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HIV Testing and Engagement in Care among Highly Vulnerable Female Sex Workers: Implications for Treatment as Prevention Models

Year: 2014

Type: article

Abstract: BACKGROUND: Although emerging Treatment as Prevention models can be effective in reducing HIV incidence among high-risk populations, many HIV infected individuals remain undiagnosed or fail to engage in HIV care. METHODS: This study examined the factors associated with HIV testing and care among a population of substance using female sex workers. RESULTS: Recent HIV testing was associated with higher education level, having a regular health care provider or clinic, recent crack use, and higher sexual risk behaviors; HIV treatment utilization was associated with higher levels of social support, having a regular health care provider or clinic, housing stability and insurance coverage. Qualitative data revealed HIV-related stigma, denial, social isolation, and substance use as barriers to HIV testing and treatment; social support and accessibility of services were key enablers. CONCLUSIONS: Improving HIV testing and linkage to treatment among female sex workers will require structural initiatives to reduce stigma and increase service seeking support.

Source: Journal of Health Care for the Poor and Underserved

DOI: 10.1353/hpu.2014.0113

Authors: Hilary L. Surratt, Catherine L. O’Grady, Steven P. Kurtz, Mance E. Buttram, Maria A. Levi-Minzi

Institution: Nova Southeastern University

Language: English

Topic: HIV/AIDS Research and Interventions

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDGs: Good health and well-being, Reduced inequalities, Gender equality

Open Access status: bronze

Funder: National Institute on Drug Abuse