Community collectivization and its association with consistent condom use and STI treatment-seeking behaviors among female sex workers and high-risk men who have sex with men/transgenders in Andhra Pradesh, India

Autor: Tisha Wheeler, Prabhakar Parimi, Ram Manohar Mishra, Laxminarayana Proddutoor, Niranjan Saggurti, Saroj Tucker, Dolly Kovvali
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Gerontology
Male
Safe Sex
Health Knowledge
Attitudes
Practice
Health (social science)
Cross-sectional study
law.invention
Men who have sex with men
Condoms
law
Surveys and Questionnaires
community mobilization
Odds Ratio
Medicine
virus diseases
Self Efficacy
Collective efficacy
Sexual Partners
Female
Research Article
Adult
Social Psychology
Adolescent
men who have sex with men/transgenders
Sexually Transmitted Diseases
condom use
Transgender Persons
Vulnerable Populations
community collectivization
Social support
Young Adult
Condom
Humans
Homosexuality
Male
female sex workers
Sex work
Self-efficacy
Sex Workers
business.industry
Public Health
Environmental and Occupational Health
Social Support
Odds ratio
Patient Acceptance of Health Care
Sex Work
Cross-Sectional Studies
Socioeconomic Factors
Collective Bargaining
Perception
business
Risk Reduction Behavior
Demography
Zdroj: AIDS Care
ISSN: 1360-0451
0954-0121
Popis: We examine community collectivization among female sex workers (FSWs) and high-risk men who have sex with men and transgenders (HR-MSM) following several years of HIV prevention programming with these populations, and its association with selected outcome indicators measuring individual behaviors (condom use with different partners and sexually transmitted infection [STI] treatment-seeking from government health facilities). Data for this study were collected from a large-scale cross-sectional survey conducted in 2010–2011 among FSWs (sample size: 3557) and HR-MSM (sample size: 2399) in Andhra Pradesh, India. We measured collectivization among FSWs in terms of three binary (low, high) indices of collective efficacy, collective agency, and collective action. Collectivization among HR-MSM was measured by participation in a public event (no, yes), and a binary (low, high) index of collective efficacy. Adjusted odds ratios (adjusted OR) and their 95% confidence intervals (CI) were computed to assess the relationships between collectivization and outcome indicators directly and through mediation of variables such as self-efficacy for condom use and utilization of government health facilities. Results show that among FSWs, high levels of collective efficacy (adjusted OR: 1.3, 95% CI: 1.1–1.7) and collective action (adjusted OR:1.3, 95% CI: 1.1–1.8) were associated with consistent condom use (CCU) with regular clients. Among HR-MSM, participation in a public event (adjusted OR: 2.7, 95% CI: 2.0–3.6) and collective efficacy (adjusted OR: 1.9, 95% CI: 1.5–2.3) were correlated with condom use with paying partners. The association between collectivization and outcome indicators continued to be significant in most cases even after adjusting for the potential mediators. Indicators of collectivization exhibited significant positive association with self-efficacy for condom use and service utilization from government health facilities among both FSWs and HR-MSM. The association of high levels of collectivization with CCU, STI treatment- seeking from government health facilities, ability to negotiate for condom use, and self-efficacy in utilizing government health facilities is relevant to effort to improve the effectiveness and sustainability of HIV prevention programs in India and beyond.
Databáze: OpenAIRE
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