Early sex work initiation and condom use among alcohol-using female sex workers in Mombasa, Kenya: a cross-sectional analysis
| Autor: | Chirayath M. Suchindran, Sherri Green, Sandra L. Martin, Kelly L'Engle, Angela M. Parcesepe, Peter Mwarogo |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Health Knowledge Attitudes Practice Alcohol Drinking Cross-sectional study Sexual Behavior Population Psychological intervention HIV Infections Dermatology Article law.invention Condoms 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Condom Harm Reduction law Prevalence Medicine Humans 030212 general & internal medicine education Sex work education.field_of_study Harm reduction Sex Workers business.industry Negotiating virus diseases medicine.disease 030112 virology Kenya Infectious Diseases Sexual Partners Evidence-Based Practice Female business Adolescent health Demography |
| DOI: | 10.17615/b6hx-1933 |
| Popis: | Objectives Early initiation of sex work is prevalent among female sex workers (FSWs) worldwide. The objectives of this study were to investigate if early initiation of sex work was associated with: (1) consistent condom use, (2) condom negotiation self-efficacy or (3) condom use norms among alcohol-using FSWs in Mombasa, Kenya. Methods In-person interviews were conducted with 816 FSWs in Mombasa, Kenya. Sample participants were: recruited from HIV prevention drop-in centres, 18 years or older and moderate risk drinkers. Early initiation was defined as first engaging in sex work at 17 years or younger. Logistic regression modelled outcomes as a function of early initiation, adjusting for drop-in centre, years in sex work, supporting others and HIV status. Results FSWs who initiated sex work early were significantly less likely to report consistent condom use with paying sex partners compared with those who initiated sex work in adulthood. There was no significant difference between groups in consistent condom use with non-paying sex partners. FSWs who initiated sex work early endorsed less condom negotiation self-efficacy with paying sex partners compared with FSWs who did not initiate sex work early. Conclusions Findings highlight a need for early intervention for at-risk youth and adolescent FSWs, particularly in relation to HIV sexual risk behaviours. Evidence-based interventions for adolescent FSWs or adult FSWs who began sex work in adolescence should be developed, implemented and evaluated. |
| Databáze: | OpenAIRE |
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