The HIV Cascade of Care and Service Utilisation at Sex Work Programmes Among Female Sex Workers in South Africa.

Female sex workers (FSWs) in South Africa experience a uniquely high prevalence of HIV. We describe the HIV cascade of care (CoC) in FSWs in South Africa, and explored service utilisation at sex work programmes. A cross-sectional, study enrolled FSWs across 12 sites in South Africa. Participants wer...

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Publicado en:AIDS & Behavior Vol. 26; no. 9; pp. 2907 - 2920
Autores principales: Jaffer, Maya, Christofides, Nicola, Hlongwane, Khuthadzo, Otwombe, Kennedy, Milovanovic, Minja, Hopkins, Kathryn L., Matuludi, Mokgadi, Mbowane, Venice, Abdullah, Fareed, Gray, Glenda, Jewkes, Rachel, Coetzee, Jenny
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2022
Acceso en línea:Ver este registro en EBSCOhost
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          Jaffer, Maya
          Christofides, Nicola
          Hlongwane, Khuthadzo
          Otwombe, Kennedy
          Milovanovic, Minja
          Hopkins, Kathryn L.
          Matuludi, Mokgadi
          Mbowane, Venice
          Abdullah, Fareed
          Gray, Glenda
          Jewkes, Rachel
          Coetzee, Jenny
        affil: Perinatal HIV Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
      sug:
        subj:
          HIV Infections Drug Therapy
          HIV Infections Epidemiology
          Anti-Retroviral Agents Therapeutic Use
          Sex Work South Africa
          COVID-19 Pandemic
          Program Evaluation
          Human
          Female
          Adult
          Cisgender Persons
          South Africa
          Cross Sectional Studies
          Prevalence
          HIV Seropositivity
          Program Development
          Adult: 19-44 years
          Female
      ab: Female sex workers (FSWs) in South Africa experience a uniquely high prevalence of HIV. We describe the HIV cascade of care (CoC) in FSWs in South Africa, and explored service utilisation at sex work programmes. A cross-sectional, study enrolled FSWs across 12 sites in South Africa. Participants were recruited using chain-referral method. Inclusion criteria: ≥ 18 years, cis-gender female, sold/transacted in sex, HIV positive. 1862 HIV positive FSWs were enrolled. 92% were known positive, 87% were on antiretroviral treatment (ART). Of those on ART, 74% were virally suppressed. Younger FSWs were significantly less likely to be on ART or virally suppressed. Female sex workers using HIV services from specialised programs were 1.4 times more likely to be virally suppressed than non-program users. The pre-COVID-19 pandemic HIV CoC amongst FSWs in South Africa shows striking improvement from previous estimates, and approaches achievement of 90:90:90 goals.
      pubtype: Academic Journal
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        Journal Article
      ougenre: Article
    language: English
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