Declines in HIV prevalence in female sex workers accessing an HIV treatment and prevention programme in Nairobi, Kenya over a 10-year period
Autor: | Gloria Gakii, Souradet Y. Shaw, Achieng Tago, Julius Munyao, Lawrence Gelmon, Tabitha Wanjiru, Festus K. Muriuki, Anthony Kariri, Neil Reed, Lyle R. McKinnon, Maureen Akolo, Joshua Kimani |
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Rok vydání: | 2021 |
Předmět: |
0301 basic medicine
Vaginal discharge Immunology Population HIV Infections Hiv testing law.invention Condoms Continuous variable 03 medical and health sciences 0302 clinical medicine Condom law Prevalence Humans Immunology and Allergy Medicine 030212 general & internal medicine Hiv treatment education education.field_of_study Sex Workers business.industry virus diseases Female sex Hiv prevalence Kenya Cross-Sectional Studies 030104 developmental biology Infectious Diseases Female medicine.symptom business Demography |
Zdroj: | AIDS. 35:317-324 |
ISSN: | 1473-5571 0269-9370 |
Popis: | OBJECTIVES Empirical time trends in HIV prevalence in female sex workers (FSWs) are helpful to understand the evolving HIV epidemic, and to monitor the scale-up, coverage, and impact of ongoing HIV prevention and treatment programmes. DESIGN Serial HIV prevalence study. METHODS We analyzed time trends in HIV prevalence in FSWs accessing services at seven Sex Worker Outreach Programme (SWOP) clinics in Nairobi from 2008 to 2017 (N = 33 560). The Mantel--Haenszel test for trend and independent samples Kruskal--Wallis test were used to analyze categorical and continuous variables, respectively. Multivariable binomial regression was used to estimate prevalence ratios/year, adjusting for several covariates. RESULTS HIV prevalence decreased over time in all age groups. This was particularly evident among FSWs less than 25 years of age; HIV was 17.5% in 2008-2009, decreasing to 12.2% in 2010-2011, 8.3% in 2012-2013, 7.3% in 2014-2015, and 4.8% in 2016-2017 (P |
Databáze: | OpenAIRE |
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