Associations Between Economic Factors and Condom Use Behavior Among Female Sex Workers in Dakar and Mbour, Senegal

被引:3
作者
Yang, Fan [1 ,2 ,3 ]
Ketende, Sosthenes [1 ]
Mayo-Wilson, Larissa [2 ]
Lyons, Carrie E. [1 ]
Liestman, Benjamin [1 ]
Diouf, Daouda [4 ]
Drame, Fatou M. [4 ,5 ]
Coly, Karleen [1 ]
Turpin, Gnilane [1 ]
Mboup, Souleymane [6 ,7 ]
Toure-Kane, Coumba [7 ]
Castor, Delivette [8 ]
Cheng, Alison [8 ]
Diop-Ndiaye, Halimatou [7 ]
Leye-Diouf, Nafissatou [6 ]
Kennedy, Caitlin [2 ]
Baral, Stefan [1 ]
机构
[1] Johns Hopkins Univ, Sch Publ Hlth, Dept Epidemiol, Baltimore, MD 21205 USA
[2] Johns Hopkins Univ, Sch Publ Hlth, Dept Int Hlth, Baltimore, MD 21218 USA
[3] Univ N Carolina, Sch Med, Project China, Guangzhou, Peoples R China
[4] Enda Sante, Dakar, Senegal
[5] Gaston Berger Univ, St Louis, Senegal
[6] Inst Rech Sante Surveillance Epidemiol & Format, Dakar, Senegal
[7] CHU Aristide Le Dantec, Lab Bacteriol Virol, Dakar, Senegal
[8] USAID, Off HIV AIDS, Bur Global Hlth, Arlington, VA USA
关键词
Condom use; Female sex worker; Economic; HIV; AIDS; Senegal; Partner type; HIV PREVENTION; STRUCTURAL VIOLENCE; KEY POPULATIONS; MALE CLIENTS; SELL SEX; RISK; PREVALENCE; INTERVENTIONS; PREGNANCY; BARRIERS;
D O I
10.1007/s10461-020-02832-2
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Condom use remains a mainstay of HIV prevention programs around the world. However, data characterizing economic determinants of condom use among female sex workers (FSW) are limited, including in Senegal. We recruited 718 FSWs via respondent-driven sampling. Bivariate and multivariable regressions were conducted to assess the associations between economic variables and condom use at last sex. Paying rent (aRR: 1.07, 95%CI 1.01-1.13) was positively associated with condom use at last sex with new clients. No statistically significant associations were found between condom use and financial responsibility for dependent children, having additional source of income, sharing sex work earnings, or the ability to borrow from other FSWs, regardless of sexual partner types. The relationship between economic marginalization and consistent condom use among sex workers is complex reinforcing the need for behavioral economic research and prevention to be integrated into HIV prevention and treatment research and programs.
引用
收藏
页码:2829 / 2841
页数:13
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