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Barriers and Facilitators to HIV Testing Among Zambian Female Sex Workers in Three Transit Hubs
Zambia has a generalized HIV epidemic, and HIV is concentrated along transit routes. Female sex workers (FSWs) are disproportionately affected by the epidemic. HIV testing is the crucial first step for engagement in HIV care and HIV prevention activities. However, to date little work has been done w...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mary Ann Liebert, Inc.
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5512327/ https://www.ncbi.nlm.nih.gov/pubmed/28581820 http://dx.doi.org/10.1089/apc.2017.0016 |
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author | Chanda, Michael M. Perez-Brumer, Amaya G. Ortblad, Katrina F. Mwale, Magdalene Chongo, Steven Kamungoma, Nyambe Kanchele, Catherine Fullem, Andrew Barresi, Leah Bärnighausen, Till Oldenburg, Catherine E. |
author_facet | Chanda, Michael M. Perez-Brumer, Amaya G. Ortblad, Katrina F. Mwale, Magdalene Chongo, Steven Kamungoma, Nyambe Kanchele, Catherine Fullem, Andrew Barresi, Leah Bärnighausen, Till Oldenburg, Catherine E. |
author_sort | Chanda, Michael M. |
collection | PubMed |
description | Zambia has a generalized HIV epidemic, and HIV is concentrated along transit routes. Female sex workers (FSWs) are disproportionately affected by the epidemic. HIV testing is the crucial first step for engagement in HIV care and HIV prevention activities. However, to date little work has been done with FSWs in Zambia, and little is known about barriers and facilitators to HIV testing in this population. FSW peer educators were recruited through existing sex worker organizations for participation in a trial related to HIV testing among FSWs. We conducted five focus groups with FSW peer educators (N = 40) in three transit towns in Zambia (Livingstone, Chirundu, and Kapiri Mposhi) to elicit community norms related to HIV testing. Emerging themes demonstrated barriers and facilitators to HIV testing occurring at multiple levels, including individual, social network, and structural. Stigma and discrimination, including healthcare provider stigma, were a particularly salient barrier. Improving knowledge, social support, and acknowledgment of FSWs and women's role in society emerged as facilitators to testing. Interventions to improve HIV testing among FSWs in Zambia will need to address barriers and facilitators at multiple levels to be maximally effective. |
format | Online Article Text |
id | pubmed-5512327 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Mary Ann Liebert, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-55123272017-07-21 Barriers and Facilitators to HIV Testing Among Zambian Female Sex Workers in Three Transit Hubs Chanda, Michael M. Perez-Brumer, Amaya G. Ortblad, Katrina F. Mwale, Magdalene Chongo, Steven Kamungoma, Nyambe Kanchele, Catherine Fullem, Andrew Barresi, Leah Bärnighausen, Till Oldenburg, Catherine E. AIDS Patient Care STDS Clinical and Epidemiologic Research Zambia has a generalized HIV epidemic, and HIV is concentrated along transit routes. Female sex workers (FSWs) are disproportionately affected by the epidemic. HIV testing is the crucial first step for engagement in HIV care and HIV prevention activities. However, to date little work has been done with FSWs in Zambia, and little is known about barriers and facilitators to HIV testing in this population. FSW peer educators were recruited through existing sex worker organizations for participation in a trial related to HIV testing among FSWs. We conducted five focus groups with FSW peer educators (N = 40) in three transit towns in Zambia (Livingstone, Chirundu, and Kapiri Mposhi) to elicit community norms related to HIV testing. Emerging themes demonstrated barriers and facilitators to HIV testing occurring at multiple levels, including individual, social network, and structural. Stigma and discrimination, including healthcare provider stigma, were a particularly salient barrier. Improving knowledge, social support, and acknowledgment of FSWs and women's role in society emerged as facilitators to testing. Interventions to improve HIV testing among FSWs in Zambia will need to address barriers and facilitators at multiple levels to be maximally effective. Mary Ann Liebert, Inc. 2017-07-01 2017-07-01 /pmc/articles/PMC5512327/ /pubmed/28581820 http://dx.doi.org/10.1089/apc.2017.0016 Text en © Michael M. Chanda, et al., 2017; Published by Mary Ann Liebert, Inc. This Open Access article is distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. |
spellingShingle | Clinical and Epidemiologic Research Chanda, Michael M. Perez-Brumer, Amaya G. Ortblad, Katrina F. Mwale, Magdalene Chongo, Steven Kamungoma, Nyambe Kanchele, Catherine Fullem, Andrew Barresi, Leah Bärnighausen, Till Oldenburg, Catherine E. Barriers and Facilitators to HIV Testing Among Zambian Female Sex Workers in Three Transit Hubs |
title | Barriers and Facilitators to HIV Testing Among Zambian Female Sex Workers in Three Transit Hubs |
title_full | Barriers and Facilitators to HIV Testing Among Zambian Female Sex Workers in Three Transit Hubs |
title_fullStr | Barriers and Facilitators to HIV Testing Among Zambian Female Sex Workers in Three Transit Hubs |
title_full_unstemmed | Barriers and Facilitators to HIV Testing Among Zambian Female Sex Workers in Three Transit Hubs |
title_short | Barriers and Facilitators to HIV Testing Among Zambian Female Sex Workers in Three Transit Hubs |
title_sort | barriers and facilitators to hiv testing among zambian female sex workers in three transit hubs |
topic | Clinical and Epidemiologic Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5512327/ https://www.ncbi.nlm.nih.gov/pubmed/28581820 http://dx.doi.org/10.1089/apc.2017.0016 |
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