high burden of prevalent and recently acquired hiv among female sex workers and female hiv voluntary testing center clients in kigali, rwanda高负担和最近收购了艾滋病毒流行的女性性工作者和女性艾滋病自愿检测中心客户在基加利,卢旺达.pdfVIP

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high burden of prevalent and recently acquired hiv among female sex workers and female hiv voluntary testing center clients in kigali, rwanda高负担和最近收购了艾滋病毒流行的女性性工作者和女性艾滋病自愿检测中心客户在基加利,卢旺达.pdf

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high burden of prevalent and recently acquired hiv among female sex workers and female hiv voluntary testing center clients in kigali, rwanda高负担和最近收购了艾滋病毒流行的女性性工作者和女性艾滋病自愿检测中心客户在基加利,卢旺达

High Burden of Prevalent and Recently Acquired HIV among Female Sex Workers and Female HIV Voluntary Testing Center Clients in Kigali, Rwanda 1 ¤a 2 2,3 2,4 Sarah L. Braunstein * , Chantal M. Ingabire , Eveline Geubbels , Joseph Vyankandondera , Marie- ` 2 ´ 2 2 2,3 1¤b Michele Umulisa , Elysee Gahiro , Mireille Uwineza , Coosje J. Tuijn , Denis Nash , Janneke H. H. M. van de Wijgert2,3 1 Mailman School of Public Health, Columbia University, New York, New York, United States of America, 2 Projet Ubuzima, Kigali, Rwanda, 3 Academic Medical Center of the University of Amsterdam, Department of Internal Medicine, and Amsterdam Institute for Global Health and Development, Amsterdam, The Netherlands, 4 Belgian Development Agency, Kigali, Rwanda Abstract Objectives: To estimate HIV prevalence and risk factors in population-based samples of female sex workers (FSW) and female voluntary counseling and testing (VCT) clients in Rwanda. Methods: We conducted a cross-sectional survey of 800 FSW and 1,250 female VCT clients in Rwanda, which included interviewing and testing for HIV-1/2, HSV-2 and pregnancy, and BED-CEIA and Avidity Index (AI) to identify recent infections among HIV-infected women. Results: Prevalence of HIV-1, HSV-2, and pregnancy were 24% (95% CI: 21.0–27.0), 59.8% (56.4–63.2), and 7.6% (5.8–9.5) among FSW, and 12.8% (10.9–14.6), 43.2% (40.4–46.0), and 11.4% (9.7–13.3) among VCT clients, respectively. Thirty-five percent of FSW and 25% of VCT clients had never been HIV tested. Per nati