Consistent condom use (CCU)
is the primary HIV/STI prevention option available to sex workers globally but
may be undermined by economic insecurity, life-course vulnerabilities,
behavioral factors, disempowerment, or lack of effective interventions.
This
study examines predictors of CCU in a random household survey of brothel-based
female sex workers (n = 200) in two neighborhoods served by Durbar
(the Sonagachi Project) in Kolkata, India.
Multivariate logistic regression
analyses indicated that CCU was significantly associated with perceived HIV
risk, community mobilization participation, working more days in sex work, and
higher proportion of occasional clients to regular clients.
Exploratory
analyses stratifying by economic insecurity indicators (i.e., debt, savings,
income, housing security) indicate that perceived HIV risk and community
mobilization were only associated with CCU for economically secure FSW.
Interventions with FSW must prioritize economic security and access to social
protections as economic insecurity may undermine the efficacy of more direct
condom use intervention strategies.
Full PDF article at: http://goo.gl/VBWDCT
By:
1 Department of Community Health Sciences, Fielding School
of Public Health, University of California, Los Angeles, 650 Charles E Young
Drive South, Los Angeles, CA 90095, USA
2 Public Health Foundation of India (PHFI), Sector-44, Plot
No-47, Gurgaon 122003, India
3 School of Social Policy & Practice, University of
Pennsylvania, 3701 Locust Walk, Caster D17, Philadelphia 19104, USA
4 Center for HIV Identification, Prevention and Treatment
Services (CHIPTS), Department of Psychiatry and Biobehavioral Science, David
Geffen School of Medicine, University of California, Los Angeles, 10920
Wilshire Blvd., Suite 350, Los Angeles, CA 90024, USA
5 Department of Epidemiology, Fielding School of Public
Health, 10920 Wilshire Blvd., Suite 350, Los Angeles 90024, USA
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