HIV Prevalence and the HIV Treatment Cascade among Female Sex Workers in Cross-Border Areas in East Africa

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Citation

Mulholland, Grace E.; Markiewicz, Milissa; Arimi, Peter; Ssengooba, Freddie; Weir, Sharon S.; & Edwards, Jessie K. (2022). HIV Prevalence and the HIV Treatment Cascade among Female Sex Workers in Cross-Border Areas in East Africa. AIDS and Behavior, 26(2), 556-568.

Abstract

In cross-border areas of East Africa, sexual networks include partnerships across resident, migrant, and mobile populations, and risky behaviors can coincide with fragmented health services given the challenges of cross-border coordination. Among those most at risk are female sex workers (FSWs). We map HIV prevalence among FSWs in 14 cross-border areas, estimate associations between FSW characteristics and HIV and undiagnosed HIV, and estimate progress towards the UNAIDS 90-90-90 targets. The 2016-2017 East Africa Cross-Border Integrated Health Study recruited 4040 women; 786 were classified as FSWs. Overall HIV prevalence among FSWs was 10.8% (95% CI 8.2%, 13.3%), though area-specific estimates varied considerably. Among FSWs living with HIV, 46.1% (95% CI 33.2%, 59.0%) knew their status, 80.6% (95% CI 66.3%, 94.9%) of FSWs who knew their status were on ART, and 84.8% (95% CI 66.1%, 100.0%) of FSWs on ART were virally suppressed. Results indicate a need for expanded HIV testing.

URL

http://dx.doi.org/10.1007/s10461-021-03411-9

Reference Type

Journal Article

Year Published

2022

Journal Title

AIDS and Behavior

Author(s)

Mulholland, Grace E.
Markiewicz, Milissa
Arimi, Peter
Ssengooba, Freddie
Weir, Sharon S.
Edwards, Jessie K.

Article Type

Regular

Data Set/Study

East Africa Cross-Border Integrated Health Study (CBIHS)

Continent/Country

East Africa
Uganda
Kenya
Rwanda
Tanzania

Sex/Gender

Women

ORCiD

Weir - 0000-0001-6014-1460
Edwards, J -0000-0002-1741-335X