2023-09-28 14:46:10 +00:00
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abstract: 'Zambia has a generalized HIV epidemic, and HIV is concentrated along
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transit routes. Female sex workers (FSWs) are disproportionately
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affected by the epidemic. HIV testing is the crucial first step for
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engagement in HIV care and HIV prevention activities. However, to date
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little work has been done with FSWs in Zambia, and little is known about
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barriers and facilitators to HIV testing in this population. FSW peer
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educators were recruited through existing sex worker organizations for
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participation in a trial related to HIV testing among FSWs. We conducted
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five focus groups with FSW peer educators (N=40) in three transit towns
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in Zambia (Livingstone, Chirundu, and Kapiri Mposhi) to elicit community
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norms related to HIV testing. Emerging themes demonstrated barriers and
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facilitators to HIV testing occurring at multiple levels, including
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individual, social network, and structural. Stigma and discrimination,
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including healthcare provider stigma, were a particularly salient
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barrier. Improving knowledge, social support, and acknowledgment of FSWs
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and women''s role in society emerged as facilitators to testing.
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Interventions to improve HIV testing among FSWs in Zambia will need to
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address barriers and facilitators at multiple levels to be maximally
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effective.'
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affiliation: 'Oldenburg, CE (Corresponding Author), Univ Calif San Francisco, Francis
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I Proctor Fdn, 513 Parnassus Ave,Room S334, San Francisco, CA 94143 USA.
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Chanda, Michael M.; Mwale, Magdalene; Chongo, Steven; Kamungoma, Nyambe; Kanchele,
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Catherine, John Snow Inc, Lusaka, Zambia.
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Perez-Brumer, Amaya G., Columbia Univ, Dept Sociomed Sci, Mailman Sch Publ Hlth,
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New York, NY USA.
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Ortblad, Katrina F.; Baernighausen, Till, Harvard TH Chan Sch Publ Hlth, Dept Global
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Hlth \& Populat, Boston, MA USA.
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Fullem, Andrew, John Snow Inc, Boston, MA USA.
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Barresi, Leah, Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA.
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Baernighausen, Till, Heidelberg Univ, Inst Publ Hlth, Fac Med, Heidelberg, Germany.
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Baernighausen, Till, Africa Hlth Res Inst, Mtubatuba, South Africa.
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Oldenburg, Catherine E., Univ Calif San Francisco, Francis I Proctor Fdn, 513 Parnassus
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Ave,Room S334, San Francisco, CA 94143 USA.'
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author: Chanda, Michael M. and Perez-Brumer, Amaya G. and Ortblad, Katrina F. and
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Mwale, Magdalene and Chongo, Steven and Kamungoma, Nyambe and Kanchele, Catherine
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and Fullem, Andrew and Barresi, Leah and Baernighausen, Till and Oldenburg, Catherine
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E.
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author-email: catherine.oldenburg@ucsf.edu
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author_list:
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- family: Chanda
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given: Michael M.
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- family: Perez-Brumer
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given: Amaya G.
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- family: Ortblad
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given: Katrina F.
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- family: Mwale
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given: Magdalene
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- family: Chongo
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given: Steven
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- family: Kamungoma
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given: Nyambe
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- family: Kanchele
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given: Catherine
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- family: Fullem
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given: Andrew
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- family: Barresi
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given: Leah
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- family: Baernighausen
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given: Till
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- family: Oldenburg
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given: Catherine E.
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da: '2023-09-28'
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doi: 10.1089/apc.2017.0016
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eissn: 1557-7449
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files: []
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issn: 1087-2914
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journal: AIDS PATIENT CARE AND STDS
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keywords: HIV testing; female sex workers; Zambia
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keywords-plus: STIGMA; PREVENTION; CARE; HIV/AIDS; BURDEN; INCOME; RISK
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language: English
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month: JUL
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number: '7'
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number-of-cited-references: '32'
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orcid-numbers: 'Ortblad, Katrina/0000-0002-5675-8836
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Perez-Brumer, Amaya/0000-0003-2441-4358'
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pages: 290-296
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papis_id: 8882f76aef555f15924687f3951de59c
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ref: Chanda2017barriersfacilitators
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researcherid-numbers: 'Ortblad, Katrina/ABF-9070-2020
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Perez-Brumer, Amaya/AAF-6336-2021
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Bärnighausen, Till/Y-2388-2019
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'
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times-cited: '42'
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title: Barriers and Facilitators to HIV Testing Among Zambian Female Sex Workers in
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Three Transit Hubs
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000405393000002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '6'
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volume: '31'
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web-of-science-categories: Public, Environmental \& Occupational Health; Infectious
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Diseases
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year: '2017'
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