Ntabanganyimana Daniel, Ndagijimana Albert, Benemariya Noella, Habtu Michael, Ntaganira Joseph
Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Department of Community Health, School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Rwanda J Med Health Sci. 2023 Jul 31;6(2):208-214. doi: 10.4314/rjmhs.v6i2.12. eCollection 2023 Jul.
Female sex workers (FSWs) are more likely to be infected by Human immunodeficiency virus (HIV) than the general population. In Sub-Saharan countries, 18% of new HIV infections is attributed to FSWs.
To determine HIV prevalence and its determinants among FSWs in Rwanda.
A cross-sectional biological and behavioral surveillance survey in hotspots was conducted among FSWs countrywide. HIV laboratory tests were performed. Proportions and 95% confidence interval (CI) were calculated. Multivariable logistic regression was performed to determine factors associated with HIV in FSWs.
The survey enrolled 1,883 FSWs. Of 1,770 FSWs who consented for HIV testing, 607 were HIV positive, giving the prevalence of 34% (95%CI= 32.11-36.54). High HIV prevalence was associated with age of 25 years or more (aOR = 3.68; 95%, CI: 2.62-5.18) and more than 5 years of sexwork (aOR = 1.31; 95% CI: 1.05-1.63). HIV prevalence and having more than three dependents (aOR= 0.34; 95%CI=0.23-0.5) and completing secondary and beyond education (aOR=0.50; 95%CI=0.36-0.71) were inversely related.
HIV prevalence is still high among FSWs in Rwanda. Prevention strategies should target the old ones in five first years of sex work and the less educated.
女性性工作者感染人类免疫缺陷病毒（HIV）的可能性高于普通人群。在撒哈拉以南国家，18%的新增HIV感染病例归因于女性性工作者。
确定卢旺达女性性工作者中的HIV流行率及其决定因素。
在全国范围内对女性性工作者聚集区开展了一项横断面生物学和行为监测调查。进行了HIV实验室检测。计算了比例和95%置信区间（CI）。进行多变量逻辑回归以确定与女性性工作者中HIV相关的因素。
该调查纳入了1883名女性性工作者。在1770名同意进行HIV检测的女性性工作者中，607人HIV呈阳性，流行率为34%（95%CI=32.11-36.54）。高HIV流行率与25岁及以上年龄（调整优势比[aOR]=3.68；95%CI：2.62-5.18）以及从事性工作超过5年（aOR=1.31；95%CI：1.05-1.63）相关。HIV流行率与有三个以上受抚养人（aOR=0.34；95%CI=0.23-0.5）以及完成中等及以上教育（aOR=0.50；95%CI=0.36-0.71）呈负相关。
卢旺达女性性工作者中的HIV流行率仍然很高。预防策略应针对从事性工作头五年中的年长女性性工作者以及受教育程度较低者。
