دورية أكاديمية
Psychosocial correlates of regular syphilis and HIV screening practices among female sex workers in Uganda: a cross-sectional survey.
العنوان: | Psychosocial correlates of regular syphilis and HIV screening practices among female sex workers in Uganda: a cross-sectional survey. |
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المؤلفون: | Muhindo, Richard, Castelnuovo, Barbara, Mujugira, Andrew, Parkes-Ratanshi, Rosalind, Sewankambo, Nelson K, Kiguli, Juliet, Tumwesigye, Nazarius Mbona, Nakku-Joloba, Edith |
بيانات النشر: | Springer Science and Business Media LLC //dx.doi.org/10.1186/s12981-019-0244-0 AIDS Res Ther |
سنة النشر: | 2019 |
المجموعة: | Apollo - University of Cambridge Repository |
مصطلحات موضوعية: | Correlates, Female sex workers, Regular syphilis and HIV screening, Uganda, Adolescent, Adult, Cross-Sectional Studies, Female, HIV Infections, Humans, Mass Screening, Middle Aged, Prevalence, Risk Factors, Sex Workers, Sexually Transmitted Diseases, Syphilis, Young Adult |
الوصف: | BACKGROUND: Limited data are available regarding correlates of regular sexually transmitted infections (STIs) and HIV screening among female sex workers (FSW) in Sub-Saharan Africa. In this study, we aimed to assess the frequency of regular syphilis and HIV screening and the psychosocial correlates associated with screening among FSW in Uganda. METHODS: This cross-sectional correlational study was conducted among 441 FSW, aged 17-49 years. We enrolled FSW through peer referrals and ascertained self-reported data on number of serological tests for HIV, syphilis and other STIs in the prior 12 months using an interviewer-administered questionnaire. In addition, we assessed attitudes, norms, social influences and self-efficacy towards 3-monthly Syphilis and 6-monthly HIV testing. We estimated the correlates of regular STI and HIV testing using negative binomial regression. RESULTS: Of the respondents 420 (95.2%) reported to have ever taken an HIV test with 297 (67.4%) testing two or more times in the prior 12 months. Over half of the respondents (59%) reported ever taking a syphilis test with only 62 (14.1%) reporting testing three or more times in the prior 12 months. After adjusting for socio-demographics, attitude and norms, high perceived self-efficacy was associated with a 33% increase in the likelihood of repeated HIV testing [prevalence ratio (PR), 1.33, 95% confidence interval (CI) 1.15-1.53] while low perceived confidence was associated with a 25% decrease in the likelihood of repeated HIV testing (PR, 0.75, 95% CI 0.63-0.89). Similarly low attitudes and norms were associated with a decrease of 52.6% (PR, 0.47, 95% CI 0.37-0.61) and 47% (PR, 0.53, 95% CI 0.41-0.69) in the likelihood of repeated syphilis testing respectively. CONCLUSION: Compared to HIV, uptake of repeated syphilis testing was very low. Correlates of HIV testing include; perceived self-efficacy amidst barriers and perceived confidence for HIV and low attitudes and accepting norms for syphilis. Health campaigns should emphasize overcoming ... |
نوع الوثيقة: | article in journal/newspaper |
وصف الملف: | Electronic; application/pdf |
اللغة: | English |
العلاقة: | https://www.repository.cam.ac.uk/handle/1810/297988Test |
DOI: | 10.17863/CAM.45044 |
الإتاحة: | https://doi.org/10.17863/CAM.45044Test https://www.repository.cam.ac.uk/handle/1810/297988Test |
حقوق: | Attribution 4.0 International ; https://creativecommons.org/licenses/by/4.0Test/ |
رقم الانضمام: | edsbas.497109B1 |
قاعدة البيانات: | BASE |
DOI: | 10.17863/CAM.45044 |
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