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Remaining Gap in Hiv Testing Uptake Among Female Sex Workers in Iran Publisher Pubmed



Shokoohi M1, 2 ; Noori A1 ; Karamouzian M1, 3 ; Sharifi H1 ; Khajehkazemi R1, 4 ; Fahimfar N6 ; Hosseinihooshyar S1 ; Kazerooni PA5 ; Mirzazadeh A1, 7
Authors
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Authors Affiliations
  1. 1. HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  2. 2. Department of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, The University of Western Ontario, London, Canada
  3. 3. School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, Canada
  4. 4. Research Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
  5. 5. Shiraz HIV/AIDS Research Center, Shiraz University of Medical Science, Shiraz, Iran
  6. 6. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Department of Epidemiology and Biostatistics, Global Health Sciences, University of California San Francisco, 550 16th Street, San Francisco, 94158, CA, United States

Source: AIDS and Behavior Published:2017


Abstract

We estimated the prevalence of recent HIV testing (i.e., having an HIV test during the last 12 months and knew the results) among 1295 HIV-negative Iranian female sex workers (FSW) in 2015. Overall, 70.4% (95% confidence intervals: 59.6, 79.3) of the participants reported a recent HIV testing. Concerns about their HIV status (83.2%) was reported as the most common reason for HIV testing. Incarceration history, having >5 paying partners, having >1 non-paying partner, receiving harm reduction services, utilizing healthcare services, and knowing an HIV testing site were significantly associated with recent HIV testing. In contrast, outreach participants, having one non-paying sexual partner, and self-reported inconsistent condom use reduced the likelihood of recent HIV testing. HIV testing uptake showed a ~2.5 times increase among FSW since 2010. While these findings are promising and show improvement over a short period, HIV testing programs should be expanded particularly through mobile and outreach efforts. © 2017, Springer Science+Business Media, LLC.