STI/HIV test result disclosure between female sex workers and their primary, non-commercial male partners in two Mexico-US border cities: a prospective study
| Autor: | Pines, HA, Patterson, TL, Rangel, G, Martinez, G, Bazzi, AR, Ulibarri, MD, Syvertsen, JL, Martin, NK, Strathdee, SA |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Adolescent Clinical Trials and Supportive Activities Clinical Sciences Sexually Transmitted Diseases urologic and male genital diseases Young Adult Clinical Research Humans Prospective Studies Mexico Sex Workers Prevention GONORRHOEA virus diseases HIV Middle Aged SYPHILIS CHLAMYDIA INFECTION Infectious Diseases Good Health and Well Being Medical Microbiology Public Health and Health Services Sexually Transmitted Infections HIV/AIDS Female Public Health Contact Tracing Infection |
| Zdroj: | Sexually transmitted infections, vol 91, iss 3 Pines, HA; Patterson, TL; Rangel, G; Martinez, G; Bazzi, AR; Ulibarri, MD; et al.(2015). STI/HIV test result disclosure between female sex workers and their primary, non-commercial male partners in two Mexico-US border cities: A prospective study. Sexually Transmitted Infections, 91(3), 207-213. doi: 10.1136/sextrans-2014-051663. UC Riverside: Retrieved from: http://www.escholarship.org/uc/item/6qk3h7kb |
| DOI: | 10.1136/sextrans-2014-051663. |
| Popis: | Objectives Disclosure of sexually transmitted infections (STI)/HIV diagnoses to sexual partners is not mandated by public health guidelines in Mexico. To assess the feasibility of couples-based STI/HIV testing with facilitated disclosure as a risk-reduction strategy within female sex workers' (FSW) primary partnerships, we examined STI/HIV test result disclosure patterns between FSWs and their primary, non-commercial male partners in two Mexico-US border cities. Methods From 2010 to 2013, 335 participants (181 FSWs and 154 primary male partners) were followed for 24 months. At semiannual visits, participants were tested for STIs/HIV and reported on their disclosure of test results from the previous visit. Multilevel logistic regression was used to identify individual-level and partnership-level predictors of cumulative (1) nondisclosure of ≥1 STI test result and (2) non-disclosure of ≥1 HIV test result within couples during follow-up. Results Eighty-seven percent of participants reported disclosing all STI/HIV test results to their primary partners. Non-disclosure of ≥1 STI test result was more common among participants who reported an STI diagnosis as part of the study (adjusted OR=3.05, 95% CI 1.13 to 8.25), while non-disclosure of ≥1 HIV test result was more common among participants in longerduration partnerships (AOR=1.15 per year, 95% CI 1.03 to 1.28). Drug use before/during sex within partnerships was associated with non-disclosure of both STI (AOR=5.06, 95% CI 1.64 to 15.62) and HIV (AOR=4.51, 95% CI: 1.32 to 15.39) test results. Conclusions STI/HIV test result disclosure was highly prevalent within FSWs' primary partnerships, suggesting couples-based STI/HIV testing with facilitated disclosure may be feasible for these and potentially other high-risk, socially marginalised couples. |
| Databáze: | OpenAIRE |
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