Journal article
Determinants of Condom Use Among Female Sex Workers in Kenya: A Case-Crossover Analysis
Journal of women's health (Larchmont, N.Y. 2002), Vol.20(5), pp.733-738
05/01/2011
DOI: 10.1089/jwh.2010.2436
PMID: 21438697
Abstract
Background: We evaluated predictors of consistent condom use among female sex workers (FSWs), a core group for controlling the spread of HIV.
Methods: In an analysis of data collected in 2004-2005 from 140 Kenyan FSWs who completed questionnaires administered during a baseline study visit and three bimonthly follow-up visits, we used a case-crossover design to identify predictors of consistent condom use during all coital acts in the preceding 2 weeks, overall and by partner type.
Results: Participants (n = 140) completed the baseline visit and 390 bimonthly follow-up visits. Alcohol use during sex was negatively associated with consistent condom use with helping partners (defined as regular sex partners to whom the woman could go for help or support if needed) (adjusted odds ratio [AOR], 2.6, 95% confidence interval [CI] 1.0-6.5) but not associated with condom use with other partners. Coital frequency was associated with condom use with other partners only. Women who reported 1-5 (AOR 11.0, 95% CI 4.3-28.3) or 6-9 recent coital acts (AOR 3.8, 95% CI 1.7-8.8) with other partners were more likely to report consistent condom use with those partners than were women who reported >= 10 acts. Having a recent partner delay payment was inversely associated with consistent condom use with helping, other, or all partners.
Conclusions: Correlates of consistent condom use differed by partner type. By using a case-crossover design, we were able to identify potentially modifiable factors associated with consistent condom use by FSWs who used condoms consistently with a given partner type during some periods but not others.
Details
- Title: Subtitle
- Determinants of Condom Use Among Female Sex Workers in Kenya: A Case-Crossover Analysis
- Creators
- Maria F. Gallo - Centers for Disease Control and PreventionLee Warner - Ctr Dis Control & Prevent, Div Reprod Hlth, Atlanta, GA 30341 USAApril J. Bell - Ctr Dis Control & Prevent, Div Reprod Hlth, Atlanta, GA 30341 USAElizabeth A. Bukusi - University of NairobiAnjali Sharma - University of WashingtonBetty Njoroge - University of NairobiElizabeth Ngugi - University of NairobiDenise J. Jamieson - Ctr Dis Control & Prevent, Div Reprod Hlth, Atlanta, GA 30341 USADavid A. Eschenbach - University of Washington
- Resource Type
- Journal article
- Publication Details
- Journal of women's health (Larchmont, N.Y. 2002), Vol.20(5), pp.733-738
- Publisher
- Mary Ann Liebert, Inc
- DOI
- 10.1089/jwh.2010.2436
- PMID
- 21438697
- ISSN
- 1540-9996
- eISSN
- 1931-843X
- Number of pages
- 6
- Grant note
- U.S. Agency for International Development; United States Agency for International Development (USAID) CONRAD; United States Agency for International Development (USAID) U.S. Centers for Disease Control and Prevention; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA
- Language
- English
- Date published
- 05/01/2011
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446432702771
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