Ky-Zerbo Odette, Desclaux Alice, Boye Sokhna, Vautier Anthony, Rouveau Nicolas, Kouadio Brou Alexis, Fotso Arlette Simo, Pourette Dolorès, Maheu-Giroux Mathieu, Sow Souleymane, Camara Cheick Sidi, Doumenc-Aïdara Clémence, Keita Abdelaye, Boily Marie Claude, Silhol Romain, d'Elbée Marc, Bekelynck Anne, Gueye Papa Alioune, Diop Papa Moussa, Geoffroy Olivier, Kamemba Odé Kanku, Diallo Sanata, Ehui Eboi, Ndour Cheick Tidiane, Larmarange Joseph
TransVIHMI, IRD, Université de Montpellier, INSERM, Montpellier, France.
Centre Régional de Recherche et de Formation à la Prise en Charge Clinique de Fann (CRCF), Dakar, Sénégal.
Womens Health (Lond). 2022 Jan-Dec;18:17455057221092268. doi: 10.1177/17455057221092268.
In West Africa, female sex workers are at increased risk of HIV acquisition and transmission. HIV self-testing could be an effective tool to improve access to and frequency of HIV testing to female sex workers, their clients and partners. This article explores their perceptions regarding HIV self-testing use and the redistribution of HIV self-testing kits to their partners and clients.
Embedded within ATLAS, a qualitative study was conducted in Côte-d'Ivoire, Mali, and Senegal in 2020. Nine focus group discussions were conducted. A thematic analysis was performed.
A total of 87 participants expressed both positive attitudes toward HIV self-testing and their willingness to use or reuse HIV self-testing. HIV self-testing was perceived to be discreet, confidential, and convenient. HIV self-testing provides autonomy from testing by providers and reduces stigma. Some perceived HIV self-testing as a valuable tool for testing their clients who are willing to offer a premium for condomless sex. While highlighting some potential issues, overall, female sex workers were optimistic about linkage to confirmatory testing following a reactive HIV self-testing. Female sex workers expressed positive attitudes toward secondary distribution to their partners and clients, although it depended on relationship types. They seemed more enthusiastic about secondary distribution to their regular/emotional partners and regular clients with whom they had difficulty using condoms, and whom they knew enough to discuss HIV self-testing. However, they expressed that it could be more difficult with casual clients; the duration of the interaction being too short to discuss HIV self-testing, and they fear violence and/or losing them.
Overall, female sex workers have positive attitudes toward HIV self-testing use and are willing to redistribute to their regular partners and clients. However, they are reluctant to promote such use with their casual clients. HIV self-testing can improve access to HIV testing for female sex workers and the members of their sexual and social network.
在西非，女性性工作者感染和传播艾滋病毒的风险增加。艾滋病毒自我检测可能是一种有效的工具，可提高女性性工作者、其客户和伴侣接受艾滋病毒检测的机会和频率。本文探讨了她们对使用艾滋病毒自我检测以及将艾滋病毒自我检测试剂盒重新分发给其伴侣和客户的看法。
2020年，在科特迪瓦、马里和塞内加尔进行了一项定性研究，该研究嵌入在ATLAS项目中。进行了九次焦点小组讨论，并进行了主题分析。
共有87名参与者对艾滋病毒自我检测表达了积极态度，并愿意使用或再次使用艾滋病毒自我检测。艾滋病毒自我检测被认为是谨慎、保密且方便的。艾滋病毒自我检测提供了不受检测机构检测的自主性，并减少了耻辱感。一些人认为艾滋病毒自我检测是检测那些愿意为无保护性行为支付额外费用的客户的有价值工具。虽然强调了一些潜在问题，但总体而言，女性性工作者对在艾滋病毒自我检测呈反应性后与确认检测的联系持乐观态度。女性性工作者对向其伴侣和客户进行二次分发表达了积极态度，尽管这取决于关系类型。她们似乎对向其固定/情感伴侣以及难以使用避孕套的固定客户进行二次分发更感兴趣，因为她们对这些人比较了解，足以讨论艾滋病毒自我检测。然而，她们表示，对于临时客户来说可能会更困难；互动时间太短，无法讨论艾滋病毒自我检测，而且她们担心会遭受暴力和/或失去这些客户。
总体而言，女性性工作者对使用艾滋病毒自我检测持积极态度，并愿意将其重新分发给其固定伴侣和客户。然而，她们不愿意向临时客户推广这种使用方式。艾滋病毒自我检测可以改善女性性工作者及其性和社交网络成员接受艾滋病毒检测的机会。
