Venue-Based HIV Testing at Sex Work Hotspots to Reach Adolescent Girls and Young Women Living With HIV: A Cross-sectional Study in Mombasa, Kenya.

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Huiting MaTransitions Study Team

Abstract

We estimated the potential number of newly diagnosed HIV infections among adolescent girls and young women (AGYW) using a venue-based approach to HIV testing at sex work hotspots. We used hotspot enumeration and cross-sectional biobehavioral survey data from the 2015 Transition Study of AGYW aged 14-24 years who frequented hotspots in Mombasa, Kenya. We described the HIV cascade among young females who sell sex (YFSS) (N = 408) versus those young females who do not sell sex (YFNS) (N = 891) and triangulated the potential (100% test acceptance and accuracy) and feasible (accounting for test acceptance and sensitivity) number of AGYW that could be newly diagnosed through hotspot-based HIV rapid testing in Mombasa. We identified the profile of AGYW with an HIV in the past year using generalized linear mixed regression models. N = 37/365 (10.1%) YFSS and N = 30/828 (3.6%) YFNS were living with HIV, of whom 27.0% (N = 10/37) and 30.0% (N = 9/30) were diagnosed and aware (P = 0.79). Rapid test acceptance was 89.3%, and sensitivity was 80.4%. There were an estimated 15,635 (range: 12,172-19,097) AGYW at hotspots. The potential and feasible number of new diagnosis was 627 (310-1081), and 450 (223-776), respectively. Thus, hotspot-based...Continue Reading

References

May 11, 2010·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Kristina L GrabbeElizabeth Marum
May 31, 2013·Studies in Family Planning·Eric Y Tenkorang, Eleanor Maticka-Tyndale
Jun 19, 2014·African Health Sciences·K Peltzer, G Matseke
Mar 1, 2015·Journal of the International AIDS Society·Sinead Delany-MoretlweLee Fairlie
Feb 18, 2016·Pediatric Research·Nadia A Sam-AguduEchezona E Ezeanolue
Aug 2, 2016·Tropical Medicine & International Health : TM & IH·Yves LafortWim Delva
Sep 7, 2016·Infectious Diseases of Poverty·Michael J MahandeHabib O Ramadhani
Sep 6, 2017·Journal of the International AIDS Society·Cheryl C JohnsonRachel Baggaley
Feb 6, 2018·Current Opinion in HIV and AIDS·Chido D ChikwariRashida A Ferrand

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Citations

Apr 2, 2021·The Lancet. HIV·Gabriel ChamieHarsha Thirumurthy

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