CAHSS Faculty Articles
Title
HIV Testing and Engagement in Care Among Highly Vulnerable Female Sex Workers: Implications for Treatment as Prevention Models
Department
Department of Family Therapy
Publication Date
8-2014
Publication Title
Journal of Health Care for the Poor & Underserved
ISSN
1049-2089
Volume
25
Issue/No.
3
First Page
1360
Last Page
1378
Abstract
Background: Although emerging Treatment as Prevention models can be effective in reducing HIV incidence among high-risk populations, many HIV infected individuals remain undiagnosed or fail to engage in HIV care.
Methods: This study examined the factors associated with HIV testing and care among a population of substance using female sex workers.
Results: Recent HIV testing was associated with higher education level, having a regular health care provider or clinic, recent crack use, and higher sexual risk behaviors; HIV treatment utilization was associated with higher levels of social support, having a regular health care provider or clinic, housing stability and insurance coverage. Qualitative data revealed HIV-related stigma, denial, social isolation, and substance use as barriers to HIV testing and treatment; social support and accessibility of services were key enablers.
Conclusions: Improving HIV testing and linkage to treatment among female sex workers will require structural initiatives to reduce stigma and increase service seeking support.
NSUWorks Citation
Surratt, H. L., O'Grady, C. L., Kurtz, S. P., Buttram, M. E., & Levi-Minzi, M. A. (2014). HIV Testing and Engagement in Care Among Highly Vulnerable Female Sex Workers: Implications for Treatment as Prevention Models. Journal of Health Care for the Poor & Underserved, 25 (3), 1360-1378. https://doi.org/10.1353/hpu.2014.0113
ORCID ID
0000-0003-4027-7840, 0000-0002-5001-7391
ResearcherID
K-3072-2014, H-3010-2014
DOI
10.1353/hpu.2014.0113
