Longitudinal trajectories of engagement with HIV treatment support strategies among female sex workers living with HIV in South Africa.

ABSTRACT:

Background

Tailored implementation strategies to promote the uptake and scale-up of antiretroviral therapy (ART) among female sex workers (FSW) in South Africa are needed, as <50% of FSW living with HIV are on ART and <40% are virally suppressed.

Setting

We conducted a randomized trial testing two HIV treatment support strategies (decentralized treatment provision (DTP); individualized case management (ICM)) among 777 FSW living with HIV and not virally suppressed (≥50 copies/mL) in Durban, South Africa, June 2018 - January 2022.

Methods

We defined strategy engagement in a six-month interval if the monthly strategy session was delivered and the FSW participated. Group-based trajectory modeling with logit response function was used to identify engagement trajectories a

SUBMITTER: Comins CA 

PROVIDER: S-EPMC12360395 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature