ArticleJournal of acquired immune deficiency syndromes (1999)2026
HIV Seroprevalence, Incidence, and Viral Suppression Among Ugandan Female Bar Workers: A Population-Based Study.
Article in Journal of acquired immune deficiency syndromes (1999), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
Corrections and comments
- Update of
- Update of
Authors and funding
18 authors.
Funding
Abstract
introductionPrior studies have shown that some female bar workers (FBWs) may engage in sex work in Africa. However, population-level data on the HIV burden among FBWs in African settings are limited.
methodsData from 5 survey rounds (2011-2020) of the Rakai Community Cohort Study, a population-based HIV surveillance cohort in 36 inland agrarian/trading communities (HIV prevalence ∼12%) and 4 Lake Victoria fishing communities (∼40%) in southern Uganda, were analyzed. Women reporting bar work as a primary or secondary occupation were identified and compared with non-FBWs. Primary outcomes included HIV seropositivity, incident HIV infection, viral suppression (<200 copies/mL) among women with HIV, and population prevalence of viremia. Prevalence ratios and incidence rate ratios were estimated using Poisson regression with 95% confidence intervals (CIs).
resultsAmong 23,556 female participants contributing 52,708 person-visits, 1205 (5.1%) self-identified as FBWs, who had significantly higher baseline HIV seroprevalence than non-FBWs (51.9% vs. 18.5%; prevalence ratio = 2.81; 95% CI = 2.64 to 2.95). There were 356 incident HIV infections over 39,228 person-years. HIV incidence among FBWs was 2.49 per 100 person-years compared with 0.87 among non-FBWs (age-adjusted incidence rate ratio = 3.64; 95% CI = 2.33 to 5.42). Although HIV viral suppression was similar among participants living with HIV regardless of FBW status, the population prevalence of HIV viremia was 1.69 times higher among FBWs (95% CI = 1.38 to 2.08). Among 179 HIV-seronegative FBWs surveyed during 2018-2020, 79.9% (143/179) were aware of preexposure prophylaxis, whereas only 13.4% (24/179) had ever used it, and 2.8% (5/179) were current users.
conclusionsFBWs in Uganda experience a substantially higher HIV burden and acquisition risk compared with the general population. Prevention strategies tailored to the occupational context of bar work, including prioritization of HIV service delivery and access to oral and long-acting injectable preexposure prophylaxis, may substantially reduce HIV incidence among FBWs and their sexual partners.
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.