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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
A cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, Ukraine
BMC Public Health, Volume 23, No. 1, Article 2054, Year 2023
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Description
Background: HIV programming in Ukraine largely targets “key population” groups. Men who purchase sex are not directly reached. The aim of our study was to explore the prevalence of sexually transmitted and blood-borne infections (STBBIs) among men who purchase sex from female sex workers. Methods: Following geographic mapping and population size estimation at each “hotspot”, we conducted a cross-sectional bio-behavioural survey with men who purchase sex between September 2017 and March 2018 in Dnipro, Ukraine. Eligibility criteria included purchasing sex services at a “hotspot” and being ≥ 18 years. Participants completed a structured questionnaire, followed by HIV/HCV rapid testing and a dried blood spot (DBS) sample collection for confirmatory serology. Results: The study enrolled 370 participants. The median age was 32 (interquartile range [IQR] = 27–38) and the median age of first purchase of sexual services was 22 (IQR = 19–27). Over half (56%) of participants reported ever testing for HIV; four participants (2%, N = 206) reported having tested positive for HIV, with three out of the four reporting being on ART. Forty percent of participants had ever tested for HCV, with three (2%, N = 142) having ever tested positive for HCV. In DBS testing, nine participants (2.4%) tested positive for HIV and 24 (6.5%) tested positive for ever having an HCV infection. Conclusion: Prevalence of HIV and HCV in this population was high. Given high rates of study enrolment and testing, efforts should be made to reach men who purchase sex with expanded STBBI programming. © 2023, BioMed Central Ltd., part of Springer Nature.
Authors & Co-Authors
Lazarus, Lisa
Canada, Winnipeg
University of Manitoba
Pavlova, Daria
Ukraine, Kyiv
Ukrainian Institute for Social Research After Oleksandr Yaremenko
Cholette, François
Canada, Winnipeg
University of Manitoba
Canada, Ottawa
Public Health Agency of Canada
McClarty, Leigh M.
Canada, Winnipeg
University of Manitoba
Isac, Shajy K.
Canada, Winnipeg
University of Manitoba
India, New Delhi
India Health Action Trust
Pickles, Michael R.
United Kingdom, London
Imperial College London
Mishra, Sharmistha
Canada, Toronto
Saint Michael's Hospital University of Toronto
Canada, Toronto
University of Toronto
Shaw, Souradet Y.
Canada, Winnipeg
University of Manitoba
Lorway, Robert
Canada, Winnipeg
University of Manitoba
McKinnon, Lyle R.
Canada, Winnipeg
University of Manitoba
South Africa, Congella
Centre for the Aids Programme of Research in South Africa
Kenya, Nairobi
University of Nairobi
Sandstrom, P.
Canada, Winnipeg
University of Manitoba
Canada, Ottawa
Public Health Agency of Canada
Blanchard, James Frederick
Canada, Winnipeg
University of Manitoba
Balakireva, Olga
Ukraine, Kyiv
Ukrainian Institute for Social Research After Oleksandr Yaremenko
Ukraine, Kyiv
National Academy of Sciences of Ukraine
Becker, Marissa L.
Canada, Winnipeg
University of Manitoba
Statistics
Authors: 14
Affiliations: 10
Identifiers
Doi:
10.1186/s12889-023-16903-1
ISSN:
14712458
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Participants Gender
Male
Female