<scp>HIV</scp> testing uptake among female sex workers and men who have sex with men in <scp>T</scp>bilisi, <scp>G</scp>eorgia

Tsereteli, Nino; Chikovani, Ivdity; Chkhaidze, N; Goguadze, Ketevan; Shengelia, Natia; Rukhadze, Natia

doi:10.1111/hiv.12065

Cited by 11 publications

(12 citation statements)

References 6 publications

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“…We found that knowing a center for HIV testing increased the chance of having a recent HIV test result up to six times; a significant correlate of HIV testing across national [23] and international settings [31]. The effect of knowing an HIV testing site was prominent in both facility-based and outreach FSW.…”

Section: Discussionmentioning

confidence: 99%

Remaining Gap in HIV Testing Uptake Among Female Sex Workers in Iran

et al. 2017

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We estimated the prevalence of recent HIV testing (i.e., having an HIV test during the last 12 months and knew the results) among 1,295 HIV-negative Iranian female sex workers (FSW) in 2015. Overall, 70.4% (95% confidence intervals: 59.6, 79.3) of the participants reported a recent HIV testing. Concerns about their HIV status (83.2%) was reported as the most common reason for HIV testing. Incarceration history, having >5 paying partners, having >1 non-paying partner, receiving harm reduction services, utilizing healthcare services, and knowing an HIV testing site were significantly associated with recent HIV testing. In contrast, outreach participants, having one non-paying sexual partner, and self-reported inconsistent condom use reduced the likelihood of recent HIV testing. HIV testing uptake showed a ~2.5 times increase among FSW since 2010. While these findings are promising and show improvement over a short period, HIV testing programs should be expanded particularly through mobile and outreach efforts.

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Section: Discussionmentioning

confidence: 99%

Remaining Gap in HIV Testing Uptake Among Female Sex Workers in Iran

et al. 2017

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“…The literature collected was sorted into geographical categories by country. The number of studies from each are as follows: Armenia (n=3) 17 – 19 ; Azerbaijan (n=2) 20 , 21 ; Georgia (n=2) 22 , 23 ; Kazakhstan (n=6) 24 – 29 ; Kyrgyzstan (n=3) 30 – 32 ; Russia (n=13) 33 – 45 ; Tajikistan (n=5) 46 – 50 ; Ukraine (n=3) 32 , 51 , 52 ; and Uzbekistan (n=2) 53 , 54 . Studies were most heavily represented in Russia (33% of studies), Kazakhstan (15%), and Tajikistan (13%).…”

Section: Resultsmentioning

confidence: 99%

“…The only longitudinal study was from Georgia where investigators and implemented both HIV testing and biobehavioral surveys at two different time points, three years apart from each other. 23 However, the study reported that the sample size was insufficient to power a comparison between the two time points. Therefore, small sample size among a marginalized population was a key limiting factor.…”

Section: Resultsmentioning

confidence: 99%

HIV Risks, Testing, and Treatment in the Former Soviet Union: Challenges and Future Directions in Research and Methodology

Saadat

2016

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BackgroundThe dissolution of the USSR resulted in independence for constituent republics but left them battling an unstable economic environment and healthcare. Increases in injection drug use, prostitution, and migration were all widespread responses to this transition and have contributed to the emergence of an HIV epidemic in the countries of former Soviet Union. Researchers have begun to identify the risks of HIV infection as well as the barriers to HIV testing and treatment in the former Soviet Union. Significant methodological challenges have arisen and need to be addressed. The objective of this review is to determine common threads in HIV research in the former Soviet Union and provide useful recommendations for future research studies.MethodsIn this systematic review of the literature, Pubmed was searched for English-language studies using the key search terms “HIV”, “AIDS”, “human immunodeficiency virus”, “acquired immune deficiency syndrome”, “Central Asia”, “Kazakhstan”, “Kyrgyzstan”, “Uzbekistan”, “Tajikistan”, “Turkmenistan”, “Russia”, “Ukraine”, “Armenia”, “Azerbaijan”, and “Georgia”. Studies were evaluated against eligibility criteria for inclusion.ResultsThirty-nine studies were identified across the two main topic areas of HIV risk and barriers to testing and treatment, themes subsequently referred to as “risk” and “barriers”. Study design was predominantly cross-sectional. The most frequently used sampling methods were peer-to-peer and non-probabilistic sampling. The most frequently reported risks were condom misuse, risky intercourse, and unsafe practices among injection drug users. Common barriers to testing included that testing was inconvenient, and that results would not remain confidential. Frequent barriers to treatment were based on a distrust in the treatment system.ConclusionThe findings of this review reveal methodological limitations that span the existing studies. Small sample size, cross-sectional design, and non-probabilistic sampling methods were frequently reported limitations. Future work is needed to examine barriers to testing and treatment as well as longitudinal studies on HIV risk over time in most-at-risk populations.

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“…17,18 High rates of late HIV diagnosis (45% of our study population already had AIDS at the time of HIV diagnosis) also provide evidence that a significant proportion of HIV-positive individuals remain undiagnosed for many years. The major reason behind this difference between the numbers of HIV-infected and diagnosed persons is the low testing coverage of key populations at risk 4,19 and missed opportunities to diagnose in healthcare settings. 20 Reducing the number of undiagnosed cases of HIV infection will be critical to achieve the impact on the epidemic in terms of saving lives and preventing new transmission.…”

Section: Discussionmentioning

confidence: 99%

Estimating HIV incidence in eastern European country of Georgia: 2010–2012

et al. 2014

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The knowledge of HIV incidence is essential to better understand patterns of HIV transmission. We estimated HIV incidence over 2010-2012 in the eastern European country of Georgia. Mathematical modeling using Spectrum software and assay-based recent infection testing algorithm were applied. The study included 1155 HIV patients newly diagnosed in 2010-2012 (84% of total diagnoses). Of them, 231 were determined to be recently infected on the recent infection testing algorithm. The proportion of recent cases did not differ between 2010, 2011 and 2012 (20.4% vs. 19.4% vs. 20.2%, p = 0.94). Both study methods derived comparable estimates ranging from 0.2 to 0.3%, which is up to twice as high as rates of new diagnosis reported in the same period. Despite the relatively stable HIV incidence over 2010-2012, the epidemic continues to grow because of the increasing gap between HIV-infected and diagnosed persons. Increased efforts are needed to reduce the number of people with undiagnosed HIV.

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HIV testing uptake among female sex workers and men who have sex with men in Tbilisi, Georgia

Cited by 11 publications

References 6 publications

Remaining Gap in HIV Testing Uptake Among Female Sex Workers in Iran

Remaining Gap in HIV Testing Uptake Among Female Sex Workers in Iran

HIV Risks, Testing, and Treatment in the Former Soviet Union: Challenges and Future Directions in Research and Methodology

Estimating HIV incidence in eastern European country of Georgia: 2010–2012

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