Socio-economic vulnerabilities and HIV: Drivers of transactional sex among female bar workers in Yaoundé, Cameroon

Autor: Elvis Enowbeyang Tarkang, Thomas Achombwom Vukugah, Derick Akompab Akoku, Mbah Abena Tihnje, Robinson Mbu
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Sexual partner
Male
RNA viruses
Cross-sectional study
Physiology
Epidemiology
Psychological intervention
lcsh:Medicine
Human sexuality
HIV Infections
Logistic regression
Pathology and Laboratory Medicine
Geographical Locations
0302 clinical medicine
Immunodeficiency Viruses
Risk Factors
Reproductive Physiology
Copulation
Medicine and Health Sciences
Medicine
030212 general & internal medicine
Cameroon
Young adult
lcsh:Science
Multidisciplinary
Alcohol Consumption
Alcoholic Beverages
Beer
Medical Microbiology
HIV epidemiology
Viral Pathogens
Viruses
Female
Pathogens
0305 other medical science
Research Article
Adult
Alcohol Drinking
HIV prevention
Transactional sex
Microbiology
Beverages
03 medical and health sciences
Young Adult
Retroviruses
Humans
Microbial Pathogens
Nutrition
Preventive medicine
Behavior
030505 public health
Sex Workers
Unsafe Sex
business.industry
Lentivirus
lcsh:R
Organisms
Biology and Life Sciences
HIV
Sex Work
Diet
Sexual intercourse
Cross-Sectional Studies
Public and occupational health
People and Places
Africa
lcsh:Q
Human Sexual Behavior
business
Demography
Zdroj: PLoS ONE, Vol 13, Iss 6, p e0198853 (2018)
PLoS ONE
ISSN: 1932-6203
Popis: Introduction The purpose of this study was to examine the relationship between socio-demographic characteristics, risky sexual behaviour, alcohol use and transactional sex among female bar workers in Yaounde, Cameroon. Materials and methods A cross-sectional survey was conducted among a representative sample of 410 female bar workers, recruited through a modified version of venue-based cluster sampling technique from May to June 2017. Transactional sex was defined as having received money/gifts in exchange for sex with any sexual partner in the past 12 months. Logistic regression models were performed to identify the factors associated with transactional sex. The level of statistical significance was set at p< = 0.05. Results About 14.9% (n = 61) of respondents reported to have engaged in transactional sex, 83.7% (n = 338) had multiple sexual partners at the time of the study, 14.4% (n = 55) had sex with one or more of their male customers in the past 6 months. Almost 73.4% (n = 301) reported alcohol use. Of these, 37.2% (n = 112) were frequent alcohol consumers. About 17.6% (n = 72) reported to have had unprotected sex under the influence of alcohol in the past 6 months. Multivariate logistic regression analysis showed that those who engaged in transactional sex were more likely to have had sex with a male customer in the past 6 months (aOR = 7.34; 95% CI, 3.63–16.98), had sex under the influence of alcohol in the past 6 months (aOR = 2.42; 95% CI, 1.18–4.96) and frequent alcohol consumers (aOR = 2.06; 95%CI, 1.04–4.10). Respondents who had their last sexual intercourse 4 weeks or more prior to the study (aOR = 0.26; 95% CI, 0.08–0.84) were less likely to have engaged in transactional sex. Conclusions Our study concludes that female bar workers are exposed to male customers and engage in risky sexual practices including transaction sex. Most of them also consume alcohol which increases their risk of HIV and STI acquisition. They are a high-risk group that need to be targeted with HIV prevention interventions.
Databáze: OpenAIRE
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