Characterizing the Patterns of HIV Disclosure to Clients Among South African Female Sex Workers in Port Elizabeth

被引：3

作者：

Wells, Cassia ^{[1
,7
]}

Schwartz, Sheree ^{[1
]}

Phaswana-Mafuya, Nancy ^{[2
,5
,6
]}

Lambert, Andrew ^{[3
]}

Kose, Zamakayise ^{[2
]}

Mcingana, Mfezi ^{[3
]}

Hausler, Harry ^{[3
]}

Rao, Amrita ^{[1
]}

Yah, Clarence ^{[1
,4
]}

Ketende, Sosthenes ^{[1
]}

Baral, Stefan ^{[1
]}

机构：

[1] Johns Hopkins Sch Publ Hlth, Dept Epidemiol, Key Populat Program, Baltimore, MD 21205 USA

[2] Human Sci Res Council, Port Elizabeth, South Africa

[3] TB HIV Care Assoc, Port Elizabeth, South Africa

[4] Univ Witwatersrand, Wits Reprod Hlth & HIV Inst, Fac Hlth Sci, Johannesburg, South Africa

[5] Nelson Mandela Metropolitan Univ, Off Deputy Vice Chancellor Res & Engagement, Port Elizabeth, South Africa

[6] Univ Limpopo, Dept Social Work, Sovenga, South Africa

[7] 722 W 168th St, New York, NY 10032 USA

来源：

AIDS AND BEHAVIOR | 2018年 / 22卷 / 12期

关键词：

HIV; Disclosure; Female sex workers; Clients; South Africa; Sex work; PREVENTION; TRANSMISSION; BARRIERS; WOMEN;

D O I：

10.1007/s10461-018-2199-x

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Female sex workers (FSW) in South Africa are disproportionately affected by HIV, yet little is known about their HIV-status disclosure with clients. Among 410 FSW participating in a cross-sectional study, 213 were HIV positive and aware of their status prior to enrollment. Among FSW aware of their HIV-status, 35% (74/213) reported disclosing their HIV-status to paying clients, whereas 75% (118/158) of those with regular, non-paying partners disclosed to them. In a multivariable analysis, disclosure to clients was associated with more years of education, disclosure to non-paying partners, and meeting clients at established sex work venues, whereas a history of sexual violence was associated with less disclosure. There was also evidence of mutual disclosure with clients, however disclosure was not associated with condom use with clients or being on antiretrovirals. Safer working environments may improve FSW HIV disclosure practices, however disclosure must also be linked with protective behaviors in this population.

引用

页码：3924 / 3932

页数：9