Female sex workers are
particularly susceptible to HIV-infection in Russia. However, a dearth of
information exists on their utilisation of HIV services.
A mixed-methods,
cross-sectional study was conducted to examine motivators and barriers to HIV
testing among street-based sex workers in St. Petersburg, Russia. The health
belief model was the theoretical framework for the study. Twenty-nine sex
workers participated in in-depth interviews, and 139 sex workers completed
interviewer-administered surveys between February and September 2009.
Barriers
to getting an HIV test were fear of learning the results, worrying that other
people would think they were sick, and the distance needed to travel to obtain
services. Motivators for getting tested were protecting others from infection,
wanting to know one's status and getting treatment if diagnosed. Logistic
regression analysis demonstrated that knowing people living with HIV and length of time since start of injection
drug use were significantly associated with
recently getting tested.
These results are important to consider when
developing public health interventions to help female sex workers in Russia
learn their HIV status and get linked to care and treatment services if needed.
Purchase full article at: http://goo.gl/20JLsI
By: King EJ1, Maman S1, Dudina VI2, Moracco KE1, Bowling JM1.
- 1 Department of Health Behavior , Gillings School of Global Public Health, University of North Carolina-Chapel Hill , Chapel Hill , NC , USA.
- 2 Department of Sociology , St. Petersburg State University , St. Petersburg , Russia.
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