Atuhaire Lydia, Shumba Constance S, Mapahla Lovemore, Maposa Innocent, Nyasulu Peter S
Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Makerere University/UVRI Infection and Immunity Research Training Programme, Entebbe, Uganda.
IJID Reg. 2022 May 28;4:25-32. doi: 10.1016/j.ijregi.2022.05.008. eCollection 2022 Sep.
Frequent human immunodeficiency virus (HIV) testing is recommended among female sex workers. This study examined the extent to which HIV-negative female sex workers (FSWs) in Kampala adhere to the HIV testing guidelines, and identified associated factors.
This cross-sectional study used a simple random sampling method to select 12 sex work hotspots. Two hundred participants were allocated proportionally in each hotspot. Frequencies were used to describe categorical characteristics of FSWs, and a multivariable logistic regression model was used to determine the factors associated with adherence to the HIV testing guidelines.
Eighty-eight percent of the 200 study participants reported their HIV testing status; of these, 56% had tested three or more times in the 12 months preceding the survey. Attaining a secondary education was associated with adherence to the HIV testing guidelines [odds ratio (OR) 1.86, 95% confidence interval (CI) 1.01-3.44; =0.047]. Sexually transmitted infection testing in the preceding 3 months (OR 2.13, 95% CI 0.95-4.74; =0.065) and accessing HIV testing at a drop-in centre (OR 5.90, 95% CI 0.71-49.1; =0.101) were associated with higher odds of adherence to the HIV testing guidelines.
Adherence to the HIV testing guidelines was suboptimal, indicating the need to scale up interventions to improve access to HIV testing, including rigorous behaviour change communication.
建议在女性性工作者中频繁进行人类免疫缺陷病毒（HIV）检测。本研究调查了坎帕拉的HIV阴性女性性工作者（FSW）遵守HIV检测指南的程度，并确定了相关因素。
这项横断面研究采用简单随机抽样方法选择了12个性工作热点地区。在每个热点地区按比例分配200名参与者。频率用于描述FSW的分类特征，多变量逻辑回归模型用于确定与遵守HIV检测指南相关的因素。
200名研究参与者中有88%报告了她们的HIV检测状况；其中，56%在调查前12个月内进行了三次或更多次检测。获得中等教育与遵守HIV检测指南相关[优势比（OR）1.86，95%置信区间（CI）1.01 - 3.44；P = 0.047]。在过去3个月内进行性传播感染检测（OR 2.13，95% CI 0.95 - 4.74；P = 0.065）以及在临时接待中心进行HIV检测（OR 5.90，95% CI 0.71 - 49.1；P = 0.101）与更高的遵守HIV检测指南几率相关。
对HIV检测指南的遵守情况不理想，这表明需要扩大干预措施以改善HIV检测的可及性，包括进行严格的行为改变宣传。
