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首页> 外文期刊>Substance Abuse Treatment, Prevention, and Policy >HIV testing and its associated factors among street-based female sex workers in Iran: results of a national rapid assessment and response survey
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HIV testing and its associated factors among street-based female sex workers in Iran: results of a national rapid assessment and response survey

机译：艾滋病毒检测及其相关因素在伊朗街道女性性工作者中：国家快速评估与响应调查的结果

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Female sex workers (FSWs) are at a disproportionate risk of sexually transmitted infections and they may face significant barriers to HIV testing. This study aimed to examine HIV testing prevalence and its associated factors among street-based FSWs in Iran. A total of 898 FSWs were recruited from 414 venues across 19 major cities in Iran between October 2016 and March 2017. Eligible FSWs were women aged 18?years of age who had at least one commercial sexual intercourse in the previous year. HIV testing was defined as having tested for HIV in the lifetime. Bivariable and multivariable logistic regression were used to examine the correlates of HIV testing. We report adjusted odds ratios (aOR) and their 95% confidence intervals (CI). Overall, 57.8% (95%CI: 20.0, 88.0) of participants reported having tested for HIV, and HIV prevalence among FSWs who tested for HIV was 10.3% (95%CI: 7.5, 13.0). The multivariable model showed that unstable housing (aOR: 8.86, 95%CI: 2.68, 29.32) and drug use (aOR: 3.47, 95%CI: 1.33, 9.06) were associated with increased likelihood of HIV testing. However, FSWs with a higher level of income were less likely to be tested for HIV (aOR: 0.09, 95%CI: 0.02, 0.43). Almost one in ten street-based FSWs had never tested for HIV. These findings suggest the need for evidence-based strategies such as outreach support and HIV self-testing to improve HIV testing in this marginalized population.
机译：女性性工作者（FSWS）是不成比例的性传播感染的风险，它们可能面临艾滋病毒检测的显着障碍。本研究旨在研究伊朗街道FSWS之间的艾滋病检测流行及其相关因素。 2016年10月的伊朗的19个主要城市的414个场地共招募了898辆FSW，符合条件的FSWS是18岁的女性，年龄在上年至少有一个商业性交。 HIV测试定义为在寿命中对艾滋病毒进行测试。用于检查HIV测试的相关性和多变量的逻辑回归。我们报告了调整后的赔率比（AOR）及其95％的置信区间（CI）。总体而言，57.8％（95％CI：20.0,88.0）对艾滋病毒检测的参与者报告，对艾滋病毒检测的FSWS之间的艾滋病毒患病率为10.3％（95％CI：7.5,13.0）。多变量型号显示不稳定的外壳（AOR：8.86,95％CI：2.68,29.32）和药物使用（AOR：3.47,95％CI：1.33,9.06）与艾滋病毒检测的可能性增加有关。然而，对于HIV（AOR：0.09,95％CI：0.02,0.43）来测试具有较高收入水平的FSW。几乎一个基于街道的fsws从未测试过艾滋病毒。这些调查结果表明，需要基于证据的策略，如外联障碍和艾滋病毒自检，以改善在这个边缘化人口中的艾滋病毒检测。

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