A cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, Ukraine

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dc.contributor.authorLazarus, Lisa
dc.contributor.authorHerpai, Nicole
dc.contributor.authorPavlova, Daria
dc.contributor.authorGill, Amaanat
dc.contributor.authorCholette, Francois
dc.contributor.authorMcClarty, Leigh
dc.contributor.authorIsac, Shajy
dc.contributor.authorLopatenko, Anna
dc.contributor.authorPickles, Michael
dc.contributor.authorMishra, Sharmistha
dc.contributor.authorShaw, Souradet
dc.contributor.authorLorway, Robert
dc.contributor.authorMcKinnon, Lyle R.
dc.contributor.authorSandstrom, Paul
dc.contributor.authorBlanchard, James
dc.contributor.authorBalakireva, Olga
dc.contributor.authorBecker, Marissa L.
dc.date.accessioned2023-11-30T17:32:16Z
dc.date.available2023-11-30T17:32:16Z
dc.date.issued2023-10-20
dc.date.updated2023-11-03T09:15:42Z
dc.description.abstractBackground 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.
dc.identifier.citationBMC Public Health. 2023 Oct 20;23(1):2054
dc.identifier.doi10.1186/s12889-023-16903-1
dc.identifier.urihttp://hdl.handle.net/1993/37836
dc.language.isoeng
dc.language.rfc3066en
dc.publisherBMC
dc.rightsopen accessen_US
dc.rights.holderBioMed Central Ltd., part of Springer Nature
dc.subjectsex work
dc.subjectmen who purchase sex
dc.subjectclients
dc.subjecthuman immunodeficiency viruses
dc.subjectUkraine
dc.titleA cross-sectional survey exploring HIV and HCV prevalence among men who purchase sex in Dnipro, Ukraine
dc.typeJournal Article
local.author.affiliationRady Faculty of Health Sciences::Max Rady College of Medicine::Department of Community Health Sciences
oaire.awardNumberPJT-148876
oaire.awardTitlePJT
oaire.citation.issue2054
oaire.citation.titleBMC Public Health
oaire.citation.volume23
project.funder.identifierhttps://doi.org/10.13039/501100000024
project.funder.nameCanadian Institutes of Health Research
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