Trends in HIV prevalence among people injecting drugs, men having sex with men, and female sex workers in Ukraine

2018 ◽  
Vol 29 (13) ◽  
pp. 1337-1344 ◽  
Author(s):  
Kostyantyn Dumchev ◽  
Yana Sazonova ◽  
Tetiana Salyuk ◽  
Olga Varetska
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
People Who Inject Drugs ◽  
Hiv Prevalence ◽  
New Wave ◽  
Female Sex ◽  
Hiv Epidemic ◽  
Nationally Representative ◽  
Sex With Men ◽  
Generation Surveillance

Once recognized as the most severe in Europe, the HIV epidemic in Ukraine is concentrated among people who inject drugs, men who have sex with men, and female sex workers. Integrated biobehavioral surveys, as a part of the second generation surveillance, are used to monitor HIV infection trends in key populations since 2002. The present paper is focused on the analysis of HIV prevalence trends in four nationally representative rounds of integrated biobehavioral surveys from 2008/9, 2011, 2013, and 2015 in people who inject drugs, men who have sex with men, and female sex workers. Between 2008/9 and 2015, the HIV prevalence has decreased significantly in people who inject drugs (24.2 to 22.0%) and female sex workers (13.6 to 6.3%), while the change in men who have sex with men was not significant (8.5 to 7.8%). There was a significant increase in people who inject drugs and men who have sex with men between 2013 and 2015. In subgroups younger than 25 years, prevalence increased more than twofold in men who have sex with men (1.9 to 4.3%), with no changes in people who inject drugs and female sex workers. The observed decline in prevalence, especially in young subgroups, may result from the effect of extensive prevention efforts on drug injection-related transmission. Recent increase in young men who have sex with men may be a sign of a new wave of the epidemic in this group.

scholarly journals Prevalence and incidence of HIV among female sex workers and their clients: modelling the potential effects of intervention in Rwanda

2020 ◽  
Vol 5 (8) ◽  
pp. e002300
Author(s):  
Sabin Nsanzimana ◽  
Edward J Mills ◽  
Ofir Harari ◽  
Placidie Mugwaneza ◽  
Etienne Karita ◽  
...  
Keyword(s):  
General Population ◽  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Prevalence ◽  
Consistent Condom ◽  
People Living With Hiv ◽  
Hiv Incidence ◽  
Female Sex ◽  
Hiv Epidemic

BackgroundRwanda has identified several targeted HIV prevention strategies, such as promotion of condom use and provision of antiretroviral therapy (ART) and pre-exposure prophylaxis (PrEP) for female sex workers (FSWs). Given this country’s limited resources, understanding how the HIV epidemic will be affected by these strategies is crucial.MethodsWe developed a Markov model to estimate the effects of targeted strategies to FSWs on the HIV prevalence/incidence in Rwanda from 2017 to 2027. Our model consists of the six states: HIV-; HIV+ undiagnosed/diagnosed pre-ART; HIV+ diagnosed with/without ART; and death. We considered three populations: FSWs, sex clients and the general population. For the period 2017–2027, the HIV epidemic among each of these population was estimated using Rwanda’s demographic, sexual risk behaviour and HIV-associated morbidity and mortality data.ResultsBetween 2017 and 2027, with no changes in the current condom and ART use, the overall number of people living with HIV is expected to increase from 344,971 to 402,451. HIV incidence will also decrease from 1.36 to 1.20 100 person-years. By 2027, a 30% improvement in consistent condom use among FSWs will result in absolute reduction of HIV prevalence among FSWs, sex clients and the general population by 7.86%, 5.97% and 0.17%, respectively. While recurring HIV testing and improving the ART coverage mildly reduced the prevalence/incidence among FSWs and sex clients, worsening the two (shown by our worst-case scenario) will result in an increase in the HIV prevalence/incidence among FSWs and sex clients. Introduction of PrEP to FSWs in 2019 will reduce the HIV incidence among FSWs by 1.28%.ConclusionsContinued efforts toward improving condom and ART use will be critical for Rwanda to continue their HIV epidemic control. Implementing a targeted intervention strategy in PrEP for FSWs will reduce the HIV epidemic in this high-risk population.

scholarly journals Filling the Knowledge Gap: Measuring HIV Prevalence and Risk Factors among Men Who Have Sex with Men and Female Sex Workers in Tripoli, Libya

PLoS ONE ◽  
2013 ◽  
Vol 8 (6) ◽  
pp. e66701 ◽  
Author(s):  
Joseph J. Valadez ◽  
Sima Berendes ◽  
Caroline Jeffery ◽  
Joanna Thomson ◽  
Hussain Ben Othman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Prevalence ◽  
Knowledge Gap ◽  
Female Sex ◽  
Sex With Men

scholarly journals HSV-2 as a biomarker of HIV epidemic potential in female sex workers: meta-analysis, global epidemiology and implications

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Hiam Chemaitelly ◽  
Helen A. Weiss ◽  
Laith J. Abu-Raddad
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Strong Predictor ◽  
Meta Analysis ◽  
Threshold Effect ◽  
Hiv Prevalence ◽  
Female Sex ◽  
Hiv Epidemic ◽  
Global Epidemiology ◽  
Simplex Virus

Abstract This study investigated herpes simplex virus type 2 (HSV-2) seroprevalence utility as a predictor of HIV epidemic potential among female sex workers (FSWs) globally. We updated and analyzed a systematically-assembled database for paired HSV-2 and HIV seroprevalence measures among FSWs. The study identified 231 paired HSV-2/HIV prevalence measures from 40 countries. The pooled mean HIV prevalence using meta-analysis increased from 3.7% (95% CI 0.3–9.9%) among populations of FSWs with HSV-2 prevalence < 25% to 18.7% (95% CI 14.1–23.8%) among those with HSV-2 prevalence 75–100%. HIV prevalence was negligible in FSWs with HSV-2 prevalence ≤ 20% suggesting a threshold effect. Multivariable meta-regressions explained > 65% of HIV prevalence variation, and identified a strong positive HSV-2/HIV association. Compared to populations of FSWs with HSV-2 prevalence < 25%, adjusted odds ratios (AORs) of HIV infection increased from 2.8 (95% CI 1.2–6.3) in those with HSV-2 prevalence 25–49%, to 13.4 (95% CI 6.1–29.9) in those with HSV-2 prevalence 75–100%. HSV-2 is a strong predictor of HIV epidemic potential among FSWs. HSV-2 prevalence of 25–49% indicates potential for intermediate-intensity HIV epidemics, with higher levels indicative of large epidemics. HSV-2 surveillance could inform HIV preparedness in countries where HIV prevalence among FSWs is still limited or at zero-level.

Estimating the Number of People Who Inject Drugs, Female Sex Workers, and Men Who Have Sex with Men, Unguja Island, Zanzibar: Results and Synthesis of Multiple Methods

2013 ◽  
Vol 18 (S1) ◽  
pp. 25-31 ◽  
Author(s):  
Farhat J. Khalid ◽  
Fatma M. Hamad ◽  
Asha A. Othman ◽  
Ahmed M. Khatib ◽  
Sophia Mohamed ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
People Who Inject Drugs ◽  
Multiple Methods ◽  
Female Sex ◽  
Sex With Men

Population Size Estimate of Men who have Sex with Men, Female Sex Workers and People who Inject Drugs in Mozambique—A multiple methods approach

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Isabel Sathane ◽  
Makini A.S. Boothe ◽  
Roberta Horth ◽  
Cynthia Semá Baltazar ◽  
Noela Chicuecue ◽  
...  
Keyword(s):  
Population Size ◽  
Sex Workers ◽  
Female Sex Workers ◽  
People Who Inject Drugs ◽  
Multiple Methods ◽  
Female Sex ◽  
Population Size Estimate ◽  
Size Estimate ◽  
Sex With Men

scholarly journals HIV prevalence among female sex workers, drug users and men who have sex with men in Brazil: A Systematic Review and Meta-analysis

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Monica Malta ◽  
Monica MF Magnanini ◽  
Maeve B Mello ◽  
Ana Roberta P Pascom ◽  
Yohana Linhares ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sex Workers ◽  
Drug Users ◽  
Female Sex Workers ◽  
Meta Analysis ◽  
Hiv Prevalence ◽  
Female Sex ◽  
Sex With Men

Risk and vulnerability of key populations to HIV infection in Iran; knowledge, attitude and practises of female sex workers, prison inmates and people who inject drugs

Sexual Health ◽  
2014 ◽  
Vol 11 (6) ◽  
pp. 568 ◽  
Author(s):  
Razieh Khajehkazemi ◽  
AliAkbar Haghdoost ◽  
Soodabeh Navadeh ◽  
Hamidreza Setayesh ◽  
Leily Sajadi ◽  
...  
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
People Who Inject Drugs ◽  
Sexual Transmission ◽  
Study Data ◽  
Prison Inmates ◽  
Female Sex ◽  
Comprehensive Knowledge ◽  
Sexual Transmission Of Hiv ◽  
Hiv Aids

Background In this study data of three national surveys conducted among female sex workers (FSW), prison inmates and people who inject drugs (PWID) were presented and compared in relation to knowledge, attitude, and practises. Methods: The surveys were conducted in 2009 and 2010 and included 2546 PWID, 872 FSW and 5530 prison inmates. Knowledge, attitude and practises towards HIV were measured through similar questions for each category. Results: Over 90% of all participants had ever heard of HIV/AIDS, although only approximately half of them perceived themselves at risk of contracting HIV. More than 80% were able to correctly identify the ways of preventing the sexual transmission of HIV; while more than two-thirds did not use condom in their last sexual contact. Approximately 20% of prisoners and FSW had a history of injecting drugs. Among all participants who have injected drugs, prisoners had the highest unsafe injecting behaviour at the last injection (61%), followed by FSW (11%) and PWID (3%). Conclusions: Despite major efforts to control the HIV epidemic in Iran, the level of risk and vulnerability among prisoners, FSW and PWID is still high. The level of comprehensive knowledge about HIV/AIDS is relatively good; however, their risk perception of contracting HIV is low and high-risk behaviours are prevalent. Therefore, HIV prevention programs should be redesigned in a more comprehensive way to identify the best venues to reach the largest number of people at a higher risk of contracting HIV and decrease their risk overlaps and vulnerability factors.

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