A cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, Ukraine.
Clients
HCV
HIV
Men who purchase sex
Sex work
Ukraine
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
20 10 2023
20 10 2023
Historique:
received:
05
01
2023
accepted:
04
10
2023
medline:
23
10
2023
pubmed:
20
10
2023
entrez:
19
10
2023
Statut:
epublish
Résumé
HIV programming in Ukraine largely targets "key population" groups. Men who purchase sex are not directly reached. The aim of our study was to explore the prevalence of sexually transmitted and blood-borne infections (STBBIs) among men who purchase sex from female sex workers. Following geographic mapping and population size estimation at each "hotspot", we conducted a cross-sectional bio-behavioural survey with men who purchase sex between September 2017 and March 2018 in Dnipro, Ukraine. Eligibility criteria included purchasing sex services at a "hotspot" and being ≥ 18 years. Participants completed a structured questionnaire, followed by HIV/HCV rapid testing and a dried blood spot (DBS) sample collection for confirmatory serology. The study enrolled 370 participants. The median age was 32 (interquartile range [IQR] = 27-38) and the median age of first purchase of sexual services was 22 (IQR = 19-27). Over half (56%) of participants reported ever testing for HIV; four participants (2%, N = 206) reported having tested positive for HIV, with three out of the four reporting being on ART. Forty percent of participants had ever tested for HCV, with three (2%, N = 142) having ever tested positive for HCV. In DBS testing, nine participants (2.4%) tested positive for HIV and 24 (6.5%) tested positive for ever having an HCV infection. Prevalence of HIV and HCV in this population was high. Given high rates of study enrolment and testing, efforts should be made to reach men who purchase sex with expanded STBBI programming.
Sections du résumé
BACKGROUND
HIV programming in Ukraine largely targets "key population" groups. Men who purchase sex are not directly reached. The aim of our study was to explore the prevalence of sexually transmitted and blood-borne infections (STBBIs) among men who purchase sex from female sex workers.
METHODS
Following geographic mapping and population size estimation at each "hotspot", we conducted a cross-sectional bio-behavioural survey with men who purchase sex between September 2017 and March 2018 in Dnipro, Ukraine. Eligibility criteria included purchasing sex services at a "hotspot" and being ≥ 18 years. Participants completed a structured questionnaire, followed by HIV/HCV rapid testing and a dried blood spot (DBS) sample collection for confirmatory serology.
RESULTS
The study enrolled 370 participants. The median age was 32 (interquartile range [IQR] = 27-38) and the median age of first purchase of sexual services was 22 (IQR = 19-27). Over half (56%) of participants reported ever testing for HIV; four participants (2%, N = 206) reported having tested positive for HIV, with three out of the four reporting being on ART. Forty percent of participants had ever tested for HCV, with three (2%, N = 142) having ever tested positive for HCV. In DBS testing, nine participants (2.4%) tested positive for HIV and 24 (6.5%) tested positive for ever having an HCV infection.
CONCLUSION
Prevalence of HIV and HCV in this population was high. Given high rates of study enrolment and testing, efforts should be made to reach men who purchase sex with expanded STBBI programming.
Identifiants
pubmed: 37858070
doi: 10.1186/s12889-023-16903-1
pii: 10.1186/s12889-023-16903-1
pmc: PMC10588219
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2054Investigateurs
Sevgi Aral
(S)
Tetiana Bondar
(T)
Eve Cheuk
(E)
Christina Daniuk
(C)
Evelyn Forget
(E)
Emma Lee
(E)
Huiting Ma
(H)
Stephen Moses
(S)
Maureen Murney
(M)
Nam-Mykhailo Nguien
(NM)
Ani Shakarishvili
(A)
Tatiana Tarasova
(T)
Informations de copyright
© 2023. BioMed Central Ltd., part of Springer Nature.
Références
Front Reprod Health. 2020 Sep 10;2:7
pubmed: 36304700
AIDS Behav. 2015 Feb;19(2):362-8
pubmed: 25192901
Lancet HIV. 2018 Jun;5(6):e273-e274
pubmed: 29976472
Sex Transm Infect. 2010 Feb;86 Suppl 1:i25-32
pubmed: 20167727
PLoS One. 2014 Sep 24;9(9):e103657
pubmed: 25251080
AIDS. 2000 Nov 10;14(16):2523-34
pubmed: 11101064
Int J STD AIDS. 2018 Nov;29(13):1337-1344
pubmed: 30049259
HIV Med. 2021 Apr;22(4):262-272
pubmed: 33179855
AIDS Behav. 2020 Mar;24(3):724-737
pubmed: 31093819
PLoS One. 2019 Nov 7;14(11):e0225072
pubmed: 31697754
AIDS. 2009 Aug 24;23(13):1765-71
pubmed: 19584699
J Womens Health (Larchmt). 2010 Jan;19(1):39-46
pubmed: 20088657
BMC Int Health Hum Rights. 2019 May 20;19(1):16
pubmed: 31109323
Glob Public Health. 2022 Aug-Sep;17(9):2034-2053
pubmed: 34403303
J Acquir Immune Defic Syndr. 2010 Jan;53(1):131-5
pubmed: 19730110
PLoS Med. 2018 Dec 11;15(12):e1002680
pubmed: 30532209
JMIR Public Health Surveill. 2019 Apr 01;5(2):e11196
pubmed: 30932868
Lancet. 2018 Aug 25;392(10148):698-710
pubmed: 30037733
Reprod Health Matters. 2006 Nov;14(28):41-52
pubmed: 17101421
Emerg Themes Epidemiol. 2004 Oct 29;1(1):6
pubmed: 15679919
Expert Rev Anti Infect Ther. 2013 May;11(5):451-3
pubmed: 23627850
Sci Rep. 2020 Jan 31;10(1):1634
pubmed: 32005884
AIDS. 2003 Jul 25;17(11):1691-4
pubmed: 12853752
PLoS One. 2018 Nov 21;13(11):e0207647
pubmed: 30462714
Sex Transm Dis. 2008 Jun;35(6):558-65
pubmed: 18354344
AIDS Behav. 2017 Aug;21(8):2381-2393
pubmed: 28324199
Sex Transm Dis. 2012 Oct;39(10):750-5
pubmed: 23007705
Sci Rep. 2019 Jun 20;9(1):8970
pubmed: 31222149
Sex Transm Dis. 2019 Aug;46(8):556-562
pubmed: 31295225
Int J Equity Health. 2018 May 30;17(1):68
pubmed: 29848324