Correlates of condomuse among female sex workers in The Gambia: Results of a cross-sectional survey

Ashley L. Grosso, Esther L. Lei, Sosthenes C. Ketende, Sarah Peitzmeier, Krystal Mason, Nuha Ceesay, Daouda Diouf, Fatou Maria Drame, Jaegan Loum, Erin Papworth, Stefan Baral

Research output: Contribution to journalArticle

Abstract

Objectives. This study examined correlates of condom use among 248 female sex workers (FSW) in The Gambia. Methods. Between July and August 2011, FSW in The Gambia who were older than 16 years of age, the age of consent in The Gambia, were recruited for the study using venue-based sampling and snowball sampling, beginning with seeds who were established clients with the Network of AIDS Services Organizations. To be eligible, FSW must have reported selling sex for money, favors, or goods in the past 12 months. Bivariate and multivariate logistic regressions were used to determine associations and the relative odds of the independent variables with condom use. Four different condom use dependent variables were used: consistent condom use in the past six months during vaginal or anal sex with all clients and partners; consistent condom use in the past month during vaginal sex with new clients; consistent condomuse in the past month during vaginal sex with nonpaying partners (including boyfriends, husbands, or casual sexual partners); and condom use at last vaginal or anal sex with a nonpaying partner. Results.Many FSW (67.34%, n = 167) reported it was not at all difficult to negotiate condomuse with clients in all applicable situations, and these FSW were more likely to report consistent condom use with all clients and partners in the past 6 months (aOR 3.47, 95% CI [1.70-7.07]) compared to those perceiving any difficulty in condom negotiation. In addition, FSW were more likely to report using condoms in the past month with new clients (aOR 8.04, 95% CI [2.11-30.65]) and in the past month with nonpaying partners (aOR 2.93, 95% CI [1.09-7.89]) if they had been tested for HIV in the past year. Women who bought all their condoms were less likely than those who received all of their condoms for free (aOR 0.38, 95% CI [0.15-0.97]) to have used a condomat last vaginal or anal sex with a nonpaying partner. Conclusions. HIV and sexually transmitted infection (STI) prevention interventions for FSW should aim to improve condom negotiation self-efficacy since women who report less difficulty negotiating condom use are more likely to use condoms with clients. Interventions should also be aimed at structural issues such as increasing access to free condoms and HIV testing since these were positively associated with condomuse among FSW.

Original languageEnglish (US)
Article number1076
JournalPeerJ
Volume2015
Issue number8
DOIs
StatePublished - 2015

Fingerprint

Gambia
Sex Workers
Condoms
cross-sectional studies
Cross-Sectional Studies
Sampling
gender
Seed
Logistics
Sales
Testing
Negotiating
Sexual Behavior
HIV
self-efficacy
sexually transmitted diseases
Sexual Partners
Self Efficacy

Keywords

  • Condoms
  • Female sex workers
  • The Gambia

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)
  • Neuroscience(all)

Cite this

Grosso, A. L., Lei, E. L., Ketende, S. C., Peitzmeier, S., Mason, K., Ceesay, N., ... Baral, S. (2015). Correlates of condomuse among female sex workers in The Gambia: Results of a cross-sectional survey. PeerJ, 2015(8), [1076]. https://doi.org/10.7717/peerj.1076

Correlates of condomuse among female sex workers in The Gambia : Results of a cross-sectional survey. / Grosso, Ashley L.; Lei, Esther L.; Ketende, Sosthenes C.; Peitzmeier, Sarah; Mason, Krystal; Ceesay, Nuha; Diouf, Daouda; Drame, Fatou Maria; Loum, Jaegan; Papworth, Erin; Baral, Stefan.

In: PeerJ, Vol. 2015, No. 8, 1076, 2015.

Research output: Contribution to journalArticle

Grosso, AL, Lei, EL, Ketende, SC, Peitzmeier, S, Mason, K, Ceesay, N, Diouf, D, Drame, FM, Loum, J, Papworth, E & Baral, S 2015, 'Correlates of condomuse among female sex workers in The Gambia: Results of a cross-sectional survey', PeerJ, vol. 2015, no. 8, 1076. https://doi.org/10.7717/peerj.1076
Grosso AL, Lei EL, Ketende SC, Peitzmeier S, Mason K, Ceesay N et al. Correlates of condomuse among female sex workers in The Gambia: Results of a cross-sectional survey. PeerJ. 2015;2015(8). 1076. https://doi.org/10.7717/peerj.1076
Grosso, Ashley L. ; Lei, Esther L. ; Ketende, Sosthenes C. ; Peitzmeier, Sarah ; Mason, Krystal ; Ceesay, Nuha ; Diouf, Daouda ; Drame, Fatou Maria ; Loum, Jaegan ; Papworth, Erin ; Baral, Stefan. / Correlates of condomuse among female sex workers in The Gambia : Results of a cross-sectional survey. In: PeerJ. 2015 ; Vol. 2015, No. 8.
@article{8fe254911ef34ece9af03b85f6374800,
title = "Correlates of condomuse among female sex workers in The Gambia: Results of a cross-sectional survey",
abstract = "Objectives. This study examined correlates of condom use among 248 female sex workers (FSW) in The Gambia. Methods. Between July and August 2011, FSW in The Gambia who were older than 16 years of age, the age of consent in The Gambia, were recruited for the study using venue-based sampling and snowball sampling, beginning with seeds who were established clients with the Network of AIDS Services Organizations. To be eligible, FSW must have reported selling sex for money, favors, or goods in the past 12 months. Bivariate and multivariate logistic regressions were used to determine associations and the relative odds of the independent variables with condom use. Four different condom use dependent variables were used: consistent condom use in the past six months during vaginal or anal sex with all clients and partners; consistent condom use in the past month during vaginal sex with new clients; consistent condomuse in the past month during vaginal sex with nonpaying partners (including boyfriends, husbands, or casual sexual partners); and condom use at last vaginal or anal sex with a nonpaying partner. Results.Many FSW (67.34{\%}, n = 167) reported it was not at all difficult to negotiate condomuse with clients in all applicable situations, and these FSW were more likely to report consistent condom use with all clients and partners in the past 6 months (aOR 3.47, 95{\%} CI [1.70-7.07]) compared to those perceiving any difficulty in condom negotiation. In addition, FSW were more likely to report using condoms in the past month with new clients (aOR 8.04, 95{\%} CI [2.11-30.65]) and in the past month with nonpaying partners (aOR 2.93, 95{\%} CI [1.09-7.89]) if they had been tested for HIV in the past year. Women who bought all their condoms were less likely than those who received all of their condoms for free (aOR 0.38, 95{\%} CI [0.15-0.97]) to have used a condomat last vaginal or anal sex with a nonpaying partner. Conclusions. HIV and sexually transmitted infection (STI) prevention interventions for FSW should aim to improve condom negotiation self-efficacy since women who report less difficulty negotiating condom use are more likely to use condoms with clients. Interventions should also be aimed at structural issues such as increasing access to free condoms and HIV testing since these were positively associated with condomuse among FSW.",
keywords = "Condoms, Female sex workers, The Gambia",
author = "Grosso, {Ashley L.} and Lei, {Esther L.} and Ketende, {Sosthenes C.} and Sarah Peitzmeier and Krystal Mason and Nuha Ceesay and Daouda Diouf and Drame, {Fatou Maria} and Jaegan Loum and Erin Papworth and Stefan Baral",
year = "2015",
doi = "10.7717/peerj.1076",
language = "English (US)",
volume = "2015",
journal = "PeerJ",
issn = "2167-8359",
publisher = "PeerJ",
number = "8",

}

TY - JOUR

T1 - Correlates of condomuse among female sex workers in The Gambia

T2 - Results of a cross-sectional survey

AU - Grosso, Ashley L.

AU - Lei, Esther L.

AU - Ketende, Sosthenes C.

AU - Peitzmeier, Sarah

AU - Mason, Krystal

AU - Ceesay, Nuha

AU - Diouf, Daouda

AU - Drame, Fatou Maria

AU - Loum, Jaegan

AU - Papworth, Erin

AU - Baral, Stefan

PY - 2015

Y1 - 2015

N2 - Objectives. This study examined correlates of condom use among 248 female sex workers (FSW) in The Gambia. Methods. Between July and August 2011, FSW in The Gambia who were older than 16 years of age, the age of consent in The Gambia, were recruited for the study using venue-based sampling and snowball sampling, beginning with seeds who were established clients with the Network of AIDS Services Organizations. To be eligible, FSW must have reported selling sex for money, favors, or goods in the past 12 months. Bivariate and multivariate logistic regressions were used to determine associations and the relative odds of the independent variables with condom use. Four different condom use dependent variables were used: consistent condom use in the past six months during vaginal or anal sex with all clients and partners; consistent condom use in the past month during vaginal sex with new clients; consistent condomuse in the past month during vaginal sex with nonpaying partners (including boyfriends, husbands, or casual sexual partners); and condom use at last vaginal or anal sex with a nonpaying partner. Results.Many FSW (67.34%, n = 167) reported it was not at all difficult to negotiate condomuse with clients in all applicable situations, and these FSW were more likely to report consistent condom use with all clients and partners in the past 6 months (aOR 3.47, 95% CI [1.70-7.07]) compared to those perceiving any difficulty in condom negotiation. In addition, FSW were more likely to report using condoms in the past month with new clients (aOR 8.04, 95% CI [2.11-30.65]) and in the past month with nonpaying partners (aOR 2.93, 95% CI [1.09-7.89]) if they had been tested for HIV in the past year. Women who bought all their condoms were less likely than those who received all of their condoms for free (aOR 0.38, 95% CI [0.15-0.97]) to have used a condomat last vaginal or anal sex with a nonpaying partner. Conclusions. HIV and sexually transmitted infection (STI) prevention interventions for FSW should aim to improve condom negotiation self-efficacy since women who report less difficulty negotiating condom use are more likely to use condoms with clients. Interventions should also be aimed at structural issues such as increasing access to free condoms and HIV testing since these were positively associated with condomuse among FSW.

AB - Objectives. This study examined correlates of condom use among 248 female sex workers (FSW) in The Gambia. Methods. Between July and August 2011, FSW in The Gambia who were older than 16 years of age, the age of consent in The Gambia, were recruited for the study using venue-based sampling and snowball sampling, beginning with seeds who were established clients with the Network of AIDS Services Organizations. To be eligible, FSW must have reported selling sex for money, favors, or goods in the past 12 months. Bivariate and multivariate logistic regressions were used to determine associations and the relative odds of the independent variables with condom use. Four different condom use dependent variables were used: consistent condom use in the past six months during vaginal or anal sex with all clients and partners; consistent condom use in the past month during vaginal sex with new clients; consistent condomuse in the past month during vaginal sex with nonpaying partners (including boyfriends, husbands, or casual sexual partners); and condom use at last vaginal or anal sex with a nonpaying partner. Results.Many FSW (67.34%, n = 167) reported it was not at all difficult to negotiate condomuse with clients in all applicable situations, and these FSW were more likely to report consistent condom use with all clients and partners in the past 6 months (aOR 3.47, 95% CI [1.70-7.07]) compared to those perceiving any difficulty in condom negotiation. In addition, FSW were more likely to report using condoms in the past month with new clients (aOR 8.04, 95% CI [2.11-30.65]) and in the past month with nonpaying partners (aOR 2.93, 95% CI [1.09-7.89]) if they had been tested for HIV in the past year. Women who bought all their condoms were less likely than those who received all of their condoms for free (aOR 0.38, 95% CI [0.15-0.97]) to have used a condomat last vaginal or anal sex with a nonpaying partner. Conclusions. HIV and sexually transmitted infection (STI) prevention interventions for FSW should aim to improve condom negotiation self-efficacy since women who report less difficulty negotiating condom use are more likely to use condoms with clients. Interventions should also be aimed at structural issues such as increasing access to free condoms and HIV testing since these were positively associated with condomuse among FSW.

KW - Condoms

KW - Female sex workers

KW - The Gambia

UR - http://www.scopus.com/inward/record.url?scp=84940367188&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84940367188&partnerID=8YFLogxK

U2 - 10.7717/peerj.1076

DO - 10.7717/peerj.1076

M3 - Article

C2 - 26290781

AN - SCOPUS:84940367188

VL - 2015

JO - PeerJ

JF - PeerJ

SN - 2167-8359

IS - 8

M1 - 1076

ER -