194502
AIDS Care. 2009 May;21(5):567-74
pubmed: 19444664