HSRC IR Repository

Engagement in the HIV care cascade and barriers to antiretroviral therapy uptake among female sex workers in Port Elizabeth, South Africa: findings from a respondent-driven sampling study

Show simple item record

dc.date.accessioned 2020-02-19T14:58:51Z
dc.date.available 2020-02-19T14:58:51Z
dc.date.issued 2016-12-21 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/10378
dc.description.abstract Female sex workers (FSWs) are disproportionately affected by HIV, even in the context of broadly generalised HIV epidemics such as South Africa. This has been observed in spite of the individual and population-level benefits of HIV treatment. We characterise the HIV care cascade among FSWs and relationships with antiretroviral therapy (ART) use. FSWs of 18 years and older were recruited through respondent-driven sampling into a cross-sectional study in Port Elizabeth, South Africa. Participants completed questionnaires and received HIV and syphilis testing; CD4 counts were assessed among women living with HIV. Engagement in the HIV care cascade is described, and correlates of self-reported ART use among treatment-eligible previously diagnosed FSWs were estimated using robust Poisson regression. Between October 2014 and April 2015, 410 FSWs participated in study activities. Overall, 261/410 were living with HIV (respondent-driven sampling weighted prevalence 61.5% (95% bootstrapped CI 54.1% to 68.0%)). Prior diagnosis of HIV was relatively high (214/261, 82%); however, ART coverage among FSWs living with HIV was 39% (102/261). In multivariate analyses, FSWs were less likely to be on ART if they had not disclosed their HIV status to nonpaying partners (adjusted prevalence ratio (aPR) 0.43, 95% CI 0.22 to 0.86, where the reference is FSWs without non-paying partners), and also if they engaged in mobile healthcare services (aPR 0.71, 95% CI 0.57 to 0.89). HIV testing and awareness of HIV status were high, but substantial losses in the cascade occur at treatment initiation. Given that FSWs engaged in mobile HIV testing and peer education programmes have unmet HIV treatment needs, models of decentralised treatment provision such as mobile-based ART care should be evaluated. en
dc.format.medium Print en
dc.subject HIV/AIDS en
dc.subject SEX WORKERS en
dc.subject PORT ELIZABETH en
dc.subject ANTIRETROVIRAL THERAPY en
dc.subject WOMEN en
dc.title Engagement in the HIV care cascade and barriers to antiretroviral therapy uptake among female sex workers in Port Elizabeth, South Africa: findings from a respondent-driven sampling study en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume November en
dc.BudgetYear 2016/17 en
dc.ResearchGroup HIV/AIDS, STIs and TB en
dc.SourceTitle Sexually Transmitted Infections en
dc.ArchiveNumber 9474 en
dc.PageNumber Online en
dc.outputnumber 8322 en
dc.bibliographictitle Schwartz, S., Lambert, A., Phaswana-Mafuya, N., Kose, Z., Mcingana, M., Holland, C., Ketende, S., Yah, C., Sweitzer, S., Hausler, H. & Baral, S. (2016) Engagement in the HIV care cascade and barriers to antiretroviral therapy uptake among female sex workers in Port Elizabeth, South Africa: findings from a respondent-driven sampling study. <i>Sexually Transmitted Infections</i>. November:Online. en
dc.publicationyear 2016 en
dc.contributor.author1 Schwartz, S. en
dc.contributor.author2 Lambert, A. en
dc.contributor.author3 Phaswana-Mafuya, N. en
dc.contributor.author4 Kose, Z. en
dc.contributor.author5 Mcingana, M. en
dc.contributor.author6 Holland, C. en
dc.contributor.author7 Ketende, S. en
dc.contributor.author8 Yah, C. en
dc.contributor.author9 Sweitzer, S. en
dc.contributor.author10 Hausler, H. en
dc.contributor.author11 Baral, S. en


Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

Search HSRC IR


Browse

My Account