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Recruitment of Caribbean female commercial sex workers at high risk of HIV infection

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Date
2013
Author
Deschamps, Marie Marcelle
Zorrilla, Carmen D.
Morgan, Cecilia A.
Donastorg, Yeycy
Metch, Barbara
Madenwald, Tamra
Joseph, Patrice
Severe, Karine
Garced, Sheyla
Perez, Marta
Escamilia, Gina
Swann, Edith
Pape, Jean William
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Abstract
OBJECTIVE: To evaluate novel eligibility criteria and outreach methods to identify and recruit women at high risk of HIV-1 infection in the Caribbean. METHODS: A prospective cohort study was conducted in 2009-2012 among 799 female commercial sex workers in the Dominican Republic, Haiti, and Puerto Rico. Minimum eligibility criteria included exchange of sex for goods, services, or money in the previous 6 months and unprotected vaginal or anal sex with a man during the same period. Sites used local epidemiology to develop more stringent eligibility criteria and recruitment strategies. Participants were asked questions about HIV/AIDS and their level of concern about participating in an HIV vaccine trial. Logistic regression modeling was used to assess predictors of prevalent HIV infection and willingness to participate in a future HIV vaccine study. RESULTS: HIV prevalence at screening was 4.6%. Crack cocaine use [odds ratio (OR) = 4.2, 95% confidence interval (CI) (1.8-9.0)] was associated with and having sex with clients in a hotel or motel [OR = 0.5, CI (0.3-1.0)] was inversely associated with HIV infection. A total of 88.9% of enrolled women were definitely or probably willing to participate in a future HIV vaccine trial. CONCLUSIONS: This study indicated that local eligibility criteria and recruitment methods can be developed to identify and recruit commercial sex workers with higher HIV prevalence than the general population who express willingness to join an HIV vaccine trial.(AU)
 
OBJETIVO: Evaluar nuevos criterios de selección y métodos extrainstitucionales encaminados a detectar y captar a las mujeres con alto riesgo de contraer la infección por virus de la inmunodeficiencia humana (VIH) en el Caribe. MÉTODOS: Del 2009 al 2012, se llevó a cabo un estudio prospectivo de cohortes de 799 mujeres profesionales del sexo en la República Dominicana, Haití y Puerto Rico. Los requisitos mínimos de selección fueron el intercambio de relaciones sexuales por bienes, servicios o dinero en los últimos 6 meses y las relaciones sexuales vaginales o anales sin protección con un hombre durante el mismo período. En cada centro se aplicaron criterios de selección y estrategias de captación más restrictivos, en función de las características epidemiológicas locales. Se formularon a las participantes preguntas acerca de la infección por el VIH/sida y su motivación para participar en un estudio clínico sobre la vacuna contra el VIH. Se usó un modelo de regresión logística con el fin de analizar los factores pronósticos de prevalencia de infección por el VIH y la voluntad de participar en un estudio futuro sobre la vacuna contra el virus. RESULTADOS: La prevalencia de infección por el VIH en el momento del tamizaje fue 4,6%. El consumo de crack se asoció con la infección por el VIH (razón de posibilidades [OR]: 4,2; intervalo de confianza [IC] de 95%: 1,8-9,0) y la práctica de relaciones sexuales con clientes en un hotel o un motel se asoció inversamente con esta infección (OR: 0,5; IC 95%: 0,3-1,0). El 88,9% de las mujeres inscritas manifestó una disposición decidida o probable de participar en un estudio futuro sobre la vacuna contra el VIH. CONCLUSIONES: Los resultados del estudio indican que es posible formular criterios de selección e introducir métodos de captación locales con el propósito de detectar y captar a las mujeres profesionales del sexo, que presentan una prevalencia de infección por el VIH mayor que la población general y manifiestan una buena disposición de participar en un ensayo clínico sobre la vacuna contra el VIH.(AU)
 
Series
Rev Panam Salud Publica;34(2),ago. 2013
Subject
HIV Infections; Acquired Immunodeficiency Syndrome; AIDS Vaccines; Sex workers; Caribbean Region; Dominican Republic; Haiti; Puerto Rico; Infecciones por VIH; Síndrome de inmunodeficiencia adquirida; Vacunas contra el SIDA; Trabajadores sexuales; Región del Caribe; República Dominicana; Haiti; Puerto Rico; Ensaios Clínicos como Assunto; Infecções por HIV; Doenças Profissionais; Seleção de Pacientes; Profissionais do Sexo; Vacinas contra a AIDS; Atitude Frente a Saúde; Cultura; República Dominicana; Soroprevalência de HIV; Haiti; Consentimento Livre e Esclarecido; Estudos Prospectivos; Porto Rico; Risco; Assunção de Riscos; Profissionais do Sexo; Comportamento Sexual; Parceiros Sexuais; Fatores Socioeconômicos
URI
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892013000800003
https://iris.paho.org/handle/10665.2/9147
Citation
Deschamps, Marie Marcelle,Zorrilla, Carmen D.,Morgan, Cecilia A.,Donastorg, Yeycy,Metch, Barbara,Madenwald, Tamra,Joseph, Patrice,Severe, Karine,Garced, Sheyla,Perez, Marta,Escamilia, Gina,Swann, Edith,Pape, Jean William (2013) Recruitment of Caribbean female commercial sex workers at high risk of HIV infection. Rev Panam Salud Publica;34(2) 92-98,aug. 2013. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892013000800003
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  • Pan American Journal of Public Health

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