Evidence map›Paper›PMID 30788641›Full record

ArticleAIDS and behavior2019

Changes Over Time in HIV Prevalence and Sexual Behaviour Among Young Female Sex-Workers in 14 Sites in Zimbabwe, 2013-2016.

Sungai T Chabata, Bernadette Hensen, Tarisai Chiyaka, Phillis Mushati, Sibongile Mtetwa, Dagmar Hanisch, Sue Napierala, Joanna Busza, Sian Floyd, Elizabeth Fearon and 3 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in AIDS and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 2% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

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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

13 authors at 5 institutions in 3 countries.

Sungai T ChabataCentre for Sexual Health, HIV/AIDS Research (CeSHHAR) Zimbabwe, 09 Monmouth Road, Avondale West, Harare, Zimbabwe. sungai@ceshhar.co.zw.ORCID http://orcid.org/0000-0001-7629-1543
Bernadette HensenDepartment of Clinical Research, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Tarisai ChiyakaCentre for Sexual Health, HIV/AIDS Research (CeSHHAR) Zimbabwe, 09 Monmouth Road, Avondale West, Harare, Zimbabwe.
Phillis MushatiCentre for Sexual Health, HIV/AIDS Research (CeSHHAR) Zimbabwe, 09 Monmouth Road, Avondale West, Harare, Zimbabwe.
Sibongile MtetwaCentre for Sexual Health, HIV/AIDS Research (CeSHHAR) Zimbabwe, 09 Monmouth Road, Avondale West, Harare, Zimbabwe.
Dagmar HanischUnited Nations Population Fund, Harare, Zimbabwe.
Sue NapieralaWomen's Global Health Imperative, RTI International, San Francisco, CA, USA.
Joanna BuszaDepartment of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Sian FloydDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Elizabeth FearonDepartment of Social and Environmental Health Research, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Isolde BirdthistleDepartment of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
James R HargreavesDepartment of Social and Environmental Health Research, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Frances M CowanCentre for Sexual Health, HIV/AIDS Research (CeSHHAR) Zimbabwe, 09 Monmouth Road, Avondale West, Harare, Zimbabwe.
London School of Hygiene & Tropical Medicine · GBCentre for Sexual Health and HIV AIDS Research · ZWLiverpool School of Tropical Medicine · GBNational Blood Service Zimbabwe · ZWRTI International · US

Funding

HIV Prevention among Young Female Sex Workers: an Implementation Research ApproachK01MH110316 · NIMH · RESEARCH TRIANGLE INSTITUTE · PI NAPIERALA, SUE · 2016 to 2019
$753k
Medical Research Council MR/K012126/1Medical Research Council MR/R010161/1NIMH NIH HHS K01 MH110316
6 · The paper itself

Abstract

Young female sex-workers (FSW) aged 18-24 are at high risk of HIV due to high numbers of sexual partners, difficulty negotiating condom use, increased risk of gender-based violence, and limited access to services. Here we describe changes in sexual behaviours among young FSW across Zimbabwe between 2013 and 2016, and risk factors for prevalent HIV in 2013 and 2016. FSW ≥ 18 years were recruited using respondent-driven sampling in 14 sites across Zimbabwe in 2013 and 2016 as part of the SAPPH-IRe trial. We collected data on socio-demographics and sexual behaviour and offered HIV testing. Statistical analyses were RDS-II weighted. Characteristics of young FSW aged 18-24 were described, stratified by age. Logistic regression was used to assess difference in sexual behaviours by reported HIV status between 2013 and 2016, and to explore associations with prevalent HIV in 2013 and 2016. 656 young FSW were recruited in 2013 and 503 in 2016. Characteristics of young FSW were similar across both surveys. HIV prevalence was similar at both time points (35% vs 36%) and rose steeply with age. Compared to young FSW in 2013, reported condom-less sex with a steady partner and condom-less sex with clients was higher in 2016 among women self-reporting HIV negative status (OR = 6.41; 95%CI: 3.40-12.09; P<0.001) and (OR = 1.69; 95%CI: 1.14-2.51, P = 0.008), respectively, but not among young FSW self-reporting HIV positive status (OR = 2.35; 95%CI: 0.57-9.76; P = 0.236) and (OR = 1.87; 95%CI: 0.74-4.74; P = 0.186). After adjusting for age in 2016, young FSW who had ever been married had increased odds of testing HIV positive (OR = 1.88; 95% CI 1.04-3.39; P = 0.036) compared with those who had never married. Young FSW who completed secondary education or higher were less likely to test HIV positive (OR = 0.41; 95% CI 0.20-0.83; P = 0.012) compared with those with primary education or less. Young FSW remain at very high risk of HIV. Strategies to identify young FSW when they first start selling and refer them into services that address their economic, social and sexual vulnerabilities are critical.

Indexed as

AdolescentCross-Sectional StudiesFemaleHealth Care SurveysHIV InfectionsHumansPhysical AbuseSexual PartnersSex WorkersTime FactorsUnsafe SexYoung AdultZimbabweAdolescent girls and young womenHIV preventionYoung female sex-workerYoung women who sell sexZimbabwe

Identifiers

PMID30788641
PMCPMC6535417
OpenAlexW2916078139

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.