ArticleBMC public health2025
Temporal trends in HIV prevention service access and use among female sex workers (FSW) in Mozambique: a comparative analysis 2011-2019.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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.
Who cites it
3 citing papers in PubMed.
- Factors Affecting Access to and Utilisation of HIV/AIDS Preventive Services Among Young Single Mothers Working in Alcohol Serving Establishments in Rwanda: An Exploratory Qualitative Study.AIDS and behavior · 2026Article
- Women engaged in commercial sex living with Human Immunodeficiency Virus and viral non-suppression in Uganda: analysis of multiple respondent-driven sampling surveys, 2021-2023.BMC global and public health · 2026Article
- Willingness to pay for injectable HIV pre-exposure prophylaxis among male and female sex workers in Uganda.Archives of public health = Archives belges de sante publique · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFemale sex workers (FSWs) remain disproportionately affected by HIV due to a combination of structural, social, and behavioral factors, including stigma, limited access to health services, gender-based violence, and legal barriers. In Mozambique, where sex work is informal and highly marginalized, monitoring trends in service uptake is essential to guide responsive and equitable HIV interventions. This study analyzes changes in access to and use of HIV prevention services among FSWs between 2011 and 2019.
methodsWe conducted a secondary analysis of cross-sectional bio-behavioral survey (BBS) data collected among FSWs in 2011 and 2019 in three Mozambican urban centers. Standardized questionnaires were used to collect behavioral and biological data, including indicators of HIV prevention service access. Participants were recruited using Respondent-Driven Sampling (RDS). Logistic regression was applied to assess time trends and identify factors associated with service uptake.
resultsA total of 1,240 FSWs participants were recruited in 2011 and 1,530 in 2019. Between 2011 and 2019, there was a significant increase in HIV prevalence (from 11.9 to 24.5%). The proportion of participants accessing HIV prevention services more than doubled (from 21.4 to 52.3%), alongside marked improvements in HIV testing uptake (68.0-83.1%) and consistent condom use with clients (74.1-86.3%). Multivariate analysis showed that age ≥ 25, moderate HIV risk perception, and experiences of sexual violence were positively associated with access to prevention services in 2019. In contrast, alcohol use and physical assault were negatively associated with service use. Determinants of access shifted over time; for example, while secondary education was positively associated with service access in 2011, it was negatively associated in 2019.
conclusionThere has been substantial progress in access to and use of HIV prevention services among FSWs in Mozambique over the past decade. Nonetheless, the rising HIV prevalence and persistent disparities related to age, education, economic vulnerability, and exposure to violence signal the need for more comprehensive, context-specific, and equity-focused strategies. Reinforcing peer-led outreach, integrating gender-based violence response, and addressing risk misperception are critical to strengthening Mozambique's HIV prevention continuum for this key population.
Indexed as
Identifiers
What OpenQuestion holds
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.