Imperial College London
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DrMichaelPickles

Faculty of Medicine, School of Public Health

Advanced Research Fellow
 
 
 
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m.pickles

 
 
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School of Public HealthWhite City Campus

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Publications

Citation

BibTex format

@article{Derksen:2022:10.3389/frph.2022.879191,
author = {Derksen, J and Pavlova, D and McClarty, LM and Balakireva, O and Herpai, N and Lazarus, L and Tennakoon, A and Tarasova, T and Lorway, R and Pickles, M and Mishra, S and Shaw, SY and Becker, ML},
doi = {10.3389/frph.2022.879191},
journal = {Frontiers in Reproductive Health},
title = {Awareness and utilization of HIV testing and prevention services among female sex workers in Dnipro, Ukraine: implications for prevention program strengthening from the dynamics study},
url = {http://dx.doi.org/10.3389/frph.2022.879191},
volume = {4},
year = {2022}
}
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TY  - JOUR
AB  - INTRODUCTION: Approximately 240,000 people live with HIV in Ukraine, concentrated among key populations, including sex workers. Non-governmental organizations (NGOs) play an important role in the funding and delivery of HIV testing and prevention services in Ukraine. These services are set within the context of national healthcare reforms as well as ongoing armed conflict. This study seeks to describe and understand the usage of HIV testing and prevention services among sex workers in the eastern Ukrainian city of Dnipro. METHODS: A cross-sectional bio-behavioral survey was administered in September 2017-March 2018 among 560 sex workers working in Dnipro. Descriptive analyses of survey data are presented alongside multivariable logistic regression models identifying factors associated with NGO awareness and HIV testing in the past 12 months; adjusted odds ratios (AOR) and 95% confidence intervals (95% CI) are reported. RESULTS: Sixty-two percent of respondents were aware of NGOs offering HIV services. Sixty-eight percent had tested for HIV in the past 12 months, and 51% of those who reported the location of their most recent test were tested at an NGO. Those with 5-9 years in sex work had greater odds of being aware of NGOs (AOR = 5.5, 95%CI: 3.2-9.7) and testing for HIV (AOR = 3.4, 95%CI: 2.0-6.0) compared to those new to the profession. Contact with outreach workers was strongly associated with increased odds of testing (AOR = 13.0, 95%CI: 7.0-24.0). Sex workers in "offices" (brothel-like venues) reported higher odds of testing than all other workplaces, while those in entertainment venues (AOR = 0.3, 95%CI: 0.2-0.5) and public places (AOR = 0.2, 95%CI: 0.1-0.3) reported lower rates. Receiving prevention services, such as free condoms, was associated with increased testing (AOR = 16.9, 95%CI: 9.7-29.3). DISCUSSION: NGOs in Dnipro, Ukraine play an important role in HIV testing and prevention for women involved in sex work. However, focused efforts should
AU  - Derksen,J
AU  - Pavlova,D
AU  - McClarty,LM
AU  - Balakireva,O
AU  - Herpai,N
AU  - Lazarus,L
AU  - Tennakoon,A
AU  - Tarasova,T
AU  - Lorway,R
AU  - Pickles,M
AU  - Mishra,S
AU  - Shaw,SY
AU  - Becker,ML
DO  - 10.3389/frph.2022.879191
PY  - 2022///
SN  - 2673-3153
TI  - Awareness and utilization of HIV testing and prevention services among female sex workers in Dnipro, Ukraine: implications for prevention program strengthening from the dynamics study
T2  - Frontiers in Reproductive Health
UR  - http://dx.doi.org/10.3389/frph.2022.879191
UR  - https://www.ncbi.nlm.nih.gov/pubmed/36303675
UR  - http://hdl.handle.net/10044/1/103660
VL  - 4
ER  -
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