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Exploring the Association Between Mobility and Access to HIV Services Among Female Sex Workers in Zimbabwe.
- Source :
-
AIDS and behavior [AIDS Behav] 2020 Mar; Vol. 24 (3), pp. 746-761. - Publication Year :
- 2020
-
Abstract
- Female sex workers (FSW) face structural barriers to HIV-service access, however the effect of their mobility is uncertain. Using cross-sectional data from 2839 FSW in 14 sites in Zimbabwe, we explored the association between mobility (number of trips, distance, duration) in the past 12 months and five HIV-service-access outcomes: exposure to community mobilisation, clinic attendance, HIV testing, antiretroviral treatment initiation, and viral suppression (< 1000 copies per mL). We used modified-Poisson regression, and natural-effects models to estimate how the effect of trip frequency was mediated by distance and duration away. Each additional trip in 12 months was associated with increased community-mobilisation-event attendance (adjusted RR 1.08, 95% CI 1.04-1.12) and attending clinic two-or-more times (adjusted RR 1.02, 95% CI 1.00-1.05). There was little evidence of any other associations, or of mediation. Our findings are consistent with literature that found the effects of mobility to vary by context and outcome. This is the first study to consider many FSW-mobility and HIV-service-access measures together. Future research on mobility and health-related behaviour should use a spectrum of measures.
- Subjects :
- Adolescent
Adult
Cross-Sectional Studies
Female
HIV Infections epidemiology
HIV Infections psychology
Humans
Male
Population Dynamics
Sex Workers psychology
Sexual Partners
Zimbabwe epidemiology
Anti-Retroviral Agents therapeutic use
Community Health Services statistics & numerical data
HIV Infections drug therapy
Health Services Accessibility statistics & numerical data
Mass Screening statistics & numerical data
Sex Workers statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1573-3254
- Volume :
- 24
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- AIDS and behavior
- Publication Type :
- Academic Journal
- Accession number :
- 31256270
- Full Text :
- https://doi.org/10.1007/s10461-019-02559-9