High Burden of HIV, Syphilis and HSV-2 and Factors Associated with HIV Infection Among Female Sex Workers in Tanzania: Implications for Early Treatment of HIV and Pre-exposure Prophylaxis (PrEP).

This paper estimates population-based prevalence of HIV, syphilis, HSV-2 and factors influencing HIV infection using a national sample of 1914 female sex workers (FSWs) in 7 regions in Tanzania. Additionally, HIV incidence was estimated by comparing biological HIV results with self-reported HIV stat...

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Publicado en:AIDS & Behavior Vol. 22; no. 4; pp. 1113 - 1122
Autores principales: Vu, Lung, Misra, Kavita
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10461-017-1992-2
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        atl: High Burden of HIV, Syphilis and HSV-2 and Factors Associated with HIV Infection Among Female Sex Workers in Tanzania: Implications for Early Treatment of HIV and Pre-exposure Prophylaxis (PrEP).
      aug:
        au:
          Vu, Lung
          Misra, Kavita
        affil: HIV and AIDS Program, Population Council, 4301 Connecticut Ave, NW, STE 280, 20008, Washington, DC, USA
      sug:
        subj:
          HIV Infections Epidemiology
          Syphilis Epidemiology
          Herpesvirus Infections Epidemiology
          Pre-Exposure Prophylaxis
          Early Intervention
          HIV Infections Prevention and Control
          Sex Work
          Female Employees
          Human
          Female
          Self Report
          Condoms
          Anti-Retroviral Agents Therapeutic Use
          Pilot Studies
          Viral Load
          Tanzania
          AIDS Serodiagnosis
          Female
      ab: This paper estimates population-based prevalence of HIV, syphilis, HSV-2 and factors influencing HIV infection using a national sample of 1914 female sex workers (FSWs) in 7 regions in Tanzania. Additionally, HIV incidence was estimated by comparing biological HIV results with self-reported HIV status. The average HIV prevalence among FSWs in all 7 regions was 28%, ranging from 14% in Tabora to 38% in Shinyanga. HIV incidence was found to be 13 per 100 person-years. Syphilis prevalence was 8% with significantly higher burden found in Iringa (11%), Mbeya (13%), and Shinyanga (12%). Nearly 60% of the study population was infected with HSV-2. The high HIV prevalence and incidence coupled with suboptimal condom use indicate an urgent need to roll out the “Treat-All” approach and provide antiretroviral therapy to FSWs living with HIV regardless of their CD4 count. In addition, antiretroviral-based prevention technologies such as oral pre-exposure prophylaxis and microbicides should be piloted and evaluated.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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