Title |
High Burden of HIV, Syphilis and HSV-2 and Factors Associated with HIV Infection Among Female Sex Workers in Tanzania: Implications for Early Treatment of HIV and Pre-exposure Prophylaxis (PrEP)
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Published in |
AIDS and Behavior, November 2017
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DOI | 10.1007/s10461-017-1992-2 |
Pubmed ID | |
Authors |
Lung Vu, Kavita Misra |
Abstract |
This paper estimates population-based prevalence of HIV, syphilis, HSV-2 and factors influencing HIV infection using a national sample of 1914 female sex workers (FSWs) in 7 regions in Tanzania. Additionally, HIV incidence was estimated by comparing biological HIV results with self-reported HIV status. The average HIV prevalence among FSWs in all 7 regions was 28%, ranging from 14% in Tabora to 38% in Shinyanga. HIV incidence was found to be 13 per 100 person-years. Syphilis prevalence was 8% with significantly higher burden found in Iringa (11%), Mbeya (13%), and Shinyanga (12%). Nearly 60% of the study population was infected with HSV-2. The high HIV prevalence and incidence coupled with suboptimal condom use indicate an urgent need to roll out the "Treat-All" approach and provide antiretroviral therapy to FSWs living with HIV regardless of their CD4 count. In addition, antiretroviral-based prevention technologies such as oral pre-exposure prophylaxis and microbicides should be piloted and evaluated. |
X Demographics
Geographical breakdown
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United States | 4 | 80% |
United Kingdom | 1 | 20% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 5 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 74 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 13 | 18% |
Researcher | 8 | 11% |
Student > Ph. D. Student | 8 | 11% |
Student > Bachelor | 7 | 9% |
Lecturer | 4 | 5% |
Other | 11 | 15% |
Unknown | 23 | 31% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 14 | 19% |
Nursing and Health Professions | 11 | 15% |
Social Sciences | 5 | 7% |
Biochemistry, Genetics and Molecular Biology | 3 | 4% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 4% |
Other | 13 | 18% |
Unknown | 25 | 34% |