Correlates of HIV self-testing among female sex workers in China: implications for expanding HIV screening
| Autor: | He Ping Zheng, W Tang, Ming Zhou Xiong, Jason J. Ong, Joseph D. Tucker, Cheng Wang, Hong Yun Fu, Ya Jie Wang, M. Kumi Smith, Bin Yang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
China medicine.medical_specialty Adolescent Cross-sectional study HIV Infections Self-testing Logistic regression lcsh:Infectious and parasitic diseases Men who have sex with men Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans lcsh:RC109-216 030212 general & internal medicine Young adult Female sex workers Sex Workers 030505 public health business.industry lcsh:Public aspects of medicine Public health Public Health Environmental and Occupational Health HIV lcsh:RA1-1270 General Medicine Odds ratio Middle Aged Confidence interval Cross-Sectional Studies Infectious Diseases Tropical medicine Female 0305 other medical science business Research Article Demography |
| Zdroj: | Infectious Diseases of Poverty, Vol 9, Iss 1, Pp 1-9 (2020) Infectious Diseases of Poverty |
| ISSN: | 2095-5162 |
| Popis: | Background Human immunodeficiency virus (HIV) self-testing may help improve test uptake among female sex workers. China has implemented many HIV self-testing programs among men who have sex with men, creating an opportunity for promotion among female sex workers. However, there is a limited literature on examining HIV self-testing among female sex workers. This study aimed to examine HIV self-testing experiences and its determinants among female sex workers in China. Methods A venue-based, cross-sectional study was conducted among Chinese female sex workers in 2019. Participants completed a survey including social-demographic characteristics, sexual behaviors, and HIV self-testing history, the distribution of which were analyzed using descriptive analysis. Multivariable logistic regression was conducted to identify associations with HIV self-testing. Results Among 1287 Chinese female sex workers, 1072 (83.3%, 95% confidence interval [CI] 81.2–85.3%) had ever tested for HIV, and 103 (8.0%, 95% CI 6.6–9.6%) had ever used HIV self-testing. More than half reported that the self-test was their first HIV test (59.2%, 61/103), around one-fifth reported HIV self-testing results influenced the price of sex (21.4%, 22/103). A minority of individuals reported ever experiencing pressure to undertake HIV self-testing (6.8%, 7/103). After adjusting for covariates, HIV self-testing was positively associated with receiving anal sex in the past month (adjusted odds ratio [aOR] = 2.2, 95% CI 1.4–3.5), using drugs before or during sex (aOR = 2.8, 95% CI 1.8–4.5), injecting drugs in the past 6 months (aOR = 2.6, 95% CI 1.2–6.0), being diagnosed with other sexually transmitted infections (aOR = 1.6, 95% CI 1.0–2.5), tested for other sexually transmitted infections in the past six months (aOR = 3.4, 95% CI 2.1–5.5), ever tested in the hospital (aOR = 3.4, 95% CI 2.0–5.6), and ever tested in the community (aOR = 1.5, 95% CI 1.2–1.9). Conclusions Our findings suggest that HIV self-testing could expand overall HIV testing uptake, increase HIV testing frequency, reach sub-groups of high-risk female sex workers and has limited potential harms among female sex workers. HIV self-testing should be incorporated among Chinese female sex workers as a complement to facility-based HIV testing services. |
| Databáze: | OpenAIRE |
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