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HIV testing behaviour and HIV prevalence among female sex workers in Ukraine: findings from an Integrated Bio-Behavioural Survey, 2013–2014

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dc.contributor.author Tokar, Anna
dc.contributor.author Sazonova, Iana
dc.contributor.author Mishra, Sharmistha
dc.contributor.author Smyrnov, Pavlo
dc.contributor.author Saliuk, Tetiana
dc.contributor.author Lazarus, Jeffrey V.
dc.contributor.author Broerse, Jacqueline E.W.
dc.contributor.author Roura, Maria
dc.contributor.author Blanchard, James
dc.contributor.author Becker, Marissa L.
dc.date.accessioned 2019-04-23T11:03:39Z
dc.date.available 2019-04-23T11:03:39Z
dc.date.issued 2019
dc.identifier.uri http://hdl.handle.net/10344/7773
dc.description peer-reviewed en_US
dc.description.abstract Objectives Ukraine has one of the largest HIV epidemics in Europe, with high prevalence among female sex workers (FSWs). We aimed to identify factors associated with HIV testing and receipt of the test result in the last 12 months, HIV prevalence and self-reported positive status among FSWs in Ukraine. Methods We used data from an Integrated Bio- Behavioural Survey among FSWs conducted in 2013– 2014. The survey methodology combined three sampling strategies: time and location sampling, respondentdriven sampling and key informant recruitment. We used multivariable regression to identify factors associated with self-reported HIV testing in the last 12 months, HIV prevalence and self-reported positive status among FSWs living with HIV. Explored factors included: age, age at first sex, age at entry into sex work, education, marital status, employment status beside sex work, condom use with last paying or non-paying sexual partner, drug or alcohol consumption and sex work venue. Results R ecent HIV testing was low overall with only 63.2% of FSWs reported having tested and received their test result in the last 12 months prior to the survey. HIV prevalence was 7.1% overall, but only 45.0% of FSWs living with HIV were aware of their HIV status. Testing in the last 12 months with receipt of test result was less common among FSWs who used drugs ever in life (adjusted OR (AOR) 0.7, 95% CI 0.6 to 0.9), women soliciting clients indoors (AOR 0.8, 95% CI 0.7 to 0.9) and those not using a condom with last paying sexual partner (AOR 0.3, 95% CI 0.2 to 0.5). HIV positivity was associated with history of ever using drugs (AOR 2.3, 95% CI 1.4 to 3.6) and soliciting clients outdoors (AOR 1.5, 95% CI 1.1 to 2.0). Women working indoors were less aware of their positive status (AOR 0.1, 95% CI 0.1 to 0.9). Conclusion HIV prevalence is high among FSWs in Ukraine, and testing and knowledge of one’s status remain insufficient. HIV testing programmes need to expand with strategies to reach specific subgroups of FSWs. en_US
dc.language.iso eng en_US
dc.publisher Public Library of Science en_US
dc.relation.ispartofseries PLoS ONE;95, pp. 193-200
dc.subject HIV testing en_US
dc.subject Ukraine en_US
dc.title HIV testing behaviour and HIV prevalence among female sex workers in Ukraine: findings from an Integrated Bio-Behavioural Survey, 2013–2014 en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1136/sextrans-2018-053684
dc.contributor.sponsor TransGlobal Health Program en_US
dc.contributor.sponsor Global Fund to Fight HIV/AIDS, Tuberculosis and Malaria en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US


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