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Associations Between Economic Factors and Condom Use Behavior Among Female Sex Workers in Dakar and Mbour, Senegal.
AIDS and Behavior ( IF 4.852 ) Pub Date : 2020-10-01 , DOI: 10.1007/s10461-020-02832-2
Fan Yang 1, 2, 3 , Sosthenes Ketende 1 , Larissa Jennings Mayo-Wilson 2 , Carrie E Lyons 1 , Benjamin Liestman 1 , Daouda Diouf 4 , Fatou M Drame 4, 5 , Karleen Coly 1 , Gnilane Turpin 1 , Souleymane Mboup 6, 7 , Coumba Toure-Kane 7 , Delivette Castor 8 , Alison Cheng 8 , Halimatou Diop-Ndiaye 7 , Nafissatou Leye-Diouf 6 , Caitlin Kennedy 2 , Stefan Baral 1
Affiliation  

Condom use remains a mainstay of HIV prevention programs around the world. However, data characterizing economic determinants of condom use among female sex workers (FSW) are limited, including in Senegal. We recruited 718 FSWs via respondent-driven sampling. Bivariate and multivariable regressions were conducted to assess the associations between economic variables and condom use at last sex. Paying rent (aRR: 1.07, 95%CI 1.01-1.13) was positively associated with condom use at last sex with new clients. No statistically significant associations were found between condom use and financial responsibility for dependent children, having additional source of income, sharing sex work earnings, or the ability to borrow from other FSWs, regardless of sexual partner types. The relationship between economic marginalization and consistent condom use among sex workers is complex reinforcing the need for behavioral economic research and prevention to be integrated into HIV prevention and treatment research and programs.

中文翻译:

塞内加尔达喀尔和姆布尔的女性性工作者中经济因素与避孕套使用行为之间的关联。

使用避孕套仍然是世界范围内艾滋病毒预防计划的主要内容。但是,包括塞内加尔在内,表征女性性工作者使用安全套的经济决定因素的数据有限。我们通过受访者驱动的抽样方式招募了718名FSW。进行了双变量和多变量回归,以评估经济变量与最后一次使用避孕套之间的关联。支付租金(aRR:1.07,95%CI 1.01-1.13)与在与新客户的最后一次性行为中使用安全套成正相关。在安全套使用和对受抚养子女的财务责任,是否有其他收入来源,分担性工作收入或是否有能力向其他FSW借款(无论性伴侣类型)之间,在统计上没有发现显着的关联。
更新日期:2020-09-11
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