Community Savings Groups, Financial Security, and HIV Risk Among Female Sex Workers in Iringa, Tanzania

Andrea Mantsios, Noya Galai, Jessie Mbwambo, Samuel Likindikoki, Catherine Shembilu, Ard Mwampashi, S. W. Beckham, Anna Leddy, Wendy Davis, Susan Sherman, Caitlin Kennedy, Deanna Kerrigan

Research output: Contribution to journalArticle

Abstract

This study assessed the association between community savings group participation and consistent condom use (CCU) among female sex workers (FSW) in Iringa, Tanzania. Using cross-sectional data from a survey of venue-based FSW (n = 496), logistic regression was used to examine the associations between financial indicators including community savings group participation and CCU. Over one-third (35%) of the women participated in a savings group. Multivariable regression results indicated that participating in a savings group was significantly associated with nearly two times greater odds of CCU with new clients in the last 30 days (aOR = 1.77, 95% CI 1.10–2.86). Exploratory mediation analysis indicated that the relationship between savings group participation and CCU was partially mediated by financial security, as measured by monthly income. Findings indicate that community savings groups may play an important role in reducing sexual risk behaviors of FSW and hold promise as part of comprehensive, community-led HIV prevention strategies among FSW.

Original languageEnglish (US)
Pages (from-to)3742-3750
Number of pages9
JournalAIDS and behavior
Volume22
Issue number11
DOIs
StatePublished - Nov 1 2018

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Keywords

  • Community savings groups
  • Economic strengthening interventions
  • Female sex workers
  • Financial security
  • HIV
  • Tanzania

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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