Correlates of HIV self-testing among female sex workers in China: implications for expanding HIV screening
Abstract Background Human immunodeficiency virus (HIV) self-testing may help improve test uptake among female sex workers. China has implemented many HIV self-testing programs among men who have sex with men, creating an opportunity for promotion among female sex workers. However, there is a limited...
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2020-10-01
|
Series: | Infectious Diseases of Poverty |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s40249-020-00765-5 |
id |
doaj-c5c7d4202f3b4b1cb760cb1aec889a29 |
---|---|
record_format |
Article |
spelling |
doaj-c5c7d4202f3b4b1cb760cb1aec889a292020-11-25T03:40:11ZengBMCInfectious Diseases of Poverty2049-99572020-10-01911910.1186/s40249-020-00765-5Correlates of HIV self-testing among female sex workers in China: implications for expanding HIV screeningCheng Wang0Ya-Jie Wang1Joseph D. Tucker2Ming-Zhou Xiong3Hong-Yun Fu4M. Kumi Smith5Wei-Ming Tang6Jason J. Ong7He-Ping Zheng8Bin Yang9Dermatology Hospital of Southern Medical UniversityDermatology Hospital of Southern Medical UniversityUniversity of North Carolina Project-ChinaDermatology Hospital of Southern Medical UniversityDivision of Community Health and Research, Eastern Virginia Medical SchoolDivision of Epidemiology and Community Health, University of Minnesota Twin CitiesDermatology Hospital of Southern Medical UniversityFaculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical MedicineDermatology Hospital of Southern Medical UniversityDermatology Hospital of Southern Medical UniversityAbstract Background Human immunodeficiency virus (HIV) self-testing may help improve test uptake among female sex workers. China has implemented many HIV self-testing programs among men who have sex with men, creating an opportunity for promotion among female sex workers. However, there is a limited literature on examining HIV self-testing among female sex workers. This study aimed to examine HIV self-testing experiences and its determinants among female sex workers in China. Methods A venue-based, cross-sectional study was conducted among Chinese female sex workers in 2019. Participants completed a survey including social-demographic characteristics, sexual behaviors, and HIV self-testing history, the distribution of which were analyzed using descriptive analysis. Multivariable logistic regression was conducted to identify associations with HIV self-testing. Results Among 1287 Chinese female sex workers, 1072 (83.3%, 95% confidence interval [CI] 81.2–85.3%) had ever tested for HIV, and 103 (8.0%, 95% CI 6.6–9.6%) had ever used HIV self-testing. More than half reported that the self-test was their first HIV test (59.2%, 61/103), around one-fifth reported HIV self-testing results influenced the price of sex (21.4%, 22/103). A minority of individuals reported ever experiencing pressure to undertake HIV self-testing (6.8%, 7/103). After adjusting for covariates, HIV self-testing was positively associated with receiving anal sex in the past month (adjusted odds ratio [aOR] = 2.2, 95% CI 1.4–3.5), using drugs before or during sex (aOR = 2.8, 95% CI 1.8–4.5), injecting drugs in the past 6 months (aOR = 2.6, 95% CI 1.2–6.0), being diagnosed with other sexually transmitted infections (aOR = 1.6, 95% CI 1.0–2.5), tested for other sexually transmitted infections in the past six months (aOR = 3.4, 95% CI 2.1–5.5), ever tested in the hospital (aOR = 3.4, 95% CI 2.0–5.6), and ever tested in the community (aOR = 1.5, 95% CI 1.2–1.9). Conclusions Our findings suggest that HIV self-testing could expand overall HIV testing uptake, increase HIV testing frequency, reach sub-groups of high-risk female sex workers and has limited potential harms among female sex workers. HIV self-testing should be incorporated among Chinese female sex workers as a complement to facility-based HIV testing services.http://link.springer.com/article/10.1186/s40249-020-00765-5HIVSelf-testingFemale sex workersChina |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Cheng Wang Ya-Jie Wang Joseph D. Tucker Ming-Zhou Xiong Hong-Yun Fu M. Kumi Smith Wei-Ming Tang Jason J. Ong He-Ping Zheng Bin Yang |
spellingShingle |
Cheng Wang Ya-Jie Wang Joseph D. Tucker Ming-Zhou Xiong Hong-Yun Fu M. Kumi Smith Wei-Ming Tang Jason J. Ong He-Ping Zheng Bin Yang Correlates of HIV self-testing among female sex workers in China: implications for expanding HIV screening Infectious Diseases of Poverty HIV Self-testing Female sex workers China |
author_facet |
Cheng Wang Ya-Jie Wang Joseph D. Tucker Ming-Zhou Xiong Hong-Yun Fu M. Kumi Smith Wei-Ming Tang Jason J. Ong He-Ping Zheng Bin Yang |
author_sort |
Cheng Wang |
title |
Correlates of HIV self-testing among female sex workers in China: implications for expanding HIV screening |
title_short |
Correlates of HIV self-testing among female sex workers in China: implications for expanding HIV screening |
title_full |
Correlates of HIV self-testing among female sex workers in China: implications for expanding HIV screening |
title_fullStr |
Correlates of HIV self-testing among female sex workers in China: implications for expanding HIV screening |
title_full_unstemmed |
Correlates of HIV self-testing among female sex workers in China: implications for expanding HIV screening |
title_sort |
correlates of hiv self-testing among female sex workers in china: implications for expanding hiv screening |
publisher |
BMC |
series |
Infectious Diseases of Poverty |
issn |
2049-9957 |
publishDate |
2020-10-01 |
description |
Abstract Background Human immunodeficiency virus (HIV) self-testing may help improve test uptake among female sex workers. China has implemented many HIV self-testing programs among men who have sex with men, creating an opportunity for promotion among female sex workers. However, there is a limited literature on examining HIV self-testing among female sex workers. This study aimed to examine HIV self-testing experiences and its determinants among female sex workers in China. Methods A venue-based, cross-sectional study was conducted among Chinese female sex workers in 2019. Participants completed a survey including social-demographic characteristics, sexual behaviors, and HIV self-testing history, the distribution of which were analyzed using descriptive analysis. Multivariable logistic regression was conducted to identify associations with HIV self-testing. Results Among 1287 Chinese female sex workers, 1072 (83.3%, 95% confidence interval [CI] 81.2–85.3%) had ever tested for HIV, and 103 (8.0%, 95% CI 6.6–9.6%) had ever used HIV self-testing. More than half reported that the self-test was their first HIV test (59.2%, 61/103), around one-fifth reported HIV self-testing results influenced the price of sex (21.4%, 22/103). A minority of individuals reported ever experiencing pressure to undertake HIV self-testing (6.8%, 7/103). After adjusting for covariates, HIV self-testing was positively associated with receiving anal sex in the past month (adjusted odds ratio [aOR] = 2.2, 95% CI 1.4–3.5), using drugs before or during sex (aOR = 2.8, 95% CI 1.8–4.5), injecting drugs in the past 6 months (aOR = 2.6, 95% CI 1.2–6.0), being diagnosed with other sexually transmitted infections (aOR = 1.6, 95% CI 1.0–2.5), tested for other sexually transmitted infections in the past six months (aOR = 3.4, 95% CI 2.1–5.5), ever tested in the hospital (aOR = 3.4, 95% CI 2.0–5.6), and ever tested in the community (aOR = 1.5, 95% CI 1.2–1.9). Conclusions Our findings suggest that HIV self-testing could expand overall HIV testing uptake, increase HIV testing frequency, reach sub-groups of high-risk female sex workers and has limited potential harms among female sex workers. HIV self-testing should be incorporated among Chinese female sex workers as a complement to facility-based HIV testing services. |
topic |
HIV Self-testing Female sex workers China |
url |
http://link.springer.com/article/10.1186/s40249-020-00765-5 |
work_keys_str_mv |
AT chengwang correlatesofhivselftestingamongfemalesexworkersinchinaimplicationsforexpandinghivscreening AT yajiewang correlatesofhivselftestingamongfemalesexworkersinchinaimplicationsforexpandinghivscreening AT josephdtucker correlatesofhivselftestingamongfemalesexworkersinchinaimplicationsforexpandinghivscreening AT mingzhouxiong correlatesofhivselftestingamongfemalesexworkersinchinaimplicationsforexpandinghivscreening AT hongyunfu correlatesofhivselftestingamongfemalesexworkersinchinaimplicationsforexpandinghivscreening AT mkumismith correlatesofhivselftestingamongfemalesexworkersinchinaimplicationsforexpandinghivscreening AT weimingtang correlatesofhivselftestingamongfemalesexworkersinchinaimplicationsforexpandinghivscreening AT jasonjong correlatesofhivselftestingamongfemalesexworkersinchinaimplicationsforexpandinghivscreening AT hepingzheng correlatesofhivselftestingamongfemalesexworkersinchinaimplicationsforexpandinghivscreening AT binyang correlatesofhivselftestingamongfemalesexworkersinchinaimplicationsforexpandinghivscreening |
_version_ |
1724535666658770944 |