Changes in Condom Use Over Time Among Female Sex Workers and Their Male Noncommercial Partners and Clients

Tracas, A; Bazzi, Angela R.; Artamónova, Irina; Mg, Rangel; Staines, Hugo; Ulibarri,

doi:10.1521/aeap.2016.28.4.312

Cited by 8 publications

(6 citation statements)

References 38 publications

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“…Several studies have concluded that inconsistent condom use can contribute to the spread of STIs [5][6][7]. A systematic review and meta-analysis performed among female sex workers (FSW) globally reported 19.1% (95% CI: 1.7 to 36.4) engaged in unprotected vaginal sex and 46.4% (95% CI: 9.1 to 83.6) engaged in unprotected anal sex [8].…”

Section: Introductionmentioning

confidence: 99%

Sexual risk and STI testing behaviour among Dutch female and male self-employed sex workers; a cross-sectional study using an Internet based survey

Kampman¹,

Peters

Koedijk³

et al. 2022

BMC Public Health

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Background Sex workers are men, women or transgender people who have sex in exchange for money or goods. Self-employed sex workers solicit clients independently from a third-party. Self-employed sex workers are at risk of acquiring sexually transmitted infections (STIs) through their work. We performed a cross-sectional study, using an Internet survey conducted in 2019–2020 aiming to establish sexual risk behaviour and STI testing behaviour among female and male self-employed sex workers. Results A total of 76 female self-employed sex workers (FSW) and 79 male self-employed sex workers (MSW) completed the survey. Both FSW and MSW more often had sex with partners of the opposite sex during work (65.8% FSW, 61.6% MSW) and in their private life (63.3% FSW; 64.5% MSW). During vaginal sex 35.7% of FSW and 29.6% of MSW did not always use a condom. Inconsistent condom use was observed in 35.7% of FSW and 29.6% of MSW during vaginal sex, 46.2% of FSW and 35.7% of MSW did not always use a condom during receptive anal sex. The majority of both FSW and MSW tested for STIs in the past year (67.1% FSW; 67.7% MSW) and 67.5% were aware of the possibility of low-threshold testing at an STI clinic. In the past year, 11.6% of FSW and 8.1% of MSW had an STI. Conclusion The reported STI positivity rate among self-employed sex workers was not very high. However, STI prevention efforts remain important considering the low compliance with condom use during sex work. Moreover, not testing for STIs in the past year was substantial with one-third of both FSW and MSW and one-third of both FSW and MSW being unaware of the possibility of low-threshold testing at an STI clinic, warranting efforts to increase testing uptake in this population.

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Section: Introductionmentioning

confidence: 99%

Sexual risk and STI testing behaviour among Dutch female and male self-employed sex workers; a cross-sectional study using an Internet based survey

Kampman¹,

Peters

Koedijk³

et al. 2022

BMC Public Health

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“…We also noted that PrEP use was higher among married / cohabiting FSWs as well as those who reported to be separated/divorced/widowed. Findings from other studies have reported that primary HIV risk for FSWs is likely to be from their main/regular partners rather than their clients because of the low condom use with the former (38,(47)(48)(49)(50). Therefore, findings from our study could possibly reflect the utility of PrEP in relationships where females are unable to negotiate condom use and in the likely event that their spouse/ main partner also has other sexual partners.…”

Section: Discussionmentioning

confidence: 65%

Awareness, Willingness and Use of HIV Pre-Exposure Prophylaxis Among Female Sex Workers Living in Dar-es-Salaam, Tanzania

et al. 2022

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Tanzania is in the final stages to roll out pre-exposure prophylaxis (PrEP) to Female Sex Workers (FSWs) so as to reduce new infections. PrEP demonstration projects support programming through gaining first experiences.We analyzed data from a cohort of 700 HIV negative FSWs in Dar-es-Salaam to determine proportions of FSWs who were aware, willing and used PrEP. We compared proportions at cohort enrolment and after 12 months. Logistic regression was used to determine factors associated with PrEP use. PrEP awareness increased from 67% to 97% after 12 months. Willingness was high at both time points (98% versus 96%). Only 8% (57/700) had used PrEP. Being married/cohabiting or separated/divorced/widowed and having sex with a HIV infected partner were independently associated with PrEP use. The PrEP program should focus on scaling up access as willingness to use PrEP is high.

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“…However, these studies did not specify if these were observed in regular or non-regular partnerships which is an important distinction for women at high HIV risk such as those in this study [14] [23,24]. Low condom use with regular partners among women at high HIV risk has been extensively reported in previous literature [8,11,[25][26][27] [28]. In one such study by Lowndes et in Benin [29], it was shown that a greater percentage of FSW's regular partners were HIV positive compared to their nonregular partners (16.1% vs. 8.5%).Therefore, given the multiple and concurrent partnerships among women in these high risk populations, unprotected sex with regular partners may represent their greatest risk of HIV infection.…”

Section: Plos Onementioning

confidence: 90%

Sexual behaviour, changes in sexual behaviour and associated factors among women at high risk of HIV participating in feasibility studies for prevention trials in Tanzania

et al. 2020

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Introduction Risk reduction towards safer behaviour is promoted after enrolment in HIV prevention trials. We evaluated sexual behaviour, changes in sexual behaviour and factors associated with risky behaviour after one-year of follow-up among women enrolled in HIV prevention trials in Northern Tanzania. Methods Self-reported information from 1378 HIV-negative women aged 18-44 enrolled in microbicide and vaccine feasibility studies between 2008-2010,was used to assess changes in behaviour during a 12-month follow-up period. Logistic regression with random intercepts was used to estimate odds ratios for trends in each behaviour over time. A behavioural risk score was derived from coefficients of three behavioural variables in a Poisson regression model for HIV incidence and thereafter, dichotomized to risky vs less-risky behaviour. Logistic regression was then used to identify factors associated with risky behaviour at 12 months. Results At baseline, 22% reported multiple partners, 28% were involved in transactional sex and only 22% consistently used condoms with non-regular partners. The proportion of women reporting multiple partners, transactional sex and high-risk sex practices reduced at each 3monthly visit (33%, 43% and 47% reduction in odds per visit respectively, p for linear trend <0.001 for all), however, there was no evidence of a change in the proportion of women

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Changes in Condom Use Over Time Among Female Sex Workers and Their Male Noncommercial Partners and Clients

Cited by 8 publications

References 38 publications

Sexual risk and STI testing behaviour among Dutch female and male self-employed sex workers; a cross-sectional study using an Internet based survey

Sexual risk and STI testing behaviour among Dutch female and male self-employed sex workers; a cross-sectional study using an Internet based survey

Awareness, Willingness and Use of HIV Pre-Exposure Prophylaxis Among Female Sex Workers Living in Dar-es-Salaam, Tanzania

Sexual behaviour, changes in sexual behaviour and associated factors among women at high risk of HIV participating in feasibility studies for prevention trials in Tanzania

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