Engagement with HIV prevention treatment and care among female sex workers in Zimbabwe: a respondent driven sampling survey
To determine the HIV prevalence and extent of engagement with HIV prevention and care among a representative sample of Zimbabwean sex workers working in Victoria Falls, Hwange and Mutare. Respondent driven sampling (RDS) surveys conducted at each site. Sex workers were recruited using respondent dri...
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| Veröffentlicht in: | PloS one 2013-10, Vol.8 (10), p.e77080-e77080 |
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| creator | Cowan, Frances M Mtetwa, Sibongile Davey, Calum Fearon, Elizabeth Dirawo, Jeffrey Wong-Gruenwald, Ramona Ndikudze, Theresa Chidiya, Samson Benedikt, Clemens Busza, Joanna Hargreaves, James R |
| description | To determine the HIV prevalence and extent of engagement with HIV prevention and care among a representative sample of Zimbabwean sex workers working in Victoria Falls, Hwange and Mutare.
Respondent driven sampling (RDS) surveys conducted at each site.
Sex workers were recruited using respondent driven sampling with each respondent limited to recruiting 2 peers. Participants completed an interviewer-administered questionnaire and provided a finger prick blood sample for HIV antibody testing. Statistical analysis took account of sampling method.
870 women were recruited from the three sites. HIV prevalence was between 50 and 70%. Around half of those confirmed HIV positive were aware of their HIV status and of those 50-70% reported being enrolled in HIV care programmes. Overall only 25-35% of those with laboratory-confirmed HIV were accessing antiretroviral therapy. Among those reporting they were HIV negative, 21-28% reported having an HIV test in the last 6 months. Of those tested HIV negative, most (65-82%) were unaware of their status. Around two-thirds of sex workers reported consistent condom use with their clients. As in other settings, sex workers reported high rates of gender based violence and police harassment.
This survey suggests that prevalence of HIV is high among sex workers in Zimbabwe and that their engagement with prevention, treatment and care is sub-optimal. Intensifying prevention and care interventions for sex workers has the potential to markedly reduce HIV and social risks for sex workers, their clients and the general population in Zimbabwe and elsewhere in the region. |
| doi_str_mv | 10.1371/journal.pone.0077080 |
| format | Article |
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Respondent driven sampling (RDS) surveys conducted at each site.
Sex workers were recruited using respondent driven sampling with each respondent limited to recruiting 2 peers. Participants completed an interviewer-administered questionnaire and provided a finger prick blood sample for HIV antibody testing. Statistical analysis took account of sampling method.
870 women were recruited from the three sites. HIV prevalence was between 50 and 70%. Around half of those confirmed HIV positive were aware of their HIV status and of those 50-70% reported being enrolled in HIV care programmes. Overall only 25-35% of those with laboratory-confirmed HIV were accessing antiretroviral therapy. Among those reporting they were HIV negative, 21-28% reported having an HIV test in the last 6 months. Of those tested HIV negative, most (65-82%) were unaware of their status. Around two-thirds of sex workers reported consistent condom use with their clients. As in other settings, sex workers reported high rates of gender based violence and police harassment.
This survey suggests that prevalence of HIV is high among sex workers in Zimbabwe and that their engagement with prevention, treatment and care is sub-optimal. Intensifying prevention and care interventions for sex workers has the potential to markedly reduce HIV and social risks for sex workers, their clients and the general population in Zimbabwe and elsewhere in the region.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0077080</identifier><identifier>PMID: 24143203</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; Aggression ; AIDS ; Antiretroviral agents ; Antiretroviral drugs ; Antiretroviral therapy ; Care and treatment ; Clients ; Counseling ; Data Collection - methods ; Discount coupons ; Disease prevention ; Epidemics ; Epidemiology ; Estimates ; Female ; Gender ; Health risks ; Highly active antiretroviral therapy ; HIV ; HIV antibodies ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; HIV Infections - therapy ; HIV tests ; Human immunodeficiency virus ; Humans ; Hygiene ; Infections ; Infectious diseases ; Medicine ; Outcome Assessment (Health Care) ; Police ; Polls & surveys ; Population ; Population (statistical) ; Prevalence ; Prevention ; Prostitution ; Public health ; Sampling ; Sampling methods ; Seeds ; Sex ; Sex industry ; Sex oriented businesses ; Sex Workers - statistics & numerical data ; Sexual behavior ; Sexually transmitted disease prevention ; Sexually transmitted diseases ; Social networks ; Statistical analysis ; STD ; Studies ; Surveys ; Violence ; Womens health ; Workers ; Working women ; Young Adult ; Zimbabwe - epidemiology</subject><ispartof>PloS one, 2013-10, Vol.8 (10), p.e77080-e77080</ispartof><rights>COPYRIGHT 2013 Public Library of Science</rights><rights>2013 Cowan et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2013 Cowan et al 2013 Cowan et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-1d2fb855ff46f114e39d4fc6b7645fd7d4d712d80d7a090fc02cb01b464d15df3</citedby><cites>FETCH-LOGICAL-c692t-1d2fb855ff46f114e39d4fc6b7645fd7d4d712d80d7a090fc02cb01b464d15df3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3797143/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3797143/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24143203$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cowan, Frances M</creatorcontrib><creatorcontrib>Mtetwa, Sibongile</creatorcontrib><creatorcontrib>Davey, Calum</creatorcontrib><creatorcontrib>Fearon, Elizabeth</creatorcontrib><creatorcontrib>Dirawo, Jeffrey</creatorcontrib><creatorcontrib>Wong-Gruenwald, Ramona</creatorcontrib><creatorcontrib>Ndikudze, Theresa</creatorcontrib><creatorcontrib>Chidiya, Samson</creatorcontrib><creatorcontrib>Benedikt, Clemens</creatorcontrib><creatorcontrib>Busza, Joanna</creatorcontrib><creatorcontrib>Hargreaves, James R</creatorcontrib><title>Engagement with HIV prevention treatment and care among female sex workers in Zimbabwe: a respondent driven sampling survey</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>To determine the HIV prevalence and extent of engagement with HIV prevention and care among a representative sample of Zimbabwean sex workers working in Victoria Falls, Hwange and Mutare.
Respondent driven sampling (RDS) surveys conducted at each site.
Sex workers were recruited using respondent driven sampling with each respondent limited to recruiting 2 peers. Participants completed an interviewer-administered questionnaire and provided a finger prick blood sample for HIV antibody testing. Statistical analysis took account of sampling method.
870 women were recruited from the three sites. HIV prevalence was between 50 and 70%. Around half of those confirmed HIV positive were aware of their HIV status and of those 50-70% reported being enrolled in HIV care programmes. Overall only 25-35% of those with laboratory-confirmed HIV were accessing antiretroviral therapy. Among those reporting they were HIV negative, 21-28% reported having an HIV test in the last 6 months. Of those tested HIV negative, most (65-82%) were unaware of their status. Around two-thirds of sex workers reported consistent condom use with their clients. As in other settings, sex workers reported high rates of gender based violence and police harassment.
This survey suggests that prevalence of HIV is high among sex workers in Zimbabwe and that their engagement with prevention, treatment and care is sub-optimal. Intensifying prevention and care interventions for sex workers has the potential to markedly reduce HIV and social risks for sex workers, their clients and the general population in Zimbabwe and elsewhere in the region.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aggression</subject><subject>AIDS</subject><subject>Antiretroviral agents</subject><subject>Antiretroviral drugs</subject><subject>Antiretroviral therapy</subject><subject>Care and treatment</subject><subject>Clients</subject><subject>Counseling</subject><subject>Data Collection - methods</subject><subject>Discount coupons</subject><subject>Disease prevention</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Estimates</subject><subject>Female</subject><subject>Gender</subject><subject>Health risks</subject><subject>Highly active antiretroviral therapy</subject><subject>HIV</subject><subject>HIV antibodies</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - therapy</subject><subject>HIV tests</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Medicine</subject><subject>Outcome Assessment (Health Care)</subject><subject>Police</subject><subject>Polls & surveys</subject><subject>Population</subject><subject>Population (statistical)</subject><subject>Prevalence</subject><subject>Prevention</subject><subject>Prostitution</subject><subject>Public health</subject><subject>Sampling</subject><subject>Sampling methods</subject><subject>Seeds</subject><subject>Sex</subject><subject>Sex industry</subject><subject>Sex oriented businesses</subject><subject>Sex Workers - statistics & numerical data</subject><subject>Sexual behavior</subject><subject>Sexually transmitted disease prevention</subject><subject>Sexually transmitted diseases</subject><subject>Social networks</subject><subject>Statistical analysis</subject><subject>STD</subject><subject>Studies</subject><subject>Surveys</subject><subject>Violence</subject><subject>Womens health</subject><subject>Workers</subject><subject>Working women</subject><subject>Young Adult</subject><subject>Zimbabwe - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cowan, Frances M</au><au>Mtetwa, Sibongile</au><au>Davey, Calum</au><au>Fearon, Elizabeth</au><au>Dirawo, Jeffrey</au><au>Wong-Gruenwald, Ramona</au><au>Ndikudze, Theresa</au><au>Chidiya, Samson</au><au>Benedikt, Clemens</au><au>Busza, Joanna</au><au>Hargreaves, James R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Engagement with HIV prevention treatment and care among female sex workers in Zimbabwe: a respondent driven sampling survey</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2013-10-15</date><risdate>2013</risdate><volume>8</volume><issue>10</issue><spage>e77080</spage><epage>e77080</epage><pages>e77080-e77080</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>To determine the HIV prevalence and extent of engagement with HIV prevention and care among a representative sample of Zimbabwean sex workers working in Victoria Falls, Hwange and Mutare.
Respondent driven sampling (RDS) surveys conducted at each site.
Sex workers were recruited using respondent driven sampling with each respondent limited to recruiting 2 peers. Participants completed an interviewer-administered questionnaire and provided a finger prick blood sample for HIV antibody testing. Statistical analysis took account of sampling method.
870 women were recruited from the three sites. HIV prevalence was between 50 and 70%. Around half of those confirmed HIV positive were aware of their HIV status and of those 50-70% reported being enrolled in HIV care programmes. Overall only 25-35% of those with laboratory-confirmed HIV were accessing antiretroviral therapy. Among those reporting they were HIV negative, 21-28% reported having an HIV test in the last 6 months. Of those tested HIV negative, most (65-82%) were unaware of their status. Around two-thirds of sex workers reported consistent condom use with their clients. As in other settings, sex workers reported high rates of gender based violence and police harassment.
This survey suggests that prevalence of HIV is high among sex workers in Zimbabwe and that their engagement with prevention, treatment and care is sub-optimal. Intensifying prevention and care interventions for sex workers has the potential to markedly reduce HIV and social risks for sex workers, their clients and the general population in Zimbabwe and elsewhere in the region.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24143203</pmid><doi>10.1371/journal.pone.0077080</doi><tpages>e77080</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1442193255 |
| source | Public Library of Science (PLoS) Journals Open Access; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Acquired immune deficiency syndrome Adolescent Adult Aggression AIDS Antiretroviral agents Antiretroviral drugs Antiretroviral therapy Care and treatment Clients Counseling Data Collection - methods Discount coupons Disease prevention Epidemics Epidemiology Estimates Female Gender Health risks Highly active antiretroviral therapy HIV HIV antibodies HIV Infections - epidemiology HIV Infections - prevention & control HIV Infections - therapy HIV tests Human immunodeficiency virus Humans Hygiene Infections Infectious diseases Medicine Outcome Assessment (Health Care) Police Polls & surveys Population Population (statistical) Prevalence Prevention Prostitution Public health Sampling Sampling methods Seeds Sex Sex industry Sex oriented businesses Sex Workers - statistics & numerical data Sexual behavior Sexually transmitted disease prevention Sexually transmitted diseases Social networks Statistical analysis STD Studies Surveys Violence Womens health Workers Working women Young Adult Zimbabwe - epidemiology |
| title | Engagement with HIV prevention treatment and care among female sex workers in Zimbabwe: a respondent driven sampling survey |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-21T20%3A24%3A49IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Engagement%20with%20HIV%20prevention%20treatment%20and%20care%20among%20female%20sex%20workers%20in%20Zimbabwe:%20a%20respondent%20driven%20sampling%20survey&rft.jtitle=PloS%20one&rft.au=Cowan,%20Frances%20M&rft.date=2013-10-15&rft.volume=8&rft.issue=10&rft.spage=e77080&rft.epage=e77080&rft.pages=e77080-e77080&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0077080&rft_dat=%3Cgale_plos_%3EA478258545%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1442193255&rft_id=info:pmid/24143203&rft_galeid=A478258545&rft_doaj_id=oai_doaj_org_article_d8995f59f2974ff79449e8bb3493aa65&rfr_iscdi=true |