Pre and Post-exposure Prophylaxis Awareness and Acceptability Among Sex Workers in Jamaica: A Cross-Sectional Study

The HIV prevention cascade is understudied among sex workers in Jamaica, where sex work and same sex practices are criminalized. We implemented a cross-sectional survey with cisgender women, transgender women, and cisgender men sex workers in Jamaica. We conducted multivariable logistic regression a...

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Bibliographic Details
Published in:AIDS and behavior 2021-02, Vol.25 (2), p.330-343
Main Authors: Logie, Carmen H., Wang, Ying, Lalor, Patrick, Williams, Davina, Levermore, Kandasi
Format: Article
Language:English
Subjects:
Acceptability
Aggression
Cisgender
Consciousness
Cross-Sectional Studies
Disease prevention
Female
Gender
Gender aspects
Gender differences
Gender identity
Health Psychology
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
Homosexuality, Male
Human immunodeficiency virus
Humans
Infectious Diseases
Jamaica - epidemiology
Male
Medicine
Medicine & Public Health
Men
Occupational exposure
Original Paper
Post-Exposure Prophylaxis
Pre-Exposure Prophylaxis
Prophylaxis
Prostitution
Public Health
Regression analysis
Sex
Sex crimes
Sex industry
Sex offenders
Sex Workers
Sexual assault
Sexual behavior
Sexual Partners
Sexually transmitted diseases
Social cohesion
STD
Transgender persons
Violence
Women
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Summary:The HIV prevention cascade is understudied among sex workers in Jamaica, where sex work and same sex practices are criminalized. We implemented a cross-sectional survey with cisgender women, transgender women, and cisgender men sex workers in Jamaica. We conducted multivariable logistic regression analyses to identify factors associated with PrEP and PEP awareness and acceptability. Participants (n = 340) included cisgender men (n = 124), transgender women (n = 101), and cisgender women (n = 115). PEP awareness was low (33.2%), yet acceptability was high (70.8%). In multivariable analyses, recent sexual violence, recent client violence, and sex work social cohesion were associated with PEP awareness and acceptability. One-third (32.7%) reported PrEP awareness, with high acceptability (80.2%). Relationship status and recent physical violence were associated with PrEP awareness and acceptability. In multivariable analyses, gender identity was not associated with differences in PEP/PrEP awareness/acceptability. Findings highlight the need to increase PEP and PrEP awareness and access among sex workers in Jamaica.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-020-02972-5