@article{fdi:010073605,
  title = {{I}ncentives and barriers to {HIV} testing among female sex workers in {C}eara},
  author = {{A}lves {M}artins, {T}. and {K}err, {L}. and {M}aia {M}acena, {R}. {H}. and {S}alani {M}ota, {R}. and {D}ourado, {I}. and de {B}rito, {A}. {M}. and {A}tlani {D}uault, {L}a{\¨e}titia and {V}idal, {L}aurent and {K}endall, {C}.},
  editor = {},
  language = {{ENG}},
  abstract = {{OBJECTIVE}: {E}stimating {HIV} prevalence and describing the incentives and barriers for {HIV} testing among female sex workers. {METHODS}: {T}his cross-sectional study recruited 402 women aged 18 years or older, residing in {F}ortaleza, state of {C}eara, {B}razil, who reported having had sexual intercourse in exchange for money in last four months. {T}he sample was recruited using {R}espondent {D}riven {S}ampling, between {A}ugust and {N}ovember 2010. {RESULTS}: {T}he 84.1% of the sample tested and the estimated prevalence of {HIV} infection was 3.8%. {T}he sample was young (25 to 39 years), single (80.0%), with one to three children (83.6%), had eight or more years of schooling (65.7%), and belonged to social classes {D}/{E} (53.1%). {T}he majority worked in fixed locations (bars, motels, hotels, sauna -88.9%), and prostitution was their only source of income (54.1%). {A}bout 25% of the sample did not know where to test in the public health sector and 51.8% either never tested or hadn't tested for over a year or more. {T}he main reported barriers to testing were the perceptions that there was no risk of becoming infected (24.1%), and, alternatively, fear of discrimination if the test was positive (20.5%). {I}ncentives for testing were the greater availability of testing sites (57.0%) and health facilities with alternative schedules (44.2%). {CONCLUSIONS}: {P}revalence for {HIV} was similar to that found in other {B}razilian cities in different regions of the country, although higher than the general female population. {N}on-traditional venues not associated with the health system and availability of testing in health units during non-commercial hours are factors that encourage testing. {N}ot considering oneself to be at risk, fear of being discriminated against and not knowing testing locations are barriers.},
  keywords = {{S}ex {W}orkers ; {HIV} {S}eroprevalence ; {H}ealth {K}nowledge ; {A}ttitudes ; {P}ractice ; {U}nsafe {S}ex ; prevention & control ; {R}isk {F}actors ; {HIV} {I}nfections ; prevention & control ; {BRESIL} ; {FORTALEZA}},
  booktitle = {},
  journal = {{R}evista de {S}aude {P}ublica},
  volume = {52},
  numero = {},
  pages = {art. no 64 [8 ]},
  ISSN = {0034-8910},
  year = {2018},
  DOI = {10.11606/s1518-8787.2018052000300},
  URL = {https://www.documentation.ird.fr/hor/fdi:010073605},
}