A cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, Ukraine
Abstract Background HIV programming in Ukraine largely targets “key population” groups. Men who purchase sex are not directly reached. The aim of our study was to explore the prevalence of sexually transmitted and blood-borne infections (STBBIs) among men who purchase sex from female sex workers. Me...
| Main Authors: | , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-10-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-16903-1 |
| _version_ | 1797555956418084864 |
|---|---|
| author | Lisa Lazarus Nicole Herpai Daria Pavlova Amaanat Gill François Cholette Leigh M. McClarty Shajy Isac Anna Lopatenko Michael Pickles Sharmistha Mishra Souradet Y. Shaw Robert Lorway Lyle R. McKinnon Paul Sandstrom James Blanchard Olga Balakireva Marissa L. Becker on behalf of the Dynamics Study Team |
| author_facet | Lisa Lazarus Nicole Herpai Daria Pavlova Amaanat Gill François Cholette Leigh M. McClarty Shajy Isac Anna Lopatenko Michael Pickles Sharmistha Mishra Souradet Y. Shaw Robert Lorway Lyle R. McKinnon Paul Sandstrom James Blanchard Olga Balakireva Marissa L. Becker on behalf of the Dynamics Study Team |
| author_sort | Lisa Lazarus |
| collection | DOAJ |
| description | Abstract Background HIV programming in Ukraine largely targets “key population” groups. Men who purchase sex are not directly reached. The aim of our study was to explore the prevalence of sexually transmitted and blood-borne infections (STBBIs) among men who purchase sex from female sex workers. Methods Following geographic mapping and population size estimation at each “hotspot”, we conducted a cross-sectional bio-behavioural survey with men who purchase sex between September 2017 and March 2018 in Dnipro, Ukraine. Eligibility criteria included purchasing sex services at a “hotspot” and being ≥ 18 years. Participants completed a structured questionnaire, followed by HIV/HCV rapid testing and a dried blood spot (DBS) sample collection for confirmatory serology. Results The study enrolled 370 participants. The median age was 32 (interquartile range [IQR] = 27–38) and the median age of first purchase of sexual services was 22 (IQR = 19–27). Over half (56%) of participants reported ever testing for HIV; four participants (2%, N = 206) reported having tested positive for HIV, with three out of the four reporting being on ART. Forty percent of participants had ever tested for HCV, with three (2%, N = 142) having ever tested positive for HCV. In DBS testing, nine participants (2.4%) tested positive for HIV and 24 (6.5%) tested positive for ever having an HCV infection. Conclusion Prevalence of HIV and HCV in this population was high. Given high rates of study enrolment and testing, efforts should be made to reach men who purchase sex with expanded STBBI programming. |
| first_indexed | 2024-03-10T16:55:00Z |
| format | Article |
| id | doaj.art-757f6fbcd50142b8b5b0b2ab09ea1001 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-10T16:55:00Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-757f6fbcd50142b8b5b0b2ab09ea10012023-11-20T11:10:02ZengBMCBMC Public Health1471-24582023-10-012311910.1186/s12889-023-16903-1A cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, UkraineLisa Lazarus0Nicole Herpai1Daria Pavlova2Amaanat Gill3François Cholette4Leigh M. McClarty5Shajy Isac6Anna Lopatenko7Michael Pickles8Sharmistha Mishra9Souradet Y. Shaw10Robert Lorway11Lyle R. McKinnon12Paul Sandstrom13James Blanchard14Olga Balakireva15Marissa L. Becker16on behalf of the Dynamics Study TeamInstitute for Global Public Health, Rady Faculty of Health Sciences, University of ManitobaInstitute for Global Public Health, Rady Faculty of Health Sciences, University of ManitobaUkrainian Institute for Social Research after Oleksandr YaremenkoDepartment of Community Health Sciences, University of ManitobaDepartment of Medical Microbiology and Infectious Diseases, University of ManitobaInstitute for Global Public Health, Rady Faculty of Health Sciences, University of ManitobaInstitute for Global Public Health, Rady Faculty of Health Sciences, University of ManitobaDnipropetrovsk Regional Center for Socially Significant DiseasesDepartment of Infectious Disease Epidemiology, School of Public Health, Imperial College LondonMAP Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael’s HospitalInstitute for Global Public Health, Rady Faculty of Health Sciences, University of ManitobaInstitute for Global Public Health, Rady Faculty of Health Sciences, University of ManitobaDepartment of Medical Microbiology and Infectious Diseases, University of ManitobaDepartment of Medical Microbiology and Infectious Diseases, University of ManitobaInstitute for Global Public Health, Rady Faculty of Health Sciences, University of ManitobaUkrainian Institute for Social Research after Oleksandr YaremenkoInstitute for Global Public Health, Rady Faculty of Health Sciences, University of ManitobaAbstract Background HIV programming in Ukraine largely targets “key population” groups. Men who purchase sex are not directly reached. The aim of our study was to explore the prevalence of sexually transmitted and blood-borne infections (STBBIs) among men who purchase sex from female sex workers. Methods Following geographic mapping and population size estimation at each “hotspot”, we conducted a cross-sectional bio-behavioural survey with men who purchase sex between September 2017 and March 2018 in Dnipro, Ukraine. Eligibility criteria included purchasing sex services at a “hotspot” and being ≥ 18 years. Participants completed a structured questionnaire, followed by HIV/HCV rapid testing and a dried blood spot (DBS) sample collection for confirmatory serology. Results The study enrolled 370 participants. The median age was 32 (interquartile range [IQR] = 27–38) and the median age of first purchase of sexual services was 22 (IQR = 19–27). Over half (56%) of participants reported ever testing for HIV; four participants (2%, N = 206) reported having tested positive for HIV, with three out of the four reporting being on ART. Forty percent of participants had ever tested for HCV, with three (2%, N = 142) having ever tested positive for HCV. In DBS testing, nine participants (2.4%) tested positive for HIV and 24 (6.5%) tested positive for ever having an HCV infection. Conclusion Prevalence of HIV and HCV in this population was high. Given high rates of study enrolment and testing, efforts should be made to reach men who purchase sex with expanded STBBI programming.https://doi.org/10.1186/s12889-023-16903-1Sex workMen who purchase sexClientsHIVHCVUkraine |
| spellingShingle | Lisa Lazarus Nicole Herpai Daria Pavlova Amaanat Gill François Cholette Leigh M. McClarty Shajy Isac Anna Lopatenko Michael Pickles Sharmistha Mishra Souradet Y. Shaw Robert Lorway Lyle R. McKinnon Paul Sandstrom James Blanchard Olga Balakireva Marissa L. Becker on behalf of the Dynamics Study Team A cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, Ukraine BMC Public Health Sex work Men who purchase sex Clients HIV HCV Ukraine |
| title | A cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, Ukraine |
| title_full | A cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, Ukraine |
| title_fullStr | A cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, Ukraine |
| title_full_unstemmed | A cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, Ukraine |
| title_short | A cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, Ukraine |
| title_sort | cross sectional survey exploring hiv and hcv prevalence among men who purchase sex in dnipro ukraine |
| topic | Sex work Men who purchase sex Clients HIV HCV Ukraine |
| url | https://doi.org/10.1186/s12889-023-16903-1 |
| work_keys_str_mv | AT lisalazarus acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT nicoleherpai acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT dariapavlova acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT amaanatgill acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT francoischolette acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT leighmmcclarty acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT shajyisac acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT annalopatenko acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT michaelpickles acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT sharmisthamishra acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT souradetyshaw acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT robertlorway acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT lylermckinnon acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT paulsandstrom acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT jamesblanchard acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT olgabalakireva acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT marissalbecker acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT onbehalfofthedynamicsstudyteam acrosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT lisalazarus crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT nicoleherpai crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT dariapavlova crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT amaanatgill crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT francoischolette crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT leighmmcclarty crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT shajyisac crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT annalopatenko crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT michaelpickles crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT sharmisthamishra crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT souradetyshaw crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT robertlorway crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT lylermckinnon crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT paulsandstrom crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT jamesblanchard crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT olgabalakireva crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT marissalbecker crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine AT onbehalfofthedynamicsstudyteam crosssectionalsurveyexploringhivandhcvprevalenceamongmenwhopurchasesexindniproukraine |