Perceived control over condom use among sex workers in Madagascar: a cohort study

BMC Women's Health

Research Article

Maria Khan¹  Abigail Norris Turner¹  Teresa Swezey¹  Audrey Pettifor¹  Frieda Behets²  Denise J Jamieson³  Ana Penman-Aguilar³  Mbolatiana SM Raharinivo⁴  Bodo Randrianasolo⁴  Kathleen Van Damme⁴ 

[1] Department of Epidemiology, University of North Carolina, Chapel Hill, USA;Department of Epidemiology, University of North Carolina, Chapel Hill, USA;UNC-MAD, Antananarivo, Madagascar;Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA;UNC-MAD, Antananarivo, Madagascar;

关键词: Main Partner;    Partner Type;    Regular Partner;    Male Condom;    Gender Power;   

DOI  :  10.1186/1472-6874-10-4

 received in 2009-02-26, accepted in 2010-01-28,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundWomen's perceived control over condom use has been found to be an important determinant of actual condom use in some studies. However, many existing analyses used cross-sectional data and little quantitative information exists to characterize the relationships between perceived control and actual condom use among sex worker populations.MethodsWe assessed the association between measures of perceived condom use control and self-reported use of male condoms employing data from a longitudinal pilot study among 192 sex workers in Madagascar.ResultsIn multivariable models, a lack of perceived control over condom use with a main partner and having a main partner ever refuse to use a condom when asked were both associated with an increased number of sex acts unprotected by condoms in the past week with a main partner (RR 1.86; 95% CI 1.21-2.85; RR 1.34; 95% CI 1.03-1.73, respectively). Conversely, no measure of condom use control was significantly associated with condom use with clients.ConclusionPerceived control over condom use was an important determinant of condom use with main partners, but not clients, among sex workers in Madagascar. Programs working with sex workers should reach out to main and commercial partners of sex workers to increase male condom use.

【 授权许可】

CC BY   
© Pettifor et al; licensee BioMed Central Ltd. 2010