生物行为调查使用时间位置采样在2020年住在加纳的女性性工作者

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Samuel Dery¹, Chris Guure¹, Seth Afagbedzi¹

¹Department of Biostatistics, School of Public Health, University of Ghana, Accra, Ghana.

Frontiers in public health

|March 4, 2024

概括

加纳在减少女性性工作者 (FSW) 艾滋病毒感染方面取得了进展. 然而,低避孕套使用率和有限的艾滋病毒服务可能会扭转这些收益,需要扩大服务和有针对性的干预措施.

科学领域:

公共卫生公共卫生
流行病学流行病学
社会科学社会科学社会科学

背景情况:

加纳的艾滋病毒流行病的特点是低水平的普遍传播,女性性工作者 (FSW) 和他们的客户的重要贡献.
本研究涉及了解FSW的特征和性行为,以告知艾滋病毒预防策略的必要性.

研究的目的:

确定和描述加纳FSW的关键特征和性行为.
估计加纳FSW中艾滋病毒,梅毒,淋病,克拉米迪亚和乙型肝炎病毒 (HBV) 的流行率.

主要方法:

总共有7,000名FSW被使用时间位置采样 (TLS) 招募.
数据收集涉及人口统计,性行为和避孕套使用的结构化问卷,以及用于STI测试的生物标本.
使用REDCap移动数据收集软件进行了描述性和双变量分析.

主要成果:

该研究包括5990名FSW,平均年龄为26岁. 四分之一的人没有或没有初级教育.
大多数人出于经济原因进入性工作,平均每周有11个客户. 与客户一致使用避孕套的比例为71%;与亲密伴侣一致使用避孕套的比例为24%.
艾滋病毒患病率为4.6%,比之前的调查减少 (2015年为6.9%,2011年为11.1%). 基于妓院的FSW和性工作持续时间较长的性工作者中,艾滋病毒的流行率更高.

结论:

加纳在减少FSW中艾滋病毒负担方面取得了进展,其证据是流行率下降.
低一致的避孕套使用,低于最佳的艾滋病毒服务覆盖率和低的全面艾滋病毒知识对持续的进展构成风险.
紧急扩大艾滋病毒服务,针对新进入者的目标推广,以及解决误解对于保持和建立当前收益至关重要.

关键词:

艾滋病病毒艾滋病病毒艾滋病病毒发生性传播感染的STI.商业性工作者是商业性工作者.女性性工作者是什么意思流浪者人口流浪者人口.座位人口的座位人口.时间位置采样采样采样地点-日间时间采样

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