Estimates of the size of key populations at risk for HIV infection: men who have sex with men, female sex workers and injecting drug users in Nairobi, Kenya.
Sex Transm Infect
; 89(5): 366-71, 2013 Aug.
Article
em En
| MEDLINE
| ID: mdl-23761166
ABSTRACT
OBJECTIVES:
Size estimates of populations at higher risk for HIV infection are needed to help policy makers understand the scope of the epidemic and allocate appropriate resources. Population size estimates of men who have sex with men (MSM), female sex workers(FSW) and intravenous drug users (IDU) are few or non-existent in Nairobi, Kenya.METHODS:
We integrated three population size estimation methods into a behavioural surveillance survey among MSM, FSW and IDU in Nairobi during 20102011. These methods included the multiplier method, 'Wisdom of the Crowds' and an approach that drew on published literature. The median of the three estimates was hypothesised to be the most plausible size estimate with the other results forming the upper and lower plausible bounds. Data were shared with community representatives and stakeholders to finalise 'best' point estimates and plausible bounds based on the data collected in Nairobi, a priori expectations from the global literature and stakeholder input.RESULTS:
We estimate there are approximately 11 042 MSM with a plausible range of 10 00022 222, 29 494 FSW with a plausible range of 10 00054 467 FSW and approximately 6107 IDU and plausibly 503110 937 IDU living in Nairobi.CONCLUSIONS:
We employed multiple methods and used a wide range of data sources to estimate the size of three hidden populations in Nairobi, Kenya. These estimates may be useful to advocate for and to plan, implement and evaluate HIV prevention and care programmes for MSM, FSW and IDU. Surveillance activities should consider integrating population size estimation in their protocols.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Comportamento Sexual
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Infecções por HIV
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Abuso de Substâncias por Via Intravenosa
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Preservativos
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Homossexualidade Masculina
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Profissionais do Sexo
Tipo de estudo:
Etiology_studies
/
Prevalence_studies
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Risk_factors_studies
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Screening_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
País como assunto:
Africa
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article