scholarly journals Adherence to Diaphragm Use for Infection Prevention: A Prospective Study of Female Sex Workers in Kenya

2009 ◽  
Vol 2009 ◽  
pp. 1-11 ◽  
Author(s):  
Elizabeth A. Bukusi ◽  
Maria F. Gallo ◽  
Anjali Sharma ◽  
Betty Njoroge ◽  
Denise J. Jamieson ◽  
...  

Objective. To assess adherence to and acceptability of the diaphragm among 140 female sex workers in Kenya in a 6-month prospective study.Methods. At baseline and bimonthly visits, participants were interviewed on diaphragm knowledge, attitude, and practices. We used principal component analysis and logistic regression to identify predictors of consistent use.Results. At 50% of 386 bimonthly visits, women reported consistently using a diaphragm with all partners during the preceding 2 weeks. Consistent use was significantly higher at the 6-month than the 2-month visit. Women reported less covert use with “helping” (regular sex partners to whom she could go for help or support) than with “other” partners. Perceptions that diaphragms are easier to use than condoms and that their lack of coital interruption is important were associated with consistent diaphragm use with both partner types. Partner support of diaphragm use is correlated with consistent use with “helping” partners only while higher parity, consistent condom use, and perceived lack of need of condoms as a benefit of diaphragms were associated with consistent use with “other” partners.Conclusions. Diaphragm acceptance among female sex workers in Nairobi was high. Future studies should distinguish between partner types when evaluating diaphragm adherence.

Author(s):  
Mohammad Karamouzian ◽  
Behnam Sadeghirad ◽  
Hamid Sharifi ◽  
Abbas Sedaghat ◽  
Ali Akbar Haghdoost ◽  
...  

Objectives: Little is known about the dynamics of condom use among female sex workers (FSWs) in Iran. We investigated the correlates of consistent condom use (CCU) among FSWs, using data from a national biobehavioral surveillance survey in 2010. Methods: A total of 872 FSWs were recruited using a facility-based sampling strategy from 21 sites in 13 cities in Iran. Data were collected through face-to-face interviews using a standardized questionnaire. Results: Overall, 33.6% and 17.3% of FSWs reported CCU with paying and nonpaying sex partners, respectively. Consistent condom use with paying partners was significantly associated with temporary marriage, accessing family planning services and history of working in brothels. Conversely, temporary marriage or married status, condom rupture/slippage, and HIV seropositivity remained independently significantly associated with CCU with nonpaying sex partners. Conclusion: Our findings indicated the urgent need for scaling up condom promotion interventions catered toward FSWs and their sex partners to practice safe sex consistently.


AIDS ◽  
1998 ◽  
Vol 12 (14) ◽  
pp. 1889-1898 ◽  
Author(s):  
Peter H. Kilmarx ◽  
Khanchit Limpakarnjanarat ◽  
Timothy D. Mastro ◽  
Supachai Saisorn ◽  
Jaranit Kaewkungwal ◽  
...  

Sexual Health ◽  
2018 ◽  
Vol 15 (5) ◽  
pp. 389 ◽  
Author(s):  
Rosalind Foster ◽  
Lynne McCormack ◽  
Caroline Thng ◽  
Handan Wand ◽  
Anna McNulty

Background Previous studies have described inconsistent condom use in Chinese- and Thai-speaking female sex workers in Sydney, Australia. In the present study, we describe the demographics and safe sexual practices in the Chinese- and Thai-speaking female sex workers attending the Sydney Sexual Health Centre (SSHC) in 2014–15. Methods: A self-completed 60-item anonymous questionnaire, adapted from previous surveys conducted in 1993 and 2003, was translated into Chinese and Thai and administered to female sex workers attending the SSHC or seen on outreach. Results: In all, 488 surveys were distributed, of which 435 were returned; 43% in Chinese and 57% in Thai. Most women did not plan on sex work before their arrival in Australia. Compared with Chinese-speaking women, Thai-speaking women rated themselves higher on English language literacy, had better knowledge of the transmission of HIV and sexually transmissible infections (STIs) and were more likely to practice 100% condom use. Overall, 72% of the sex workers surveyed reported consistent condom use for vaginal sex at work. Conclusions: Consistent condom use for vaginal sex at work among Chinese- and Thai-speaking female sex workers has decreased slightly from that reported in a similar survey conducted by the SSHC in 2003, when 85% of sex workers reported consistent condom use. There are significant differences between Chinese- and Thai-speaking sex workers in terms of both knowledge and safer sex practices. Ongoing health promotion efforts should focus on providing culturally appropriate education around STIs and safe sex practices not only to workers, but also to parlour owners, managers and consumers.


2019 ◽  
Vol 81 (1) ◽  
pp. 63-71 ◽  
Author(s):  
Jean Olivier Twahirwa Rwema ◽  
Carrie E. Lyons ◽  
Sosthenes Ketende ◽  
Anna L. Bowring ◽  
Amrita Rao ◽  
...  

2014 ◽  
Vol 91 (3) ◽  
pp. 207-213 ◽  
Author(s):  
Heather A Pines ◽  
Thomas L Patterson ◽  
Gudelia Rangel ◽  
Gustavo Martinez ◽  
Angela R Bazzi ◽  
...  

2010 ◽  
Vol 22 (5) ◽  
pp. 455-465 ◽  
Author(s):  
Fátima A. Muñoz ◽  
Robin A. Pollini ◽  
María Luisa Zúñiga ◽  
Steffanie A. Strathdee ◽  
Remedios Lozada ◽  
...  

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