尼日利亚女性性工作者产前艾滋病毒检测的流行率和相关因素。

IF 1.4 4区医学 Q4 IMMUNOLOGY

International Journal of STD & AIDS Pub Date : 2024-09-19 DOI:10.1177/09564624241284078

Babayemi O Olakunde,Daniel A Adeyinka,Chukwugozie Ujam,Chukwuebuka Ejeckam,Ashenafi S Cherkos,Chinwedu D Ndukwe,Adediran Adesina,Kalada Green,James O Anenih

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引用次数: 0

摘要

背景女性性工作者（FSWs）面临着感染艾滋病毒的巨大且持续的风险。虽然有证据表明撒哈拉以南非洲地区的女性性工作者怀孕率很高，但有关她们怀孕期间 HIV 检测覆盖率的研究却很少。本研究旨在估算尼日利亚产前 HIV 检测的流行率，并确定与之相关的因素。方法本研究是对 2020 年尼日利亚重点人群生物与行为综合监测调查 (IBBSS) 的二次数据分析。我们采用加权描述性统计和多变量二元逻辑回归来评估产前 HIV 检测与社会人口学特征、风险行为、HIV 知识和风险意识、污名化以及医疗保健服务之间的关联。结果在纳入研究的 1598 名 FSWs 中，71.0%（95%CI = 68.7%-73.1%）的人在最后一次怀孕期间进行了 HIV 检测。在回归模型中，高等教育（aOR = 2.98，95%CI = 1.48-6.01）、坚持使用安全套（aOR = 1.95，95%CI = 1.39-2.75）和接受产前护理（aOR = 35.52，95%CI = 23.40-53.92）与产前 HIV 检测的几率较高相关。与南部地缘政治区相比，居住在东南部（aOR = 3.38，95%CI = 1.80-6.35）、西南部（aOR = 2.97，95%CI = 1.88-4.68）、中北部（aOR = 4.43，95%CI = 2.80-7.01）、东北部（aOR = 4.22，95%CI = 1.64-10.34）、西北部（aOR = 4.40，95%CI = 2.59-7.48）报告产前 HIV 检测的几率更高。然而，作为一名不在妓院工作的女性社会工作者（aOR = 0.66，95%CI = 0.47-0.92）以及在怀孕期间从事性工作（aOR = 0.45，95%CI = 0.31-0.66）与产前 HIV 检测几率较低有显著相关。研究结果突出表明，有必要改善产前护理的可及性，并实施区域性和针对不同类型的干预措施，以弥合产前 HIV 检测方面的差距。

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Prevalence and correlates of prenatal HIV testing among female sex workers in Nigeria.

BACKGROUND Female sex workers (FSWs) face a significant and persistent risk of contracting HIV. While evidence indicates high rates of pregnancy among FSWs in sub-Saharan Africa, studies on the coverage of HIV testing during pregnancy among them are sparse. The objective of this study was to estimate the prevalence of prenatal HIV testing and determine the associated factors among FSWs in Nigeria. METHODS This study was a secondary data analysis of the 2020 Integrated Biological & Behavioural Surveillance Survey (IBBSS) among key populations in Nigeria. We performed weighted descriptive statistics and multivariable binary logistic regression to assess the associations between prenatal HIV testing and sociodemographic characteristics, risk behaviours, HIV knowledge and risk awareness, stigma, and access to healthcare. RESULTS Of the 1598 FSWs included in the study, 71.0% (95%CI = 68.7%-73.1%) had HIV testing during their last pregnancy. In the regression model, tertiary education (aOR = 2.98, 95%CI = 1.48-6.01), consistent condom use (aOR = 1.95, 95%CI = 1.39-2.75), and receipt of antenatal care (aOR = 35.52, 95%CI = 23.40-53.92) were associated with higher odds of prenatal HIV testing. Compared with the South South geopolitical zone, FSW residing in South East (aOR = 3.38, 95%CI = 1.80-6.35), South West (aOR = 2.97, 95%CI = 1.88-4.68), North Central (aOR = 4.43, 95%CI = 2.80-7.01), North East (aOR = 4.22, 95%CI = 1.64-10.34), North West (aOR = 4.40, 95%CI = 2.59-7.48) had higher odds of reporting prenatal HIV testing. However, being a non-brothel-based FSW (aOR = 0.66, 95%CI = 0.47-0.92), and engaging in sex work during pregnancy (aOR = 0.45, 95%CI = 0.31-0.66) were significantly associated with lower odds of prenatal HIV testing. CONCLUSIONS The prenatal HIV testing among FSWs in this study was suboptimal. The results highlight the need to improve access to antenatal care and implement regional and typology-specific interventions to bridge the gap in prenatal HIV testing among FSWs.

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来源期刊

International Journal of STD & AIDS 医学-传染病学

CiteScore

2.60

自引率

7.10%

发文量

144

审稿时长

3-6 weeks

期刊介绍： The International Journal of STD & AIDS provides a clinically oriented forum for investigating and treating sexually transmissible infections, HIV and AIDS. Publishing original research and practical papers, the journal contains in-depth review articles, short papers, case reports, audit reports, CPD papers and a lively correspondence column. This journal is a member of the Committee on Publication Ethics (COPE).