Fatores associados ao conhecimento e utilização de estratégias de prevenção do HIV entre mulheres trabalhadoras do sexo em 12 cidades brasileiras

Kolling, Ana Francisca; Oliveira, Silvano Barbosa de; Merchán-Hamann, Edgar

doi:10.1590/1413-81232021268.17502020

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…20 Contrary to our findings, results from other studies done in Brazil, Tanzania, central Uganda, Kenya, Ghana, and China, reported significantly lower prevalence rates of PrEP use among female sex workers, ranging from 1.4 to 11%. 16,[21][22][23][24][25] The difference in prevalence rates could be attributed to various factors, including differences in sample size, geographical location, cultural norms, access to healthcare services, and the promotion of PrEP initiatives in the diverse settings.…”

Section: Discussionmentioning

confidence: 99%

Pre-exposure prophylaxis use among female sex workers in Gulu city, Uganda: a community-based cross-sectional study

Bongomin,

Kibone,

Okot

et al. 2023

Therapeutic Advances in Infection

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Background: Pre-exposure prophylaxis (PrEP) is an important intervention for reducing the risk of HIV transmission among high-risk populations such as female sex workers in Africa, where HIV prevalence remains high. We aimed to assess the use of PrEP among female sex workers in Gulu, Uganda. Methods: In this community-based cross-sectional study, we included HIV-negative female sex workers purposely selected from hotspots within Gulu city, Uganda between February and March 2023. A semi-structured questionnaire was administered to collect data on sociodemographic characteristics, reproductive data, sexual practices, and self-reported PrEP use in the past 3 months. Symptoms of depression were screened using Patient Health Questionnaire-2 tool. Predictors of PrEP use was determined using modified Poisson regression analysis model. p < 0.05 was considered statistically significant. Results: We enrolled 273 female sex workers with a median age of 27 (interquartile range: 24–32) years. Overall, 181 (66.3%) participants used PrEP. PrEP use was associated with; regular source of income beside sex work [adjusted prevalence ratio (aPR): 3.7, 95% confidence interval (CI): 2.11–6.35, p < 0.001], being in a polygamous marriage (aPR: 6.9, 95% CI: 1.32–35.77, p = 0.022), practicing sex work in both rural and urban areas (aPR: 2.5, 95% CI: 1.49–4.35, p < 0.001), having symptoms of depression (aPR: 3.3, 95% CI: 1.43–7.74, p = 0.005), and use of postexposure prophylaxis (PEP) in the past 12 months (aPR: 0.31, 95% CI: 0.17–0.59, p < 0.001). Conclusion: Almost two in three of the female sex workers in Gulu city were currently using PrEP. Previous use of PEP was associated with lower use of PrEP. These findings suggest the need for targeted interventions to increase PrEP uptake and decrease HIV acquisition in this high-risk population among female sex workers, especially those with low income and limited access to healthcare.

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Section: Discussionmentioning

confidence: 99%

Pre-exposure prophylaxis use among female sex workers in Gulu city, Uganda: a community-based cross-sectional study

Bongomin,

Kibone,

Okot

et al. 2023

Therapeutic Advances in Infection

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“…It is essential to give more attention to the health of women deprived of their freedom, not only because of the biological risks inherent to sex and the vulnerabilities present in the prison environment, but also because of the lack of preventive actions offered by the Brazilian prison health system and that of most countries 4,6,8 . In this sense, it is essential to have Educational Technologies (ET) that consider the particularities of this emerging population segment 13 It is known that it is essential to develop strategies to deal with sexually transmitted diseases, and health education has been systematically considered the gold standard in HIV/AIDS prevention and control [14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

Construction and Validation of Educational Technology for Hiv/Aids Prevention in Women Deprived of Freedom

et al. 2023

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Objective: to describe the process of elaboration and validation of educational technology for prevention of Human Immunodeficiency Virus in female population deprived of freedom. Method: methodological study conducted in a prison complex in the Midwest of Brazil, from January to July 2019, using a four-point Likert scale. Data were analyzed with Cronbach’s Alpha and KAPPA tests. A minimum Content Validity Index of 0.80 was considered for validation and minimum 75% agreement. Results: The items of the material were relevant with a total Content Validity Index of (CVI t=0.87) for specialists and (CVI t=0.95) for women. The specialists evaluated the booklet, classifying it with a “superior” degree of recommendation (average of 91%). There were adjustments, reaching, in the end, a concordance index higher than 88.7%. Conclusion: we believe that this technology represents an advance for Public Health, since it used reliable and appropriate measures and instruments for the target audience.

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“…Así, una mayor atención a la salud de las mujeres privadas de libertad es esencial no sólo por los riesgos biológicos inherentes al sexo y las vulnerabilidades presentes en el ambiente carcelario, sino también por la falta de acciones preventivas ofrecidas por el sistema de salud penitenciario brasileño y de la mayoría de los países 4,6,8 . En este sentido, es fundamental contar con Tecnologías Educativas (TE) que consideren las particularidades de este segmento poblacional emergente 13 Se sabe que es esencial desarrollar estrategias para hacer frente a las enfermedades de transmisión sexual, y la educación sanitaria se ha considerado sistemáticamente el patrón oro en la prevención y el control del VIH/SIDA [14][15][16] .…”

Section: Introductionunclassified

Construcción Y Validación De Tecnología Educativa Para La Prevención Del Vih/Sida en Mujeres Privadas De Libertad

et al. 2023

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RESUMEN Objetivo: describir el proceso de elaboración y validación de tecnología educativa para la prevención del Virus de Inmunodeficiencia Humana en población femenina privada de libertad. Método: estudio metodológico realizado en un complejo penitenciario del Centro-Oeste de Brasil, de enero a julio de 2019, utilizando una escala Likert de cuatro puntos. Los datos se analizaron con las pruebas alfa de Cronbach y KAPPA. Se consideró un Índice de Validez del Contenido mínimo de 0,80 para la validación y un acuerdo mínimo del 75%. Resultados: los ítems del material fueron pertinentes con la obtención del Índice de Validez de Conocimiento total de (IVCt=0,87) para especialistas e (IVCt=0,95) para mujeres. Los expertos evaluaron el folleto, calificándolo de “superior” (media del 91%). Hubo adecuaciones, alcanzando, al final, índice de concordancia superior a 88,7%. Conclusión: esta tecnología representa un avance para la sanidad pública, ya que utiliza medidas e instrumentos fiables y apropiados para el público objetivo.

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Fatores associados ao conhecimento e utilização de estratégias de prevenção do HIV entre mulheres trabalhadoras do sexo em 12 cidades brasileiras

Cited by 3 publications

References 14 publications

Pre-exposure prophylaxis use among female sex workers in Gulu city, Uganda: a community-based cross-sectional study

Pre-exposure prophylaxis use among female sex workers in Gulu city, Uganda: a community-based cross-sectional study

Construction and Validation of Educational Technology for Hiv/Aids Prevention in Women Deprived of Freedom

Construcción Y Validación De Tecnología Educativa Para La Prevención Del Vih/Sida en Mujeres Privadas De Libertad

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