2020 年伊朗女性性工作者中的 HIV 检测及其相关因素：一项基于应答者驱动抽样调查的研究结果。
HIV testing and its associated factors among female sex workers in Iran in 2020: Finding from a respondent-driven sampling survey.
机构信息
HIV/STI Surveillance Research Center and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
出版信息
PLoS One. 2023 Aug 1;18(8):e0289307. doi: 10.1371/journal.pone.0289307. eCollection 2023.
HIV testing uptake was around 70% among female sex workers (FSWs) in Iran in 2015. Due to the recognized importance of HIV testing in prevention, care, and treatment among FSWs, this study aimed to provide an update and also an improvement as it uses respondent-driven sampling (RDS) for the frequency and the correlates of HIV testing among FSWs in Iran. A total of 1,515 FSWs were recruited from eight cities in Iran between 2019-2020 using RDS. Data were collected using face-to-face interviews. Also, rapid diagnostic tests (RDT) were used to determine HIV and syphilis status as per national guidelines. We used multivariable logistic regression to explore correlates of HIV testing in the last 12 months. Of 1,399 FSWs who had data for HIV testing, 44.7% (95% Confidence Intervals (CI): 40.7; 48.7) reported HIV testing in the last 12 months. The odds of HIV testing in the last 12 months was higher among FSWs who used a condom at last sex with a non-paying partner (Adjusted OR = 1.78; 95% CI: 1.39; 2.27), never used alcohol (Adjusted OR = 1.72; 95% CI: 1.33; 2.23), ever used drug (Adjusted OR = 1.60; 95% CI: 1.22; 2.08). HIV testing among FSWs in Iran is considerably low. It is necessary to know the barriers to HIV testing to improve the cascade of HIV treatment in the country.
2015 年，伊朗约有 70%的性工作者（FSW）接受了 HIV 检测。由于 HIV 检测在 FSW 的预防、护理和治疗中具有重要意义，因此本研究旨在提供最新信息，并通过使用回应驱动抽样（RDS）方法来改进对伊朗 FSW 中 HIV 检测的频率和相关因素的了解。本研究共招募了 1515 名 FSW，她们来自伊朗的八个城市，招募时间为 2019-2020 年，使用 RDS 方法。数据收集采用面对面访谈的方式进行。此外，根据国家指南，使用快速诊断检测（RDT）来确定 HIV 和梅毒的状况。我们使用多变量逻辑回归来探讨过去 12 个月中 HIV 检测的相关因素。在有 HIV 检测数据的 1399 名 FSW 中，44.7%（95%置信区间（CI）：40.7；48.7）报告在过去 12 个月中进行了 HIV 检测。在过去 12 个月中进行 HIV 检测的可能性更高，是在与非付费伴侣发生最后一次性行为时使用了避孕套的 FSW（调整后的比值比（OR）=1.78；95%CI：1.39；2.27）、从未使用过酒精（调整后的 OR = 1.72；95%CI：1.33；2.23）、曾经使用过毒品（调整后的 OR = 1.60；95%CI：1.22；2.08）的 FSW。伊朗 FSW 中的 HIV 检测率相当低。了解 HIV 检测的障碍对于提高该国 HIV 治疗的连续率是必要的。
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