Perceived control over condom use among sex workers in Madagascar: a cohort study

Audrey Pettifor; Abigail Norris Turner; Teresa Swezey; Maria Khan; Mbolatiana S M Raharinivo; Bodo Randrianasolo; Ana Penman-Aguilar; Kathleen Van Damme; Denise J Jamieson; Frieda Behets

doi:10.1186/1472-6874-10-4

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Perceived control over condom use among sex workers in Madagascar: a cohort study

Journal article

Open access

Peer reviewed

Perceived control over condom use among sex workers in Madagascar: a cohort study

Audrey Pettifor, Abigail Norris Turner, Teresa Swezey, Maria Khan, Mbolatiana S M Raharinivo, Bodo Randrianasolo, Ana Penman-Aguilar, Kathleen Van Damme, Denise J Jamieson and Frieda Behets

BMC women's health, Vol.10(1), pp.4-4

01/28/2010

DOI: 10.1186/1472-6874-10-4

PMCID: PMC2828400

PMID: 20109195

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Abstract

Women's perceived control over condom use has been found to be an important determinant of actual condom use in some studies. However, many existing analyses used cross-sectional data and little quantitative information exists to characterize the relationships between perceived control and actual condom use among sex worker populations. We assessed the association between measures of perceived condom use control and self-reported use of male condoms employing data from a longitudinal pilot study among 192 sex workers in Madagascar. In multivariable models, a lack of perceived control over condom use with a main partner and having a main partner ever refuse to use a condom when asked were both associated with an increased number of sex acts unprotected by condoms in the past week with a main partner (RR 1.86; 95% CI 1.21-2.85; RR 1.34; 95% CI 1.03-1.73, respectively). Conversely, no measure of condom use control was significantly associated with condom use with clients. Perceived control over condom use was an important determinant of condom use with main partners, but not clients, among sex workers in Madagascar. Programs working with sex workers should reach out to main and commercial partners of sex workers to increase male condom use.

Adult

Cohort Studies

Condoms - utilization

Cross-Sectional Studies

Female

Health Behavior

Health Knowledge, Attitudes, Practice

HIV Infections - prevention & control

Humans

Madagascar - epidemiology

Risk-Taking

Safe Sex - statistics & numerical data

Sex Work - statistics & numerical data

Sexual Partners

Sexually Transmitted Diseases - epidemiology

Surveys and Questionnaires

Urban Population - statistics & numerical data

Women, Working - statistics & numerical data

Young Adult

Details

Title: Subtitle: Perceived control over condom use among sex workers in Madagascar: a cohort study
Creators: Audrey Pettifor - University of North Carolina at Chapel Hill
Abigail Norris Turner - University of North Carolina at Chapel Hill
Teresa Swezey - University of North Carolina at Chapel Hill
Maria Khan - University of North Carolina at Chapel Hill
Mbolatiana S M Raharinivo - Catholic University of Madagascar
Bodo Randrianasolo - Catholic University of Madagascar
Ana Penman-Aguilar - Centers for Disease Control and Prevention
Kathleen Van Damme - Catholic University of Madagascar
Denise J Jamieson - Centers for Disease Control and Prevention
Frieda Behets - University of North Carolina at Chapel Hill
Resource Type: Journal article
Publication Details: BMC women's health, Vol.10(1), pp.4-4
DOI: 10.1186/1472-6874-10-4
PMID: 20109195
PMCID: PMC2828400
NLM abbreviation: BMC Womens Health
ISSN: 1472-6874
eISSN: 1472-6874
Grant note: T32 DA007233 / NIDA NIH HHS R24 HD050924 / NICHD NIH HHS
Language: English
Date published: 01/28/2010
Academic Unit: Obstetrics and Gynecology; VPMA - Administration
Record Identifier: 9984446411402771

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