Journal article
Predictors of Unprotected Sex Among Female Sex Workers in Madagascar: Comparing Semen Biomarkers and Self-Reported Data
AIDS and behavior, Vol.14(6), pp.1279-1286
12/01/2010
DOI: 10.1007/s10461-010-9742-8
PMCID: PMC3826447
PMID: 20625928
Abstract
Research on the determinants of condom use and condom non-use generally has relied on self-reported data with questionable validity We identified predictors of recent, unprotected sex among 331 female sex workers in Madagascar using two outcome measures self-reports of unprotected sex within the past 48 h and detection of prostate-specific antigen (PSA), a biological marker of recent semen exposure Multivariable logistic regression revealed that self-reported unprotected sex was associated with three factors younger age, having a sipa (emotional partner) in the prior seven days, and no current use of hormonal contraception The sole factor related to having PSA detected was prevalent chlamydial infection (adjusted odds ratio, 45, 95% confidence interval, 2 0-10 1) Differences in predictors identified suggest that determinants of unprotected sex, based on self-reported behaviors, might not correlate well with risk of semen exposure Caution must be taken when interpreting self-reported sexual behavior measures or when adjusting for them in analyses evaluating interventions for the prevention of HIV/STIs
Details
- Title: Subtitle
- Predictors of Unprotected Sex Among Female Sex Workers in Madagascar: Comparing Semen Biomarkers and Self-Reported Data
- Creators
- Maria F. Gallo - National Center for Chronic Disease Prevention and Health PromotionMarkus J. Steiner - Family Health International 360Marcia M. Hobbs - University of North Carolina at Chapel HillMark A. Weaver - Family Health International 360Theresa Hatzell Hoke - Family Health International 360Kathleen Van Damme - University of North Carolina at Chapel HillDenise J. Jamieson - National Center for Chronic Disease Prevention and Health PromotionMaurizio Macaluso - National Center for Chronic Disease Prevention and Health Promotion
- Resource Type
- Journal article
- Publication Details
- AIDS and behavior, Vol.14(6), pp.1279-1286
- Publisher
- Springer Nature
- DOI
- 10.1007/s10461-010-9742-8
- PMID
- 20625928
- PMCID
- PMC3826447
- ISSN
- 1090-7165
- eISSN
- 1573-3254
- Number of pages
- 8
- Grant note
- N01AI075329 / NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Allergy & Infectious Diseases (NIAID) N01 AI075329; U19 AI031496 / NIAID NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Allergy & Infectious Diseases (NIAID)
- Language
- English
- Date published
- 12/01/2010
- Academic Unit
- Obstetrics and Gynecology; VPMA - Administration
- Record Identifier
- 9984446546902771
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