To describe the characteristics of female sex workers (FSWs)
who do and do not use dual contraceptives (i.e. male condoms plus a non-barrier
method) in Gulu, northern Uganda.
The present analysis was based on data gathered as part of a
questionnaire-based, cross-sectional study conducted between May 2011 and
January 2012. FSWs aged 14years or older were recruited through peer-led or sex
worker-led outreach and community-based services. Logistic regression was used
to identify correlates of dual contraceptive use.
Among the 400 FSWs who participated, 180 (45.0%) had ever
used dual contraceptives. In the multivariate model, dual contraceptive use was
positively associated with older age, prior unintended pregnancy, and HIV testing. Having to rush sexual negotiations owing to police presence was
negatively associated with dual contraceptive use.
Although a history of unintended pregnancy and accessing HIV
testing might promote contraceptive use, criminalized work environments
continue to pose barriers to uptake of sexual and reproductive health services
among FSWs in post-conflict northern Uganda. Integrated links between HIV and
sexual health programs could support contraceptive uptake among FSWs.
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By:
- 1Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada; Department of Medicine, University of British Columbia, Vancouver, BC, Canada; School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
- 2The AIDS Support Organization, Gulu, Uganda.
- 3Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada; Department of Medicine, University of British Columbia, Vancouver, BC, Canada; School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada. Electronic address: gshi@cfenet.ubc.ca.
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