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

被引:11
作者
Pettifor, Audrey [1 ]
Turner, Abigail Norris [1 ]
Swezey, Teresa [1 ]
Khan, Maria [1 ]
Raharinivo, Mbolatiana S. M. [2 ]
Randrianasolo, Bodo [2 ]
Penman-Aguilar, Ana [3 ]
Van Damme, Kathleen [2 ]
Jamieson, Denise J. [3 ]
Behets, Frieda [1 ,2 ]
机构
[1] Univ N Carolina, Dept Epidemiol, Chapel Hill, NC 27599 USA
[2] UNC MAD, Antananarivo, Madagascar
[3] Ctr Dis Control & Prevent, Div Reprod Hlth, Atlanta, GA USA
来源
BMC WOMENS HEALTH | 2010年 / 10卷
关键词
POWER; RISK; HIV; ANTANANARIVO; PREVENTION; HEALTH; WOMEN;
D O I
10.1186/1472-6874-10-4
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: 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. Methods: 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. Results: 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. Conclusion: 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.
引用
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页数:7
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