Kenyan Female Sex Workers' Use of Female-Controlled Nonbarrier Modern Contraception: Do They Use Condoms Less Consistently?

OBJECTIVES:

To examine whether nonbarrier modern contraceptive use is associated with less consistent condom use among Kenyan female sex workers (FSWs).

STUDY DESIGN:

Researchers recruited 579 FSWs using respondent-driven sampling. We conducted multivariate logistic regression to examine the association between consistent condom use and female-controlled nonbarrier modern contraceptive use.

RESULTS:

A total of 98.8% reported using male condoms in the past month, and 64.6% reported using female-controlled nonbarrier moderncontraception. In multivariate analysis, female-controlled nonbarrier modern contraceptive use was not associated with decreased condom use with clients or nonpaying partners.

CONCLUSION:

Consistency of condom use is not compromised when FSWs use available female-controlled nonbarrier modern contraception.

IMPLICATIONS:

FSWs should be encouraged to use condoms consistently, whether or not other methods are used simultaneously.

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By:  Yam EA1, Okal J2, Musyoki H3, Muraguri N3, Tun W4, Sheehy M5, Geibel S4.

• 1Population Council, 4301 Connecticut Avenue NW, Suite 280, Washington, DC 20008, USA. Electronic address: eyam@popcouncil.org.
• 2Population Council, General Accident House, Ralph Bunche Road, Nairobi, Kenya.
• 3National AIDS and Sexually Transmitted Infection Control Programme, Ministry of Health, PO Box 19361-00202, Nairobi, Kenya.
• 4Population Council, 4301 Connecticut Avenue NW, Suite 280, Washington, DC 20008, USA.
• 5Population Council, One Dag Hammarskjold Plaza, New York, NY 10017, USA. 
• Contraception. 2016 Mar;93(3):222-5. doi: 10.1016/j.contraception.2015.11.010. Epub 2015 Dec 1.

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