HIV-associated risk behaviors among female sex workers in a high risk cohort study to capture early HIV infection in Kericho, Kenya
Introduction:
Understanding the factors that influence risky behavior among female sex workers (FSW) is critical in developing effective HIV prevention interventions. This abstract aims to describe risk factors associated with HIV-1 infection among FSWs in Kericho
Objectives:
This abstract aims to describe risk factors associated with HIV-1 infection among FSWs in Kericho.
Methodology:
FSWs and females considered at high risk for HIV infection based upon a screening questionnaire are enrolling and will be followed for two years. Baseline behavioral questionnaire was administered using audio-computer assisted self-interview (ACASI) and a follow-up given every 6 months. Prevalent sexually transmitted infections (STIs) including HIV were evaluated through standard laboratory testing. Results: To date, 689 participants have been screened (mean age is 22.7) and completed the baseline questionnaire. HIV prevalence is 28.4%. 21 volunteers have been identified with acute HIV infection, giving a crude incidence of approximately 4.0/100 PYs (95% CI: 1.99-5.42 %). (94 %) of the incident cases think that they were infected by their regular steady partners with whom they do not use condoms and whom the woman could go for help or support if needed. Sex workers aged ≥29 years reported significantly different patterns of behavior than younger workers. Of the incident case, 100% were women aged ≤29 (Mean age is 23.6). The mean age at first sex is 15.1. Alcohol use during sex was negatively associated with consistent condom use (72.9 % used alcohol and condom use during this period was 61.1%). 24.4% became pregnant in the course of the study. 53.3% reported STI symptoms in the last three months at baseline.
Findings:
Older FSWs in Kericho may have adaptive behavioral strategies which reduce their risk of acquiring HIV. Incidence rates have been relatively high in the first 6 months aftre enrolment.
Results:
Conclusion:
FSWs and their clients play a critical role in the country's HIV/STI epidemics.This study recommends future HIV prevention programs for FSWs in Kenya that target their specific risk behaviors and work environments.
Publication Information
Author(s):
Focus County(s):
Nairobi County
Mombasa County
Programme Area(s):
Sexual, Reproductive, Adolescent & Child Health
Sexual, Reproductive, Adolescent & Child Health
Research Priority Area(s):
Disease Domain(s):
HIV/AIDS
STI
Document History:
Publication Date:
13.May.2015
Conference Title:
KASH Conference 2013
Venue:
KEMRI Headquarters
