Biobehavioral Survey Using Time Location Sampling Among Female Sex Workers Living In Ghana In 2020

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dc.contributor.authorDery, S.
dc.contributor.authorAfagbedzi, S.
dc.contributor.authorAnkomah, A.
dc.contributor.authoret al.
dc.date.accessioned2024-04-10T12:40:12Z
dc.date.available2024-04-10T12:40:12Z
dc.date.issued2024
dc.descriptionResearch Articleen_US
dc.description.abstractBackground: The HIV epidemic in Ghana is characterized as a mix of a low-level generalized epidemic with significant contributions from transmission among female sex workers (FSW) and their clients. This study seeks to identify and describe key characteristics and sexual behaviors of FSW and estimate the prevalence of HIV, syphilis, gonorrhea, chlamydia, and hepatitis B virus (HBV) among FSW in Ghana. Method: A total of 7,000 FSW were recruited for the study using Time and location. Sampling (TLS) approach, with 5,990 (85.6%) participants completing both biological and behavioral aspects of the study. A structured questionnaire was administered to respondents to assess several factors, such as background characteristics, sexual risk behaviors, condom usage, HIV/AIDS knowledge, opinions, and attitudes. Trained staff conducted face-to-face interviews using mobile data collection software (REDCap) after provision of specimens for HIV and STI testing. Descriptive statistics such as medians, ranges, charts, and percentages are performed and presented. Also included are bivariate analyses to establish relationships between FSW type and other relevant characteristics of the study. Results: Among the 7,000 (100%) FSW sampled from all regions, 6,773 took part in the behavioral and 6,217 the biological. There were 783 (11.2%) respondents who took part only in the behavioral and 227 (3.2%) only in the biological. Most were young, with a median age of 26  years; the majority had never been married or were widowed/divorced and a quarter had no education or had only primary education. majority (74.8%) of FSW first sold sex at age 25  years or less with a median age of 20  years. Most (84.8%) of the FSW indicated that they entered sex work for money, either for themselves or their families, and had an average of eleven (11) sexual partners per week. More than half (55.2%) of the FSW were new entrants who had been in sex work for less than 5  years before the study. Consistent condom use with paying clients was generally unsatisfactory (71%), and was, however, very low (24%) with their intimate partners or boyfriends. Only about half (54.6%) of FSW have been exposed to HIV prevention services in the last three months preceding the survey, and this varies across regions. Overall, comprehensiveen_US
dc.identifier.otherdoi: 10.3389/fpubh.2024.1137799
dc.identifier.urihttp://ugspace.ug.edu.gh:8080/handle/123456789/41589
dc.language.isoenen_US
dc.publisherFrontiers in Public Healthen_US
dc.subjectGhanaen_US
dc.subjectfemale sex workersen_US
dc.subjectHIVen_US
dc.titleBiobehavioral Survey Using Time Location Sampling Among Female Sex Workers Living In Ghana In 2020en_US
dc.typeArticleen_US

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