P716 HIV prevalence in at-risk adolescent girls and young women in kenya across locations associated with sex work. (14th July 2019)
- Record Type:
- Journal Article
- Title:
- P716 HIV prevalence in at-risk adolescent girls and young women in kenya across locations associated with sex work. (14th July 2019)
- Main Title:
- P716 HIV prevalence in at-risk adolescent girls and young women in kenya across locations associated with sex work
- Authors:
- Becker, Marissa
Musyoki, Helgar
Mishra, Sharmistha
Bhattacharjee, Parinita
Cheuk, Eve
Leung, Stella
Lorway, Robert
Isac, Shajy
Gichangi, Peter
Cholette, Francois
Sandstrom, Paul
Blanchard, James
Pickles, Michael - Abstract:
- Abstract : Background: HIV prevalence is influenced by biological, behavioural and structural factors. We sought to understand HIV prevalence among at-risk adolescent girls and young women (AGYW) in Kenya and the relative importance of location and subgroup. Methods: We conducted a cross-sectional survey among AGYW aged 14–24 years in Mombasa, Kenya in 2015/16. Using probabilistic sampling we recruited participants from hotspots where female sex workers (FSWs) solicit clients, divided into venue-based (bars/brothels/hotels/brew dens) and non-venue-based (streets/public places) hotspots. We measured HIV prevalence using dried blood spot serology testing and examined predictors of risk including subgroup: engagement in formal sex work; transactional sex (TS) (exchange of sex for goods/money without pre-negotiation of price); and casual sex (CS) (did not self-identify as FSW or engaging in TS). We compared determinants of risk in venue-based and non-venue-based participants after adjusting for age. Results: Overall HIV prevalence was 5.6%, with highest prevalence among FSWs (10.1%), compared to those engaged in TS (3.6%) or CS (3.6%) (p < 0.001). Daily/almost daily alcohol use was associated with higher prevalence in both venue- (AOR 2.8 (1.3–6.1)) and non-venue-based (AOR 5.3 (1.3–21.1)) hotspots. Venue-based participants were also more likely to test positive if they had ever been pregnant [AOR 1.9 (1.0–3.5)], had their first sexual experience aged <15 years [AOR2.2Abstract : Background: HIV prevalence is influenced by biological, behavioural and structural factors. We sought to understand HIV prevalence among at-risk adolescent girls and young women (AGYW) in Kenya and the relative importance of location and subgroup. Methods: We conducted a cross-sectional survey among AGYW aged 14–24 years in Mombasa, Kenya in 2015/16. Using probabilistic sampling we recruited participants from hotspots where female sex workers (FSWs) solicit clients, divided into venue-based (bars/brothels/hotels/brew dens) and non-venue-based (streets/public places) hotspots. We measured HIV prevalence using dried blood spot serology testing and examined predictors of risk including subgroup: engagement in formal sex work; transactional sex (TS) (exchange of sex for goods/money without pre-negotiation of price); and casual sex (CS) (did not self-identify as FSW or engaging in TS). We compared determinants of risk in venue-based and non-venue-based participants after adjusting for age. Results: Overall HIV prevalence was 5.6%, with highest prevalence among FSWs (10.1%), compared to those engaged in TS (3.6%) or CS (3.6%) (p < 0.001). Daily/almost daily alcohol use was associated with higher prevalence in both venue- (AOR 2.8 (1.3–6.1)) and non-venue-based (AOR 5.3 (1.3–21.1)) hotspots. Venue-based participants were also more likely to test positive if they had ever been pregnant [AOR 1.9 (1.0–3.5)], had their first sexual experience aged <15 years [AOR2.2 (1.2–4.1)] or had ever experienced sexual [AOR 3.2 (1.8–5.7)] or physical violence [AOR 2.4 (1.3–4.3)]. Compared to CS and TS, HIV prevalence was higher among FSWs in venue-based hotspots [AOR3.4 (1.8–6.3)], but not non-venues [AOR 1.1 (0.3–3.8)]. Conclusion: We identified a high prevalence of HIV among AGYW congregating in hotspots for FSW, with heterogeneity across subgroups. Determinants of HIV varied by location suggesting that one's environment is an important contributor to risk, and HIV programmes should take this into consideration for designing delivery of interventions. Disclosure: No significant relationships. … (more)
- Is Part Of:
- Sexually transmitted infections. Volume 95(2019)Supplement 1
- Journal:
- Sexually transmitted infections
- Issue:
- Volume 95(2019)Supplement 1
- Issue Display:
- Volume 95, Issue 1 (2019)
- Year:
- 2019
- Volume:
- 95
- Issue:
- 1
- Issue Sort Value:
- 2019-0095-0001-0000
- Page Start:
- A311
- Page End:
- A311
- Publication Date:
- 2019-07-14
- Subjects:
- Kenya -- sex workers -- youth
Sexually transmitted diseases -- Periodicals
HIV infections -- Periodicals
616.951005 - Journal URLs:
- http://sti.bmj.com/ ↗
http://www.ncbi.nlm.nih.gov/pmc/journals/176/ ↗
http://www.bmj.com/archive ↗ - DOI:
- 10.1136/sextrans-2019-sti.780 ↗
- Languages:
- English
- ISSNs:
- 1368-4973
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 19017.xml