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首页> 外文期刊>AIDS care. >Structural, interpersonal, psychosocial, and behavioral risk factors for HIV acquisition among female bar workers in Dar es Salaam, Tanzania
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Structural, interpersonal, psychosocial, and behavioral risk factors for HIV acquisition among female bar workers in Dar es Salaam, Tanzania

机译：坦桑尼亚达累斯萨拉姆女性酒吧工作人员艾滋病毒收购的结构，人际关系，心理社会和行为危险因素

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摘要

In sub-Saharan Africa, female bar workers (FBWs) often serve as informal sex workers. Little is known about the prevalence of HIV and HIV-related risk factors among FBWs in Dar es Salaam (DSM), Tanzania. Using an adapted Structural HIV Determinants Framework, we identified structural, interpersonal, psychosocial, and behavioral risk factors for HIV acquisition. We compared the prevalence of HIV and HIV-related risk factors among a random sample of 66 FBWs from DSM to an age-standardized, representative sample of female DSM-residents from the 2016 Demographic and Health and 2011-2012 AIDS Indicator Surveys. Compared to other women in DSM, FBWs had elevated prevalence of all four groups of risk factors. Key risk factors included gender and economic inequalities (structural); sexual violence and challenges negotiating condom use (interpersonal); depression, post-traumatic stress disorder, and low social support (psychosocial); and history of unprotected sex, multiple sex partners, and high alcohol consumption (behavioral). HIV prevalence did not differ between FBWs (7.1%, 95% CI 3.7-13.3%) and survey respondents (7.7%, 95% CI: 5.3-11.1%), perhaps due to FBWs' higher - though sub-optimal - engagement with HIV prevention strategies. Elevated exposure to HIV-related risk factors but low HIV prevalence suggests economic, psychosocial, and biomedical interventions may prevent HIV among FBWs in DSM.
机译：在撒哈拉以南非洲，女性酒吧工人（FBWS）经常作为非正式性工作者。关于达累斯萨拉姆（DSM），坦桑尼亚达累斯萨拉姆（DSM）中的艾滋病毒和艾滋病毒相关风险因素的患病率几乎闻名。使用适应的结构HIV确定剂框架，我们确定了艾滋病毒习得的结构，人际关系，心理社会和行为危险因素。我们将艾滋病毒和艾滋病毒相关风险因素的患病率与来自DSM的66个FBWS的随机样本与2016年人口统计和健康和2011-2012艾滋病指标调查的年龄标准化的女性DSM居民的年龄标准化，代表性样本。与DSM中的其他女性相比，FBWS对所有四组危险因素进行了升高。主要风险因素包括性别和经济不平等（结构）;谈判避孕套使用的性暴力和挑战（人际）;抑郁症，创伤后应激障碍，低社会支持（心理社会）;和无保护性行为，多种性伴侣和高饮酒（行为）的历史。艾滋病毒患病率在FBW（7.1％，95％CI 3.7-13.3％）和调查受访者之间没有差异（7.7％，95％：5.3-11.1％），也许是由于FBWS的更高 - 尽管次优 - 接触艾滋病毒预防策略。接触艾滋病毒相关风险因素升高，但低艾滋病毒患病率表明经济，心理社会和生物医学干预措施可能会阻止达姆FBWS中的艾滋病毒。

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