Angela Kelly-Hanku1, Damian Weikum2, Steven G Badman3, Barne Willie4, Ruthy Boli-Neo4, Martha Kupul4, Parker Hou4, Josephine Gabuzzi4, Sophie Ase4, Angeline Amos4, Rebecca Narokobi4, Herick Aeno4, Simon Pekon4, Kelsey Coy2, Johanna Wapling4, Janet Gare4, Nick Dala5, John M Kaldor3, Andrew J Vallely6, Avi J Hakim2. 1. Sexual and Reproductive Health Unit, Papua New Guinea Institute of Medical Research, Goroka, Eastern Highlands Province, Papua New Guinea; and Public Health Intervention Research Group, Kirby Institute for Infection and Immunity in Society, UNSW Sydney, Sydney, NSW 2052, Australia; and Corresponding author. Email: a.kelly@unsw.edu.au. 2. US Centers for Disease Control and Prevention, Atlanta, GA 30329-4018, United States of America. 3. Public Health Intervention Research Group, Kirby Institute for Infection and Immunity in Society, UNSW Sydney, Sydney, NSW 2052, Australia. 4. Sexual and Reproductive Health Unit, Papua New Guinea Institute of Medical Research, Goroka, Eastern Highlands Province, Papua New Guinea. 5. HIV and STI Program, Papua New Guinea National Department of Health, Port Moresby, Papua New Guinea. 6. Sexual and Reproductive Health Unit, Papua New Guinea Institute of Medical Research, Goroka, Eastern Highlands Province, Papua New Guinea; and Public Health Intervention Research Group, Kirby Institute for Infection and Immunity in Society, UNSW Sydney, Sydney, NSW 2052, Australia.
Abstract
Background In this paper, factors associated with HIV and syphilis infection in three cities in Papua New Guinea are explored. METHODS: Respondent-driven sampling surveys among FSW in Port Moresby, Lae, and Mt. Hagen (2016-17) were conducted. FSW who were aged ≥12 years, who were born female, who spoke English or Tok Pisin and who had sold or exchanged vaginal sex in the past 6 months were eligible to participate. Participants were interviewed face-to-face and offered rapid HIV and syphilis testing. Survey logistic procedures were used to identify factors associated with HIV and syphilis infection, including modern contraception use, physical violence and having a casual male partner. Weighted data analysis was conducted. RESULTS: Overall, 2901 FSW (Port Moresby, 673; Lae, 709; and Mt. Hagen, 709) were enrolled in the study. HIV prevalence was 15.2% in Port Moresby, 11.9% in Lae and 19.6% in Mt. Hagen. Factors associated with HIV varied by city; for example, use of modern contraception in Port Moresby, experiences of physical violence in Lae and ever having tested for HIV in Mt. Hagen. No one variable was associated with HIV in all cities. Prevalence of syphilis infection was 7.1%, 7.0%, and 3.0% in Port Moresby, Lae, and Mt. Hagen, respectively. Factors associated with syphilis infection also varied by city and were only significant in Lae. CONCLUSION: The different factors associated with HIV and syphilis infection in each city highlight the complex HIV and syphilis epidemics among FSW and the importance of conducting surveys in multiple locations and developing local interventions.
Background In this paper, factors associated with HIV and syphilis infection in three cities in Papua New Guinea are explored. METHODS: Respondent-driven sampling surveys among FSW in Port Moresby, Lae, and Mt. Hagen (2016-17) were conducted. FSW who were aged ≥12 years, who were born female, who spoke English or Tok Pisin and who had sold or exchanged vaginal sex in the past 6 months were eligible to participate. Participants were interviewed face-to-face and offered rapid HIV and syphilis testing. Survey logistic procedures were used to identify factors associated with HIV and syphilis infection, including modern contraception use, physical violence and having a casual male partner. Weighted data analysis was conducted. RESULTS: Overall, 2901 FSW (Port Moresby, 673; Lae, 709; and Mt. Hagen, 709) were enrolled in the study. HIV prevalence was 15.2% in Port Moresby, 11.9% in Lae and 19.6% in Mt. Hagen. Factors associated with HIV varied by city; for example, use of modern contraception in Port Moresby, experiences of physical violence in Lae and ever having tested for HIV in Mt. Hagen. No one variable was associated with HIV in all cities. Prevalence of syphilis infection was 7.1%, 7.0%, and 3.0% in Port Moresby, Lae, and Mt. Hagen, respectively. Factors associated with syphilis infection also varied by city and were only significant in Lae. CONCLUSION: The different factors associated with HIV and syphilis infection in each city highlight the complex HIV and syphilis epidemics among FSW and the importance of conducting surveys in multiple locations and developing local interventions.
Authors: Angela Kelly-Hanku; H Worth; M Redman-MacLaren; S Nosi; R Boli-Neo; S Ase; P Hou; H Aeno; M Kupul; A Amos; S G Badman; A J Vallely; A J Hakim Journal: Br J Criminol Date: 2020-09-10
Authors: Barne Willie; Avi J Hakim; Steven G Badman; Damian Weikum; Rebecca Narokobi; Kelsey Coy; Josephine Gabuzzi; Simon Pekon; Samson Gene; Angelyn Amos; Martha Kupul; Parker Hou; Nick M Dala; David M Whiley; Johanna Wapling; John M Kaldor; Andrew J Vallely; Angela Kelly-Hanku Journal: Trop Med Health Date: 2021-01-13
Authors: Shepherd Machekera; Peniel Boas; Poruan Temu; Zimmbodilion Mosende; Namarola Lote; Angela Kelly-Hanku; S Guy Mahiane; Robert Glaubius; Jane Rowley; Anup Gurung; Eline Korenromp Journal: Infect Dis Model Date: 2021-03-20
Authors: John D Hart; Viola Kwa; Paison Dakulala; Paulus Ripa; Dale Frank; Victor Golpak; Timothy Adair; Deirdre Mclaughlin; Ian D Riley; Alan D Lopez Journal: Int J Epidemiol Date: 2021-05-02 Impact factor: 7.196
Authors: Elke Mitchell; Avi Hakim; Somu Nosi; Martha Kupul; Ruthy Boli-Neo; Herick Aeno; Michelle Redman-Maclaren; Sophie Ase; Angelyn Amos; Parker Hou; Rebecca Narokobi; Barne Willie; Andrew J Vallely; John M Kaldor; Steven G Badman; Angela Kelly-Hanku Journal: BMC Public Health Date: 2021-11-04 Impact factor: 3.295
Authors: Damian Weikum; Angela Kelly-Hanku; Ruthy Neo-Boli; Herick Aeno; Steven G Badman; Lisa M Vallely; Barne Willie; Martha Kupul; Parker Hou; Angelyn Amos; Rebecca Narokobi; Simon Pekon; Kelsey Coy; Johanna Wapling; Janet Gare; John M Kaldor; Andrew J Vallely; Avi J Hakim Journal: Arch Public Health Date: 2022-09-05