Non-barrier contraceptive use and relation to condom use behaviour by partner type among female sex workers in Andhra Pradesh, India

Abstract

ObjectiveThe study assessed non-barrier contraceptive use among female sex workers (FSW) in Andhra Pradesh, India and relation to inconsistent condom use among commercial and non-commercial male sexual partners.MethodsFSW at least 18 years of age (n=2338) were recruited through respondent-driven sampling for an HIV risk survey. Analysis was restricted to women of childbearing age (n=2197). Crude and adjusted logistic regression models were used to assess non-barrier contraceptive use and relation to inconsistent condom use with husbands or regular male partners (i.e. non-clients), regular clients and occasional clients.ResultsNon-barrier methods of contraception included contraceptive pills (3.8%) and sterilisation (68.4%). In logistic regression models adjusted for relevant demographics, FSW using contraceptive pills were more likely to report inconsistent condom use with a regular client (past week) [adjusted odds ratio (AOR) 2.2, 95% confidence interval (CI) 1.2–4.0] and with an occasional client (past week) (AOR 2.6, 95% CI 1.6–5.3), as well as accepting more money for sex without a condom (past 30 days) (AOR 2.5, 95% CI 1.5–4.3). No significant associations were found between pill use and inconsistent condom use among women's non-client partners, potentially related to small sample sizes within these subgroups. Reporting sterilisation, which was more common among FSW who were older in age, was not associated with inconsistent condom use with client or non-client sexual partners.ConclusionsFindings document potential unmet need for modern, spacing contraceptives (i.e. pill, intrauterine device), but also indicate the importance for family planning services, particularly those promoting modern contraceptive methods to be provided alongside HIV prevention among FSW in Andhra Pradesh, India.

Factors associated with the uptake of long-acting reversible contraception among female sex workers in post-conflict Northern Uganda: a cross-sectional study

“…Lastly, FSWs with higher parity [≥ two] had a 22% increase in LARC uptake. The finding is in agreement with previous reports among FSWs in Swaziland [ 12 ], India [ 45 ], and Tanzania [ 46 ]. The low uptake of LARC among women with lower parity is in line with a previous report showing that most women (93.4%) in Northern Uganda desire to have at least three children [ 39 ].…”

Predictors of inconsistent condom use among female sex workers: A Community-based study in a red-light area of Kolkata, India

“…found that consistent condom use was less likely to be reported among victims of physical or sexual violence, irrespective of whether perpetrated by husband or by client. [ 20 ] Similar findings were evident in this study. The participants here felt that most of such violent episodes could be attributed to alcohol use by the perpetrator.…”

Factors associated with use of long-acting reversible contraception among female sex workers operating in Gulu district, Northern Uganda – a cross-sectional study

“…Lastly, FSWs with higher parity [≥ two] had a signi cant increase (22%) in LARC use compared to their counterparts who had one or no previous pregnancy. Similar ndings where lower parity negatively affected LARC use were reported among FSWs in Swaziland (13), India (40), and Tanzania (41). Besides, majority of women (93.4%) in Northern Uganda desire three or more children (35).Therefore, this desire to give birth to more children among the nulliparous and low parity FSWs, made them less likely to use LARC compared to their high parity counterparts.…”