Institute for Medical Information Processing, Biometry and Epidemiology - IBE, Ludwig-Maximilians-Universität München, Munich, Germany.
Pettenkofer School of Public Health Munich, Munich, Germany.
PLoS One. 2021 Apr 16;16(4):e0250024. doi: 10.1371/journal.pone.0250024. eCollection 2021.
The provision of comprehensive prevention services is vital for reducing the high burden of HIV amongst Ukrainian female sex workers (FSWs). To identify barriers and facilitators that influence access to HIV prevention amongst this population between 2009 and 2017, we developed a literature-informed conceptual framework and conducted a document analysis to identify the components of the Ukrainian prevention package (PP). Using the Integrated Bio Behavioural Surveillance Surveys, we then conducted descriptive analyses to explore PP coverage from 2009 to 2017 and the influence of factors, identified by our conceptual framework. After increasing over four years, a drop in PP coverage was observed from 2013 onwards. Being a client of a non-governmental organisation, street and highway solicitation, non-condom use, and knowledge of HIV may influence access to HIV prevention in the Ukrainian context. Future interventions should consider barriers and facilitators to HIV prevention and the multiple structural levels on which they operate.
提供全面的预防服务对于减轻乌克兰女性性工作者（FSW）中艾滋病毒的高负担至关重要。为了确定 2009 年至 2017 年期间影响该人群获得艾滋病毒预防的障碍和促进因素，我们制定了一个文献知情的概念框架，并进行了文件分析，以确定乌克兰预防方案（PP）的组成部分。然后，我们使用综合生物行为监测调查，进行描述性分析，以探讨 2009 年至 2017 年期间的 PP 覆盖范围，以及我们的概念框架所确定的因素的影响。经过四年多的增加，从 2013 年开始，PP 覆盖率出现下降。作为非政府组织的客户、街头和高速公路招揽、不使用避孕套以及对艾滋病毒的认识可能会影响乌克兰获得艾滋病毒预防的机会。未来的干预措施应考虑艾滋病毒预防的障碍和促进因素，以及它们运作的多个结构层面。
