A cross-sectional study to evaluate factors related to condom use with commercial sexual partners in workers from Ecuadorian companies

BMC Public Health

Research Article

David Barmettler¹  Teresa Borja²  Adelin Albert³  Nadia Dardenne³  María C. Cabezas⁴  Marco Fornasini⁵ 

[1] Accreditation Canada International, Ottawa, Canada;Psychology School, Universidad San Francisco de Quito (USFQ), Cumbaya, Ecuador;Public Health Department, University of Liège, Liège, Belgium;Public Health Department, University of Liège, Liège, Belgium;Medical School, Pontifical Catholic University, Quito, Ecuador;Translational Research Center, Universidad de las Américas (UDLA), Quito, Ecuador;

关键词: Sexual Partner;    Sexual Intercourse;    Sexual Worker;    Area Under Curve;    Consistent Condom;   

DOI  :  10.1186/s12889-015-2184-5

 received in 2015-04-18, accepted in 2015-08-25,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundUnprotected intercourse with sex workers is one of the major risk factors for HIV infection. Consistent condom use is a prerequisite to lower the incidence of HIV.MethodsWe assessed the prevalence of condom use and its determinants among company workers engaged with commercial sexual partners in Ecuador. The study was based on a random sample of 115 companies and 1,732 workers stratified by province and working sector and utilized the “Behavioral Surveillance Surveys – Adult questionnaire” developed by Family Health International.ResultsOf the 1,561 sexually active workers, 311 (19.9 %) reported having intercourse with sex workers. Among them 25.9 % did not use a condom at the last sexual intercourse. As for condom use frequency over the last 12 months, 29/208 (13.9 %) reported never, 23 (11.1 %) sometimes, 24 (11.5 %) almost every time and 132 (63.5 %) every time. Factors adversely affecting condom use frequency over the last 12 months were female gender (OR = 4.56, 95 % CI: 1.45-14.4), older age (OR = 1.07, 95 % CI: 1.03-1.10), low educational level (OR = 4.69, 95 % CI: 1.95-11.3) and married workers living with spouse (OR = 7.66, 95 % CI: 3.08-19.1). By contrast, factors such as age at first sexual intercourse, job category, HIV transmission and prevention measure knowledge, single workers, previous exposure to HIV intervention programs and having a casual sexual partner were not affecting condom use frequency. When considering condom use during the last sexual intercourse or during the past 12 months with commercial sexual partners, results were similar.ConclusionsWorkers with low education, older age, female gender and those married living with their spouse should be targeted for specific educational interventions.

【 授权许可】

CC BY   
© Cabezas et al. 2015