Non-Barrier Contraceptive Use & Relation to Condom Use Behavior by Partner Type among Female Sex Workers in Andhra Pradesh, India
OBJECTIVE:
The
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.
METHODS:
FSW 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.
RESULTS:
Non-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) and with an occasional client (past week), as well as accepting more money for sex without a condom
(past 30 days). 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.
CONCLUSIONS:
Findings
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.
- 1Assistant Professor, Division of Global Public Health, School of Medicine, University of California, San Diego, La Jolla, CA, USA.
- 2Assistant Professor, Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC, USA.
- 3Scholar in Residence, Department of Sociology, American University, Washington, DC, USA.
- 4Postdoctoral Fellow, Division of Global Public Health, School of Medicine, University of California, San Diego, La Jolla, CA, USA.
- 5Professor and Chair, Department of Sociology, American University, Washington, DC, USA.
- J Fam Plann Reprod Health Care. 2015 Dec 23. pii: jfprhc-2014-100918. doi: 10.1136/jfprhc-2014-100918.
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