2022年,埃塞俄比亚西北部Debre Markos和Bahir Dar镇非政府艾滋病毒检测机构中女性性工作者的艾滋病毒自我检测及其相关因素。

IF 1.5 Q4 INFECTIOUS DISEASES
Baleh Nibret Eskezia, Yilkal Tafere, Abiot Aschale, Nurilign Abebe Moges
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引用次数: 0

摘要

背景:人类免疫缺陷病毒自我检测(HIVST)被普遍接受为实现联合国国际开发署到2030年实现首个95年目标的艾滋病毒检测选择。在女性性工作者中,通过自愿咨询和检测以及提供者发起的检测和咨询进行艾滋病毒检测的覆盖率很低。然而,没有证据表明在研究地区的女服务员中艾滋病毒感染水平。目的:评估2022年埃塞俄比亚西北部Debre Markos和Bahir Dar镇非政府设施中fsw的hiv感染情况及其相关因素。方法:采用基于机构的横断面研究设计。采用系统随机抽样方法,共选取423名研究对象。数据是通过结构化和预先测试的问卷收集的;进入EpiData 3.1版本,导出到SPSS 25版本进行分析。估计校正优势比(AOR)和95%置信区间(CI)来评估自变量和因变量之间的关联强度。对每个变量进行双变量logistic回归,选取p值< 0.25%的变量进行多变量分析。最后以p值< 0.05%为有统计学意义。结果:外来务工人员hiv感染率为59.3%。从事性工作的时间> 5年[AOR 2.16 (95% CI: 1.158-4.013)],第一次性行为的年龄>19年[AOR 3.23 (95% CI: 2.045-5.093)],以前在城市居住[AOR 3.99 (95% CI: 2.58-6.18)],对艾滋病的了解[AOR 1.78 (95% CI: 1.066-2.964)],大学及以上学历[AOR 5.6 (95% CI: 3.12-9.30)]是显著相关因素。结论:外来务工人员hiv感染率为59.3%,低于全国预期水平。受教育程度、初次性行为的年龄、对艾滋病毒传播的认识以及从事性工作的时间与艾滋病毒传播感染显著相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Uptake of HIV Self-Testing and Associated Factors Among Female Sex Workers at Non-Governmental HIV Testing Facilities in Debre Markos and Bahir Dar Towns, Northwest Ethiopia, 2022.

Uptake of HIV Self-Testing and Associated Factors Among Female Sex Workers at Non-Governmental HIV Testing Facilities in Debre Markos and Bahir Dar Towns, Northwest Ethiopia, 2022.

Uptake of HIV Self-Testing and Associated Factors Among Female Sex Workers at Non-Governmental HIV Testing Facilities in Debre Markos and Bahir Dar Towns, Northwest Ethiopia, 2022.

Background: Human immunodeficiency virus self-testing (HIVST) is universally accepted as an HIV testing option to achieve the United Nations Agency for International Development first 95 goal by 2030. HIV testing coverage through voluntary counseling and testing and provider initiated testing and counseling is low among female sex workers (FSWs). However, there is no evidence on the level of HIVST among FSWs in the study area.

Objective: To assess the uptake of HIVST and associated factors among FSWs at non-governmental facilities in Debre Markos and Bahir Dar towns, Northwest Ethiopia, 2022.

Methods: An institution-based cross-sectional study design was employed. A total of 423 study participants were selected by systematic random sampling technique. The data were collected using a structured and pre-tested questionnaire; entered into EpiData version 3.1 and exported to SPSS version 25 for analysis. An adjusted odds ratio (AOR) with a 95% confidence interval (CI) was estimated to assess the strength of association between independent variables and dependent variable. Bivariable logistic regression was done for each variable and those with a P-value of < 0.25% were selected for multivariable analysis. Finally, P-value < 0.05% was declared statistically significant.

Results: The magnitude of HIVST uptake among FSWs was 59.3%. Time since engagement of sex work > 5 years [AOR 2.16 (95% CI: 1.158-4.013)], age of first sexual debut >19 years [AOR 3.23 (95% CI: 2.045-5.093)], previous urban residence [AOR 3.99 (95% CI: 2.58-6.18)], good knowledge towards HIVST [AOR 1.78 (95% CI: 1.066-2.964)], education status being college and above [AOR 5.6 (95% CI: 3.12-9.30)] were significantly associated factors.

Conclusion: HIVST uptake among FSWs was 59.3% which is lower than expected at national level. Educational status, age at first sexual debut, knowledge towards HIVST, and time since engagement in sex work were significantly associated with HIVST uptake.

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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
61
审稿时长
16 weeks
期刊介绍: About Dove Medical Press Dove Medical Press Ltd is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC. We specialize in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine. Dove Medical Press was founded in 2003 with the objective of combining the highest editorial standards with the ''best of breed'' new publishing technologies. We have offices in Manchester and London in the United Kingdom, representatives in Princeton, New Jersey in the United States, and our editorial offices are in Auckland, New Zealand. Dr Scott Fraser is our Medical Director based in the UK. He has been in full time clinical practice for over 20 years as well as having an active research interest.
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