Brief Report: Intimate Partner Violence and Antiretroviral Therapy Initiation Among Female Sex Workers Newly Diagnosed With HIV in Zambia: A Prospective Study.

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Catherine E OldenburgTill Bärnighausen

Abstract

Intimate partner violence (IPV) is common among female sex workers (FSW) globally. Here, we prospectively assessed the relationship between IPV and engagement in HIV care in a cohort of FSW who had been newly diagnosed with HIV. Data arose from the Zambian Peer Educators for HIV Self-Testing study, a randomized controlled trial of HIV self-test distribution among FSW in 3 transit towns in Zambia. Participants were self-reported to be HIV-uninfected or unaware of their status at baseline. IPV in the previous 12 months was assessed at baseline. At 4 months, participants were asked the results of their last HIV test and those who reported testing positive were asked whether they had engaged in HIV-related care and started antiretroviral therapy (ART). Of 964 participants, 234 (24.3%) reported that they were living with HIV at 4 months. Of these 234 participants, 142 (60.7%) reported a history of IPV (past 12 months) at baseline and at 4 months, 152 (65.0%) reported that they were in HIV-related care, and 132 (56.7%) reported that they had initiated ART. Participants who reported IPV had significantly reduced odds of engagement in care (adjusted odds ratio = 0.48, 95% confidence interval: 0.26 to 0.91) and ART initiation (adjusted ...Continue Reading

References

Aug 23, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Jeffrey S GonzalezSteven A Safren
Jul 21, 2015·The New England Journal of Medicine·UNKNOWN INSIGHT START Study GroupJames D Neaton
Oct 30, 2016·International Journal of STD & AIDS·Kate S WilsonR Scott McClelland
May 22, 2016·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Catherine E OldenburgGuy Harling
Jul 19, 2016·The New England Journal of Medicine·Myron S CohenUNKNOWN HPTN 052 Study Team
Aug 12, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Putu DuffKate Shannon
Dec 16, 2016·African Journal of AIDS Research : AJAR·Kathryn E LancasterPaul F Fleming
Jun 6, 2017·AIDS Patient Care and STDs·Michael M ChandaCatherine E Oldenburg
Nov 15, 2017·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Carmen H LogieSusanna Ogunnaike-Cooke
Nov 22, 2017·PLoS Medicine·Michael M ChandaCatherine E Oldenburg

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