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Table 1 Characteristics of HIV-positive female sex workers at each stage of the conditional 90–90-90 cascade in Juba and Nimule, South Sudan, 2015–2016

From: Progress toward the UNAIDS 90–90-90 targets among female sex workers and sexually exploited female adolescents in Juba and Nimule, South Sudan

 

Juba

Nimule

 

HIV Positive

HIV-positive aware a

On treatment a

Suppressed viral load

HIV Positive

HIV-positive aware a

On treatmenta

Suppressed viral load

 

N = 333

N = 233

N = 190

N = 126

N = 108

N = 82

N = 69

N = 58

 

n (%; 95% CI)

n (%; 95% CI)

n (%; 95% CI)

n (%; 95% CI)

n (%; 95% CI)

n (%; 95% CI)

n (%; 95% CI)

n (%; 95% CI)

Age (years)

 15–24

33 (11.1; 6.7–15.5)

22 (81.0; 65.6–96.5)

14 (59.6; 35.0–84.2)

10 (80.3; 55.9–100.0)

15 (14.6; 6.5–22.6)

10 (90.7; 74.8–100.0)

5 (51.1; 15.2–86.9)

4 (100.0; 88.4–100.0)

 25–34

192 (58.6; 52.0–65.3)

139 (84.7; 78.5–90.9)

114 (83.1; 75.9–90.3)

70 (65.6; 55.6–75.7)

60 (55.5; 44.6–66.4)

46 (89.6; 80.7–98.5)

39 (81.8; 67.7–96.0)

31 (80.0; 66.7–94.1)

  ≥ 35

102 (30.3; 24.0–38.6)

70 (72.6; 61.4–83.8)

61 (89.4; 81.5–97.4)

45 (75.3; 62.3–88.3)

33 (29.9; 19.9–40.0)

26 (95.6; 86.9–100.0)

25 (92.5; 78.2–100.0)

23 (94.9; 84.9–100.0)

Education

 No formal education

133 (45.1; 38.5–51.7)

88 (79.1; 70.7–87.4)

71 (82.0; 72.9–91.1)

48 (71.4; 59.7–83.1)

57 (57.1; 46.4–67.7)

41 (98.7; 96.1–100.0)

36 (85.7; 71.9–99.4)

32 (86.9; 74.3–99.5)

 Primary

123 (35.2; 28.8–41.5)

89 (81.4; 72.7–90.2)

71 (79.4; 68.8–90.1)

45 (69.7; 56.9–82.5)

34 (28.5; 19.0–38.1)

28 (89.8; 79.5–100.0)

23 (76.8; 56.3–97.4)

17 (81.3; 63.8–98.8)

 High school or higher

73 (19.7; 14.7–24.7)

55 (81.8; 70.9–92.7)

47 (85.5; 74.6–96.3)

32 (67.6; 51.0–84.2)

17 (14.4; 6.9–21.9)

13 (72.8; 47.1–98.6)

10 (67.1; 34.6–99.5)

9 (100.0)

Ever married

 Yes

265 (82.7; 78.0–87.5)

188 (81.0; 75.1–86.9)

153 (83.2; 77.2–89.3)

100 (70.6; 62.2–79.0)

91 (83.3; 75.0–91.7)

70 (90.5; 83.3–97.6)

62 (86.9; 76.5–97.2)

51 (84.6; 74.1–95.0)

 No

64 (17.3; 12.5–22.0)

44 (78.1; 65.8–90.4)

36 (75.1; 57.5–92.6)

25 (66.9; 48.3–85.5)

17 (16.7; 8.3–25.0)

12 (95.8; 87.3–100.0)

7 (49.4; 17.1–81.8)

7 (100.0; 92.4–100.0)

Nationality

 South Sudanese

42 (14.3; 9.7–18.9)

15 (62.3; 40.1–84.4)

12 (72.5; 45.4–99.5)

9 (67.1; 34.3–99.8)

28 (30.0; 19.6–40.3)

18 (100.0; 97.4–100.0)

16 (80.1; 55.5–100.0)

14 (93.8; 81.6–100.0)

 Other

287 (85.7; 81.1–90.3)

217 (82.4; 77.1–87.7)

177 (82.5; 76.5–88.5)

116 (70.2; 62.3–78.1)

80 (70.0; 59.7–80.4)

64 (88.6; 80.5–96.6)

53 (80.3; 68.2–92.5)

44 (83.5; 71.6–95.4)

Away from home for ≥1 month, past 6 months

 Yes

80 (25.4; 19.2–31.6)

67 (90.9; 84.5–97.2)

58 (85.7; 74.6–96.9)

39 (74.8; 61.4–88.2)

37 (32.1; 22.3–41.9)

26 (83.6; 68.9–98.3)

21 (85.6; 72.1–99.2)

17 (82.3; 64.8–99.9)

 No

249 (74.6; 68.4–80.8)

165 (76.5; 69.8–83.2)

131 (80.0; 73.0–87.0)

86 (67.7; 58.5–76.9)

71 (67.1; 58.1–77.7)

56 (95.3; 90.1–100.0)

48 (77.9; 63.4–92.5)

41 (88.3; 77.4–99.2)

Screened positive for depression

 Yes

134 (39.5; 33.0–46.1)

92 (78.7; 69.6–87.7)

80 (87.8; 80.0–95.5)

56 (74.3; 63.0–85.5)

41 (40.4; 29.6–51.2)

32 (94.8; 85.5–100.0)

30 (89.8; 75.0–100.0)

28 (94.1; 82.5–100.0)

 No

193 (60.5; 53.9–67.0)

139 (82.2; 75.8–88.7)

108 (78.0; 69.8–86.3)

68 (66.9; 56.7–77.2)

66 (59.6; 48.8–70.4)

49 (89.0; 80.7–97.2)

38 (73.2; 57.8–88.6)

29 (79.6; 65.4–93.8)

Screened positive for alcohol abuse, AUDIT-C

 Yes

122 (36.6; 30.4–42.9)

94 (85.4; 77.8–92.9)

76 (80.2; 70.0–90.3)

48 (64.7; 52.2–77.2)

46 (39.8; 29.3–50.5)

34 (88.6; 76.8–100.0)

25 (70.9; 51.8–89.9)

22 (88.0; 70.9–100.0)

 No

206 (63.4; 57.1–69.6)

137 (77.6; 70.4–84.7)

112 (82.8; 75.5–90.1)

76 (73.3; 63.7–82.9)

62 (60.1; 49.5–70.7)

48 (93.2; 86.6–99.7)

44 (86.1; 72.9–99.4)

36 (85.5; 74.3–96.7)

Tested positive for syphilis

 Yes

53 (14.9; 10.4–19.3)

38 (87.9; 78.4–97.5)

34 (87.5; 75.4–99.5)

29 (82.3; 66.3–98.3)

28 (26.3; 16.8–35.7)

24 (99.1; 97.2–100.0)

19 (83.4; 68.7–98.1)

15 (78.2; 55.8–100.0)

 No

280 (85.1; 80.7–89.6)

195 (79.4; 73.5–85.3)

156 (80.9; 74.3–87.5)

97 (67.8; 59.2–76.4)

79 (73.7; 64.3–83.2)

58 (88.6; 80.4–96.9)

50 (79.1; 64.9–93.2)

43 (89.8; 80.9–98.6)

STI symptoms, last 12 months

 Yes

162 (47.1; 40.4–53.7)

124 (84.0; 76.9–91.0)

102 (82.0; 73.7–90.3)

68 (72.0; 61.8–82.3)

18 (17.4; 9.3–25.5)

14 (82.9; 61.8–100.0)

11 (78.5; 55.2–100.0)

11 (100.0; 93.9–100.0)

 No

162 (52.9; 46.3–59.6)

104 (76.7; 68.7–84.7)

84 (82.4; 74.0–90.8)

55 (68.0; 56.4–79.6)

85 (82.6; 74.5–90.7)

64 (93.4; 87.6–99.2)

55 (79.8; 66.9–92.8)

44 (82.6; 70.8–94.3)

Disclosed sex work to anyone b

 Yes

81 (23.5; 18.1–28.8)

53 (71.0; 58.9–83.1)

41 (78.2; 65.7–90.7)

27 (67.8; 51.4–84.2)

21 (24.8; 14.6–34.9)

18 (97.5; 92.4–100.0)

15 (71.7; 45.3–98.1)

13 (93.8; 81.7–100.0)

 No

247 (76.5; 71.2–81.9)

178 (83.5; 77.8–89.2)

147 (82.7; 76.0–89.5)

97 (70.5; 61.8–79.2)

87 (75.2; 65.1–85.4)

64 (89.0; 80.7–97.2)

54 (84.0; 73.7–94.3)

45 (83.5; 71.6–95.4)

Ashamed of selling sex

 Yes

73 (21.5; 16.2–26.8)

42 (65.6; 50.8–80.5)

33 (77.3; 60.1–94.5)

20 (60.9; 40.6–81.1)

65 (59.3; 48.5–70.2)

50 (94.5; 88.5–100.0)

42 (79.7; 65.7–93.8)

37 (87.0; 74.6–99.4)

 No

254 (78.5; 73.2–83.8)

189 (84.2; 78.9–89.5)

155 (82.6; 76.3–88.9)

104 (71.6; 63.3–79.8)

42 (40.7; 29.8–51.5)

31 (86.5; 74.1–98.9)

26 (81.0; 62.8–99.1)

21 (86.4; 72.3–100.0)

Ashamed to disclose sex work to health worker

 Yes

127 (38.4; 32.0–44.7)

83 (76.6; 67.8–85.5)

68 (80.8; 70.4–91.3)

43 (62.3; 48.4–76.2)

71 (67.0; 56.4–77.5)

54 (94.0; 88.2–99.9)

45 (79.0; 65.5–92.4)

39 (85.5; 73.3–97.7)

 No

199 (61.6; 55.3–68.0)

147 (82.9; 76.2–89.5)

119 (82.2; 75.0–89.5)

81 (74.3; 65.5–83.2)

38 (33.0; 22.5–43.6)

27 (86.1; 72.1–100.0)

23 (82.8; 63.2–100.0)

19 (89.6; 76.6–100.0)

Distance traveled to closest ART facility (km)

 0 - < 1.5

77 (53.9; 43.4–64.5)

60 (89.4; 81.3–97.5)

50 (86.0; 76.1–95.9)

31 (67.6; 52.5–82.7)

    

  ≥ 1.5

65 (46.1; 35.5–56.6)

49 (83.9; 73.5–94.3)

39 (75.7; 60.7–90.6)

27 (80.0; 65.7–94.4)

    

 Median (IQR)

1.4 (0.7–2.3)

1.4 (0.7–2.4)

1.3 (0.7–2.0)

1.4 (0.7–2.2)

8.8 (6.1–9.0)

8.8 (6.0–9.2)

8.7 (5.8–9.0)

8.0 (5.7–9.0)

  1. Abbreviations: CI confidence interval; AUDIT-C Alcohol Use Disorders Identification Test; STI sexually transmitted infection; ART antiretroviral therapy; IQR interquartile range
  2. a Self-reported
  3. b Includes immediate and extended family members, spouse or partner, friends who do not sell sex, health care providers, and other