ArticleJournal of acquired immune deficiency syndromes (1999)2020
Venue-Based HIV Testing at Sex Work Hotspots to Reach Adolescent Girls and Young Women Living With HIV: A Cross-sectional Study in Mombasa, Kenya.
Article in Journal of acquired immune deficiency syndromes (1999), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Prevalence and Factors Associated with HIV Testing Among Women of Reproductive Age in Liberia: A Cross-Sectional Study from the 2019/20 Demographic and Health Survey.International journal of environmental research and public health · 2025Article
- Profiles of Sexual Economic Exchanges among Women in Kisumu, Kenya: A Latent Class Analysis.Archives of sexual behavior · 2025Article
- Costs and cost drivers of comprehensive sexual reproductive health services to female sex workers in Kenya.BMC health services research · 2024Article
- Article
- The unwritten rules and HIV: a qualitative study of informal institutions and HIV vulnerability among workers at social venues in Uganda.Frontiers in public health · 2023Article
- Peer community health workers improve HIV testing and ART linkage among key populations in Zambia: retrospective observational results from the Z-CHECK project, 2019-2020.Journal of the International AIDS Society · 2022Article
- Factors associated with adherence to HIV testing guidelines among HIV-negative female sex workers in Kampala, Uganda.IJID regions · 2022Article
- Article
- Low program access despite high burden of sexual, structural, and reproductive health vulnerabilities among young women who sell sex in Mombasa, Kenya.BMC public health · 2020Article
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12 authors.
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Abstract
backgroundWe estimated the potential number of newly diagnosed HIV infections among adolescent girls and young women (AGYW) using a venue-based approach to HIV testing at sex work hotspots.
methodsWe used hotspot enumeration and cross-sectional biobehavioral survey data from the 2015 Transition Study of AGYW aged 14-24 years who frequented hotspots in Mombasa, Kenya. We described the HIV cascade among young females who sell sex (YFSS) (N = 408) versus those young females who do not sell sex (YFNS) (N = 891) and triangulated the potential (100% test acceptance and accuracy) and feasible (accounting for test acceptance and sensitivity) number of AGYW that could be newly diagnosed through hotspot-based HIV rapid testing in Mombasa. We identified the profile of AGYW with an HIV in the past year using generalized linear mixed regression models.
resultsN = 37/365 (10.1%) YFSS and N = 30/828 (3.6%) YFNS were living with HIV, of whom 27.0% (N = 10/37) and 30.0% (N = 9/30) were diagnosed and aware (P = 0.79). Rapid test acceptance was 89.3%, and sensitivity was 80.4%. There were an estimated 15,635 (range: 12,172-19,097) AGYW at hotspots. The potential and feasible number of new diagnosis was 627 (310-1081), and 450 (223-776), respectively. Thus, hotspot-based testing could feasibly reduce the undiagnosed fraction from 71.6% to 20.2%. The profile of AGYW who recently tested was similar among YFSS and YFNS. YFSS were 2-fold more likely to report a recent HIV test after adjusting for other determinants [odds ratio (95% confidence interval): 2.2 (1.5 to 3.1)].
conclusionReaching AGYW through hotspot-based HIV testing could fill gaps left by traditional, clinic-based HIV testing services.
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