Combination HIV prevention for female sex workers: what is the evidence?
Identifieur interne : 000577 ( Main/Exploration ); précédent : 000576; suivant : 000578Combination HIV prevention for female sex workers: what is the evidence?
Auteurs : Linda-Gail Bekker [Afrique du Sud] ; Leigh Johnson [Afrique du Sud] ; Frances Cowan [Zimbabwe] ; Cheryl Overs [Australie] ; Donela Besada [Afrique du Sud] ; Sharon Hillier [États-Unis] ; Willard Cates [États-Unis]Source :
- Lancet (London, England) [ 1474-547X ] ; 2015.
Descripteurs français
- KwdFr :
- Antirétroviraux (usage thérapeutique), Assistance (), Facteurs de risque, Facteurs temps, Femelle, Humains, Infections à VIH (), Infections à VIH (transmission), Maladies sexuellement transmissibles bactériennes (), Maladies sexuellement transmissibles virales (), Mâle, Prostitution, Préservatifs masculins (utilisation), République d'Afrique du Sud (épidémiologie), Transmission de maladie infectieuse (), Travailleurs du sexe, Violence (), Éducation du patient comme sujet ().
- MESH :
- usage thérapeutique : Antirétroviraux, Infections à VIH.
- utilisation : Préservatifs masculins.
- épidémiologie : République d'Afrique du Sud.
- Assistance, Facteurs de risque, Facteurs temps, Femelle, Humains, Infections à VIH, Maladies sexuellement transmissibles bactériennes, Maladies sexuellement transmissibles virales, Mâle, Prostitution, Transmission de maladie infectieuse, Travailleurs du sexe, Violence, Éducation du patient comme sujet.
English descriptors
- KwdEn :
- Anti-Retroviral Agents (therapeutic use), Condoms (utilization), Counseling (methods), Disease Transmission, Infectious (prevention & control), Female, HIV Infections (prevention & control), HIV Infections (transmission), Humans, Male, Patient Education as Topic (methods), Risk Factors, Sex Work, Sex Workers, Sexually Transmitted Diseases, Bacterial (prevention & control), Sexually Transmitted Diseases, Viral (prevention & control), South Africa (epidemiology), Time Factors, Violence (prevention & control).
- MESH :
- chemical , therapeutic use : Anti-Retroviral Agents.
- epidemiology : South Africa.
- methods : Counseling, Patient Education as Topic.
- prevention & control : Disease Transmission, Infectious, HIV Infections, Sexually Transmitted Diseases, Bacterial, Sexually Transmitted Diseases, Viral, Violence.
- transmission : HIV Infections.
- utilization : Condoms.
- Female, Humans, Male, Risk Factors, Sex Work, Sex Workers, Time Factors.
Abstract
Sex work occurs in many forms and sex workers of all genders have been affected by HIV epidemics worldwide. The determinants of HIV risk associated with sex work occur at several levels, including individual biological and behavioural, dyadic and network, and community and social environmental levels. Evidence indicates that effective HIV prevention packages for sex workers should include combinations of biomedical, behavioural, and structural interventions tailored to local contexts, and be led and implemented by sex worker communities. A model simulation based on the South African heterosexual epidemic suggests that condom promotion and distribution programmes in South Africa have already reduced HIV incidence in sex workers and their clients by more than 70%. Under optimistic model assumptions, oral pre-exposure prophylaxis together with test and treat programmes could further reduce HIV incidence in South African sex workers and their clients by up to 40% over a 10-year period. Combining these biomedical approaches with a prevention package, including behavioural and structural components as part of a community-driven approach, will help to reduce HIV infection in sex workers in different settings worldwide.
DOI: 10.1016/S0140-6736(14)60974-0
PubMed: 25059942
Affiliations:
- Afrique du Sud, Australie, Zimbabwe, États-Unis
- Angleterre, Caroline du Nord, Grand Londres, Pennsylvanie, Victoria (État)
- Londres, Melbourne
- University College de Londres
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Electronic address: Linda-Gail.Bekker@hiv-research.org.za.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>The Desmond Tutu HIV Centre, University of Cape Town</wicri:regionArea><wicri:noRegion>University of Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Johnson, Leigh" sort="Johnson, Leigh" uniqKey="Johnson L" first="Leigh" last="Johnson">Leigh Johnson</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Infectious Disease Epidemiology and Research, University of Cape Town, Republic of South Africa.</nlm:affiliation><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Centre for Infectious Disease Epidemiology and Research, University of Cape Town</wicri:regionArea><wicri:noRegion>University of Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Cowan, Frances" sort="Cowan, Frances" uniqKey="Cowan F" first="Frances" last="Cowan">Frances Cowan</name><affiliation wicri:level="4"><nlm:affiliation>Research Department of Infection and Population Health, University College London, London, UK; Centre for Sexual Health and HIV/AIDS Research (CeSHHAR) Zimbabwe, Harare, Zimbabwe.</nlm:affiliation><country xml:lang="fr">Zimbabwe</country><wicri:regionArea>Research Department of Infection and Population Health, University College London, London, UK; Centre for Sexual Health and HIV/AIDS Research (CeSHHAR) Zimbabwe, Harare</wicri:regionArea><orgName type="university">University College de Londres</orgName><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Overs, Cheryl" sort="Overs, Cheryl" uniqKey="Overs C" first="Cheryl" last="Overs">Cheryl Overs</name><affiliation wicri:level="3"><nlm:affiliation>Michael Kirby Centre for Public Health and Human Rights, Melbourne, 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de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Infections à VIH ()</term><term>Infections à VIH (transmission)</term><term>Maladies sexuellement transmissibles bactériennes ()</term><term>Maladies sexuellement transmissibles virales ()</term><term>Mâle</term><term>Prostitution</term><term>Préservatifs masculins (utilisation)</term><term>République d'Afrique du Sud (épidémiologie)</term><term>Transmission de maladie infectieuse ()</term><term>Travailleurs du sexe</term><term>Violence ()</term><term>Éducation du patient comme sujet ()</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Retroviral Agents</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>South Africa</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Counseling</term><term>Patient Education as Topic</term></keywords><keywords scheme="MESH" 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Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Assistance</term><term>Facteurs de risque</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Infections à VIH</term><term>Maladies sexuellement transmissibles bactériennes</term><term>Maladies sexuellement transmissibles virales</term><term>Mâle</term><term>Prostitution</term><term>Transmission de maladie infectieuse</term><term>Travailleurs du sexe</term><term>Violence</term><term>Éducation du patient comme sujet</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Sex work occurs in many forms and sex workers of all genders have been affected by HIV epidemics worldwide. The determinants of HIV risk associated with sex work occur at several levels, including individual biological and behavioural, dyadic and network, and community and social environmental levels. Evidence indicates that effective HIV prevention packages for sex workers should include combinations of biomedical, behavioural, and structural interventions tailored to local contexts, and be led and implemented by sex worker communities. A model simulation based on the South African heterosexual epidemic suggests that condom promotion and distribution programmes in South Africa have already reduced HIV incidence in sex workers and their clients by more than 70%. Under optimistic model assumptions, oral pre-exposure prophylaxis together with test and treat programmes could further reduce HIV incidence in South African sex workers and their clients by up to 40% over a 10-year period. Combining these biomedical approaches with a prevention package, including behavioural and structural components as part of a community-driven approach, will help to reduce HIV infection in sex workers in different settings worldwide.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>Australie</li><li>Zimbabwe</li><li>États-Unis</li></country><region><li>Angleterre</li><li>Caroline du Nord</li><li>Grand Londres</li><li>Pennsylvanie</li><li>Victoria (État)</li></region><settlement><li>Londres</li><li>Melbourne</li></settlement><orgName><li>University College de Londres</li></orgName></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Bekker, Linda Gail" sort="Bekker, Linda Gail" uniqKey="Bekker L" first="Linda-Gail" last="Bekker">Linda-Gail Bekker</name></noRegion><name sortKey="Besada, Donela" sort="Besada, Donela" uniqKey="Besada D" first="Donela" last="Besada">Donela Besada</name><name sortKey="Johnson, Leigh" sort="Johnson, Leigh" uniqKey="Johnson L" first="Leigh" last="Johnson">Leigh Johnson</name></country><country name="Zimbabwe"><region name="Angleterre"><name sortKey="Cowan, Frances" sort="Cowan, Frances" uniqKey="Cowan F" first="Frances" last="Cowan">Frances Cowan</name></region></country><country name="Australie"><region name="Victoria (État)"><name sortKey="Overs, Cheryl" sort="Overs, Cheryl" uniqKey="Overs C" first="Cheryl" last="Overs">Cheryl Overs</name></region></country><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Hillier, Sharon" sort="Hillier, Sharon" uniqKey="Hillier S" first="Sharon" last="Hillier">Sharon Hillier</name></region><name sortKey="Cates, Willard" sort="Cates, Willard" uniqKey="Cates W" first="Willard" last="Cates">Willard Cates</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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