Merga Kotu, Benti Tomas, Edea Gada, Regea Firaol, Zewdu Tesfu, Merga Hailu
Waliso town Health office, Waliso, Oromia region, Ethiopia.
Department of Public Health, Madda Walabu University, Bale Goba, Ethiopia.
AIDS Res Ther. 2025 Mar 18;22(1):36. doi: 10.1186/s12981-025-00729-5.
The burden of HIV infection among key population like female sex workers (FSW) is higher and challenges the prevention and control of the virus compared to other population groups. HIV self-testing allows people to test themselves discreetly and conveniently and may provide opportunities to people not currently reached by existing HIV testing and counseling services. Hence, this study aimed to assess the magnitude of HIV Self-Testing (HIVST) and associated factors among Female sex workers in Waliso Town in Central Ethiopia.
A community-based Cross-sectional study was conducted from 1 October-November 30, 2023, among female sex workers using snowball sampling. A total of 400 participants were included in the study. Data was collected using pre-tested, structured self-administered, and interviewer-administered questionnaires using face-to-face interviews. A binary logistic regression model was fitted using SPSS version 26 to identify factors associated with HIV self-testing. Adjusted Odds Ratio (AOR), 95% confidence interval, and a p-value < 0.05 was used to judge the statistically significant variables.
The prevalence of HIV self-testing among female sex workers in Waliso town was found to be 37% (95% CI: 32, 42). Education status (attended high school and above) (AOR = 7.62[95% CI 2.55,24.67], marital status (divorced) (AOR = 2.1[95% CI 1.23,3.6], those whose both parents dead (AOR = 2.72[95% CI 1.4,5.28] and before sex whether they asked their partner test status (AOR = 0.17[95% CI 0.07,0.37] were statistically significant.
This study revealed that HIV self-tests among female sex workers were lower than the 95% national target. Education status, marital status, parent`s living status and knowing the partner HIV status before sex were found to be predictors of HIV self-test. Our findings underscore the need to develop evidence-based strategies to improve HIV testing uptake by FSWs and improve community-based services.
与其他人群相比，女性性工作者等重点人群中的艾滋病毒感染负担更高，对该病毒的预防和控制构成挑战。艾滋病毒自我检测使人们能够 discreetly 且方便地自行检测，并可能为目前无法获得现有艾滋病毒检测和咨询服务的人群提供机会。因此，本研究旨在评估埃塞俄比亚中部瓦利索镇女性性工作者中艾滋病毒自我检测（HIVST）的程度及其相关因素。
2023年10月1日至11月30日，采用雪球抽样法对女性性工作者开展了一项基于社区的横断面研究。共有400名参与者纳入研究。使用预先测试的、结构化的自填式和访谈员填写的问卷，通过面对面访谈收集数据。使用SPSS 26版拟合二元逻辑回归模型，以确定与艾滋病毒自我检测相关的因素。调整后的优势比（AOR）、95%置信区间和p值<0.05用于判断具有统计学意义的变量。
发现瓦利索镇女性性工作者中艾滋病毒自我检测的患病率为37%（95%CI：32,42）。教育程度（上过高中及以上）（AOR = 7.62[95%CI 2.55,24.67]）、婚姻状况（离婚）（AOR = 2.1[95%CI 1.23,3.6]）、父母双亡者（AOR = 2.72[95%CI 1.4,5.28]）以及性行为前是否询问过伴侣的检测状况（AOR = 0.17[95%CI 0.07,0.37]）具有统计学意义。
本研究表明，女性性工作者中的艾滋病毒自我检测率低于国家95%的目标。教育程度、婚姻状况、父母的生活状况以及性行为前了解伴侣的艾滋病毒状况被发现是艾滋病毒自我检测的预测因素。我们的研究结果强调需要制定基于证据的策略，以提高女性性工作者对艾滋病毒检测的接受度，并改善基于社区的服务。
