Evidence map›Paper›PMID 25428563›Full record

ArticleAIDS care2015

Successes and gaps in uptake of regular, voluntary HIV testing for hidden street- and off-street sex workers in Vancouver, Canada.

K N Deering, J S Montaner, J Chettiar, J Jia, G Ogilvie, C Buchner, C Feng, S A Strathdee, K Shannon

Registry-linked trialAbstract read
In one paragraph

Article in AIDS care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04578145 (Randomized Community Trial Community Based Screening for HIV Self Testing in Female Sex Workers in 23 Priority Districts in Indonesia), which is not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04578145 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Randomized Community Trial Community Based Screening for HIV Self Testing in Female Sex Workers in 23 Priority Districts in Indonesia (CBS HIVST in FSW)

TypeinterventionalSponsorKerti Praja FoundationRan2020 to 2020Enrolled1,522ConditionsHuman Immunodeficiency Virus (HIV)ArmsHIV self-testing among female sex workers
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. A systematic review of HIV testing among Canadian populations.Canadian journal of public health = Revue canadienne de sante publique · 2014
    Pooled it
  4. Article
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  7. Understanding barriers and facilitators to HIV testing in Canada from 2009-2019: A systematic mixed studies review.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2021
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  8. Article
  9. Article
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  12. Barriers and facilitators to hepatitis B vaccination among sex workers in Vancouver, Canada: Implications for integrated HIV, STI, and viral hepatitis services.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2019
    Article
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  14. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

K N Deeringa Division of AIDS, Department of Medicine, Faculty of Medicine , University of British Columbia , Vancouver , Canada.
J S Montaner
J Chettiar
J Jia
G Ogilvie
C Buchner
C Feng
S A Strathdee
K Shannon

Funding

Social and structural context of HIV/STI risk among FSWsR01DA028648 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI GOLDENBERG, SHIRA MIRIAM, KRUSI, ANDREA · 2010 to 2024
$6.9M
Canadian Institutes of Health Research HHP-98835NIDA NIH HHS R01 DA028648NIDA NIH HHS R01DA028648
6 · The paper itself

Abstract

Despite evidence globally of the heavy HIV burden among sex workers (SWs) as well as other poor health outcomes, including violence, SWs are often excluded from accessing voluntary, confidential and non-coercive health services, including HIV prevention, treatment, care and support. This study therefore assessed the prevalence and association with regular HIV testing among street- and off-street SWs in Vancouver, Canada. Cross-sectional baseline data were used from a longitudinal cohort known as "An Evaluation of Sex Worker's Health Access" (AESHA; January 2010-July 2012). This cohort included youth and adult SWs (aged 14+ years). We used multivariable logistic regression to assess the relationship between explanatory variables and having a recent HIV test (in the last year). Of the 435 seronegative SWs included, 67.1% reported having a recent HIV test. In multivariable logistic regression analysis, having a recent HIV test remained significantly independently associated with elevated odds of inconsistent condom use with clients [adjusted (multivariable) odds ratios, AOR: 2.59, 95% confidence intervals [95% CIs]: 1.17-5.78], injecting drugs (AOR: 2.33, 95% CIs: 1.17-4.18) and contact with a mobile HIV prevention programme (AOR: 1.76, 95% CIs: 1.09-2.84) within the last six months. Reduced odds of having a recent HIV test was also significantly associated with being a migrant/new immigrant to Canada (AOR: 0.33, 95% CIs: 0.19-0.56) and having a language barrier to health care access (AOR: 0.26, 95% CIs: 0.09-0.73). Our results highlight successes of reaching SWs at high risk of HIV through drug and sexual pathways. To maximize the effectiveness of including HIV testing as part of comprehensive HIV prevention and care to SWs, increased mobile outreach and safer-environment interventions that facilitate access to voluntary, confidential and non-coercive HIV testing remain a critical priority, in addition to culturally safe services with language support.

Indexed as

AdultCanadaCondomsCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHIV SeropositivityHumansLogistic ModelsMaleReagent Kits, DiagnosticRisk FactorsSexual BehaviorSex WorkSex WorkersSocial EnvironmentReagent Kits, DiagnosticHIV testHIV testinginterventionspreventionsex workersVancouver

Identifiers

PMID25428563
PMCPMC4312501

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.