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Correlates of newly diagnosed HIV infection among cisgender women sex workers and transgender women sex workers in Greater Kuala Lumpur, Malaysia

Globally, cisgender women sex workers (CWSWs) and transgender women sex workers (TWSWs) experience increased vulnerabilities to HIV infection. Unfortunately, there is limited data on the drivers of HIV infection in these two understudied populations, particularly in Southeast Asia. To better underst...

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Main Authors: Wang, Melinda, Lim, Sin How, Gibson, Britton A., Raja Azwa, Raja Iskandar Shah, Guadamuz, Thomas E., Altice, Frederick L., Kamarulzaman, Adeeba, Wickersham, Jeffrey A.
Format: Article
Published: SAGE Publications 2021
Subjects:
QR180 Immunology
RA0421 Public health. Hygiene. Preventive Medicine
Online Access:http://eprints.um.edu.my/33942/
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spelling my.um.eprints.339422022-07-08T04:03:28Z http://eprints.um.edu.my/33942/ Correlates of newly diagnosed HIV infection among cisgender women sex workers and transgender women sex workers in Greater Kuala Lumpur, Malaysia Wang, Melinda Lim, Sin How Gibson, Britton A. Raja Azwa, Raja Iskandar Shah Guadamuz, Thomas E. Altice, Frederick L. Kamarulzaman, Adeeba Wickersham, Jeffrey A. QR180 Immunology RA0421 Public health. Hygiene. Preventive Medicine Globally, cisgender women sex workers (CWSWs) and transgender women sex workers (TWSWs) experience increased vulnerabilities to HIV infection. Unfortunately, there is limited data on the drivers of HIV infection in these two understudied populations, particularly in Southeast Asia. To better understand factors associated with HIV infection, we evaluated correlates of newly diagnosed HIV infection in these two populations in Greater Kuala Lumpur, Malaysia. A total of 469 women (CWSW: n = 283; TWSW: n = 186) were included in this study. Most participants who tested HIV+ were unaware of their infection (59.6%; n = 34/57). Separate binary and multivariable logistic regressions were conducted to identify correlates of newly diagnosed HIV in CWSWs and TWSWs. Among CWSWs, Chlamydia trachomatis (aOR = 5.66; p = 0.007) and lifetime use of ecstasy/MDMA (aOR = 5.34; p = 0.03) were associated with newly diagnosed HIV, while condomless vaginal sex with clients was associated with lower likelihood of HIV infection (aOR = 0.98; p = 0.01). Among TWSWs, being single (aOR = 6.76; p = 0.03), using mobile application to solicit clients (aOR = 25.33; p = 0.006), and having C. trachomatis infection (aOR = 88.22, p = 0.02) were associated with newly diagnosed HIV. Expansion of HIV/sexually transmitted infection screening is needed to increase detection of HIV and linkage to care for sex workers. Interventions to reduce HIV infection among CWSWs and TWSWs should be tailored to these populations' unique vulnerabilities. SAGE Publications 2021-06 Article PeerReviewed Wang, Melinda and Lim, Sin How and Gibson, Britton A. and Raja Azwa, Raja Iskandar Shah and Guadamuz, Thomas E. and Altice, Frederick L. and Kamarulzaman, Adeeba and Wickersham, Jeffrey A. (2021) Correlates of newly diagnosed HIV infection among cisgender women sex workers and transgender women sex workers in Greater Kuala Lumpur, Malaysia. International Journal of STD and AIDS, 32 (7). pp. 609-619. ISSN 0956-4624, DOI https://doi.org/10.1177/0956462420970417 <https://doi.org/10.1177/0956462420970417>. 10.1177/0956462420970417
institution Universiti Malaya
building UM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaya
content_source UM Research Repository
url_provider http://eprints.um.edu.my/
topic QR180 Immunology
RA0421 Public health. Hygiene. Preventive Medicine
spellingShingle QR180 Immunology
RA0421 Public health. Hygiene. Preventive Medicine
Wang, Melinda
Lim, Sin How
Gibson, Britton A.
Raja Azwa, Raja Iskandar Shah
Guadamuz, Thomas E.
Altice, Frederick L.
Kamarulzaman, Adeeba
Wickersham, Jeffrey A.
Correlates of newly diagnosed HIV infection among cisgender women sex workers and transgender women sex workers in Greater Kuala Lumpur, Malaysia
description Globally, cisgender women sex workers (CWSWs) and transgender women sex workers (TWSWs) experience increased vulnerabilities to HIV infection. Unfortunately, there is limited data on the drivers of HIV infection in these two understudied populations, particularly in Southeast Asia. To better understand factors associated with HIV infection, we evaluated correlates of newly diagnosed HIV infection in these two populations in Greater Kuala Lumpur, Malaysia. A total of 469 women (CWSW: n = 283; TWSW: n = 186) were included in this study. Most participants who tested HIV+ were unaware of their infection (59.6%; n = 34/57). Separate binary and multivariable logistic regressions were conducted to identify correlates of newly diagnosed HIV in CWSWs and TWSWs. Among CWSWs, Chlamydia trachomatis (aOR = 5.66; p = 0.007) and lifetime use of ecstasy/MDMA (aOR = 5.34; p = 0.03) were associated with newly diagnosed HIV, while condomless vaginal sex with clients was associated with lower likelihood of HIV infection (aOR = 0.98; p = 0.01). Among TWSWs, being single (aOR = 6.76; p = 0.03), using mobile application to solicit clients (aOR = 25.33; p = 0.006), and having C. trachomatis infection (aOR = 88.22, p = 0.02) were associated with newly diagnosed HIV. Expansion of HIV/sexually transmitted infection screening is needed to increase detection of HIV and linkage to care for sex workers. Interventions to reduce HIV infection among CWSWs and TWSWs should be tailored to these populations' unique vulnerabilities.
format Article
author Wang, Melinda
Lim, Sin How
Gibson, Britton A.
Raja Azwa, Raja Iskandar Shah
Guadamuz, Thomas E.
Altice, Frederick L.
Kamarulzaman, Adeeba
Wickersham, Jeffrey A.
author_facet Wang, Melinda
Lim, Sin How
Gibson, Britton A.
Raja Azwa, Raja Iskandar Shah
Guadamuz, Thomas E.
Altice, Frederick L.
Kamarulzaman, Adeeba
Wickersham, Jeffrey A.
author_sort Wang, Melinda
title Correlates of newly diagnosed HIV infection among cisgender women sex workers and transgender women sex workers in Greater Kuala Lumpur, Malaysia
title_short Correlates of newly diagnosed HIV infection among cisgender women sex workers and transgender women sex workers in Greater Kuala Lumpur, Malaysia
title_full Correlates of newly diagnosed HIV infection among cisgender women sex workers and transgender women sex workers in Greater Kuala Lumpur, Malaysia
title_fullStr Correlates of newly diagnosed HIV infection among cisgender women sex workers and transgender women sex workers in Greater Kuala Lumpur, Malaysia
title_full_unstemmed Correlates of newly diagnosed HIV infection among cisgender women sex workers and transgender women sex workers in Greater Kuala Lumpur, Malaysia
title_sort correlates of newly diagnosed hiv infection among cisgender women sex workers and transgender women sex workers in greater kuala lumpur, malaysia
publisher SAGE Publications
publishDate 2021
url http://eprints.um.edu.my/33942/
_version_ 1738510693984894976
score 13.211869

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