HIV testing and associated factors among female sex workers in Tanzania: approaching the first 90% target?
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HIV testing and associated factors among female sex workers in Tanzania : approaching the first 90% target? / Mizinduko, Mucho; Moen, Kåre; Pinkowski Tersbøl, Britt; Likindikoki, Samuel L.; Alexander Ishungisa, Mwijage; Leyna, Germana H.; Makyao, Neema; Leshabari, Melkizedeck T.; Ramadhani, Angela; Wolf Meyrowitsch, Dan; Lange, Theis; Mmbaga, Elia J.
I: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Bind 35, Nr. 6, 2023, s. 850-858.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - HIV testing and associated factors among female sex workers in Tanzania
T2 - approaching the first 90% target?
AU - Mizinduko, Mucho
AU - Moen, Kåre
AU - Pinkowski Tersbøl, Britt
AU - Likindikoki, Samuel L.
AU - Alexander Ishungisa, Mwijage
AU - Leyna, Germana H.
AU - Makyao, Neema
AU - Leshabari, Melkizedeck T.
AU - Ramadhani, Angela
AU - Wolf Meyrowitsch, Dan
AU - Lange, Theis
AU - Mmbaga, Elia J.
N1 - Publisher Copyright: © 2021 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2023
Y1 - 2023
N2 - Use of HIV testing services among FSW in sub-Saharan Africa (SSA) is below the desired UNAIDS target of 90%. We estimated the prevalence and factors associated with HIV testing among FSW in Dar es Salaam, Tanzania. A respondent-driven sampling method was used to recruit FSW aged 18. Modified Poisson regression models were used to determine factors associated with recent HIV testing. Of 958 surveyed FSW (median age 26 years), 85.4% (95% CI: 82.3, 88.1) reported to have ever been tested for HIV and 65.3% (95% CI: 61.2, 69.3) tested in the past 12 months. Condom use on the last day worked (prevalence ratio (PR) = 1.17; 95% CI: 0.99, 1.38), no or low self-perceived risk of HIV acquisition (PR = 1.16; 95% CI: 1.02, 1.32), having never felt stigmatized as a sex worker (PR = 1.18; 95% CI: 1.04, 1.33), and having been in contact with a peer educator (PR = 1.33; 95% CI: 1.18, 1.49) during the past year preceding the survey were associated with recent HIV testing. Interventions aiming to mitigate stigma due to sex work, improve health education to address risk perception as a barrier to HIV testing, and scaling up peer educator’s engagement should be given priority.
AB - Use of HIV testing services among FSW in sub-Saharan Africa (SSA) is below the desired UNAIDS target of 90%. We estimated the prevalence and factors associated with HIV testing among FSW in Dar es Salaam, Tanzania. A respondent-driven sampling method was used to recruit FSW aged 18. Modified Poisson regression models were used to determine factors associated with recent HIV testing. Of 958 surveyed FSW (median age 26 years), 85.4% (95% CI: 82.3, 88.1) reported to have ever been tested for HIV and 65.3% (95% CI: 61.2, 69.3) tested in the past 12 months. Condom use on the last day worked (prevalence ratio (PR) = 1.17; 95% CI: 0.99, 1.38), no or low self-perceived risk of HIV acquisition (PR = 1.16; 95% CI: 1.02, 1.32), having never felt stigmatized as a sex worker (PR = 1.18; 95% CI: 1.04, 1.33), and having been in contact with a peer educator (PR = 1.33; 95% CI: 1.18, 1.49) during the past year preceding the survey were associated with recent HIV testing. Interventions aiming to mitigate stigma due to sex work, improve health education to address risk perception as a barrier to HIV testing, and scaling up peer educator’s engagement should be given priority.
KW - female sex workers
KW - HIV
KW - key population
KW - sub-Saharan Africa
KW - testing
U2 - 10.1080/09540121.2021.2014779
DO - 10.1080/09540121.2021.2014779
M3 - Journal article
C2 - 34927487
AN - SCOPUS:85121707895
VL - 35
SP - 850
EP - 858
JO - AIDS Care
JF - AIDS Care
SN - 0954-0121
IS - 6
ER -
ID: 288648816