横断面调查探索在乌克兰第聂伯罗的性工作者中 HIV 和 HCV 的流行情况。

A cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, Ukraine.

机构信息

Institute for Global Public Health, Rady Faculty of Health Sciences, University of Manitoba, R070 Med Rehab Building, 771 McDermot Ave., Winnipeg, Manitoba, R2E 0T6, Canada.

Department of Community Health Sciences, University of Manitoba, Winnipeg, Canada.

出版信息

BMC Public Health. 2023 Oct 20;23(1):2054. doi: 10.1186/s12889-023-16903-1.

DOI:10.1186/s12889-023-16903-1

PMID:37858070

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10588219/

Abstract

BACKGROUND

HIV programming in Ukraine largely targets "key population" groups. Men who purchase sex are not directly reached. The aim of our study was to explore the prevalence of sexually transmitted and blood-borne infections (STBBIs) among men who purchase sex from female sex workers.

METHODS

Following geographic mapping and population size estimation at each "hotspot", we conducted a cross-sectional bio-behavioural survey with men who purchase sex between September 2017 and March 2018 in Dnipro, Ukraine. Eligibility criteria included purchasing sex services at a "hotspot" and being ≥ 18 years. Participants completed a structured questionnaire, followed by HIV/HCV rapid testing and a dried blood spot (DBS) sample collection for confirmatory serology.

RESULTS

The study enrolled 370 participants. The median age was 32 (interquartile range [IQR] = 27-38) and the median age of first purchase of sexual services was 22 (IQR = 19-27). Over half (56%) of participants reported ever testing for HIV; four participants (2%, N = 206) reported having tested positive for HIV, with three out of the four reporting being on ART. Forty percent of participants had ever tested for HCV, with three (2%, N = 142) having ever tested positive for HCV. In DBS testing, nine participants (2.4%) tested positive for HIV and 24 (6.5%) tested positive for ever having an HCV infection.

CONCLUSION

Prevalence of HIV and HCV in this population was high. Given high rates of study enrolment and testing, efforts should be made to reach men who purchase sex with expanded STBBI programming.

摘要

背景

乌克兰的艾滋病毒规划主要针对“重点人群”群体。购买性服务的男性并未直接纳入其中。我们的研究旨在探索性传播和血源感染（STBBI）在从性工作者处购买性服务的男性中的流行情况。

方法

在每个“热点”地区进行地理绘图和人口规模估计后，我们于 2017 年 9 月至 2018 年 3 月期间在乌克兰第聂伯罗进行了一项横断面生物行为调查，调查对象为从性工作者处购买性服务的男性。纳入标准包括在“热点”地区购买性服务且年龄≥18 岁。参与者完成了一份结构化问卷，随后进行 HIV/HCV 快速检测和采集干血斑（DBS）样本进行确证血清学检测。

结果

本研究共纳入 370 名参与者。参与者的中位年龄为 32 岁（四分位距 [IQR] = 27-38），首次购买性服务的中位年龄为 22 岁（IQR = 19-27）。超过一半（56%）的参与者报告曾接受过 HIV 检测；有 4 名参与者（2%，N=206）报告 HIV 检测结果阳性，其中 3 人报告正在接受抗逆转录病毒治疗。40%的参与者曾接受过 HCV 检测，有 3 人（2%，N=142）HCV 检测结果阳性。在 DBS 检测中，有 9 名参与者（2.4%）HIV 检测结果阳性，24 名参与者（6.5%）曾有 HCV 感染。