Social cohesion, condom use, and sexually transmitted infections among female sex workers living with HIV in the Dominican Republic

M. A. Carrasco, C. Barrington, M. Perez, Y. Donastorg, Deanna Kerrigan

Research output: Contribution to journalArticle

Abstract

This cross-sectional study examines the relationship between social cohesion with consistent condom use (CCU) and sexually transmitted infections (STIs) among the Abriendo Puertas (Opening Doors) cohort of female sex workers (FSWs) living with human immunodeficiency virus (HIV) in the Dominican Republic (n = 228). Using data from the follow-up survey of the cohort, we conducted multivariate logistic regression to explore these dynamics. Social cohesion was significantly associated with CCU between FSWs living with HIV and their clients in the last month (adjusted odds ratio [AOR] = 1.65, 95% confidence interval [CI]: 1.11–2.45) and STI prevalence among FSWs (AOR: 3.76, CI: 1.159–12.162). Social cohesion was not associated with CCU between FSWs living with HIV and their steady partners. However, both illicit drug use in the past six months (AOR = 0.11, CI: 0.023–0.57) and pregnancy intentions (AOR = 0.11; CI: 0.02–0.42) were significantly associated with CCU with steady partners. Findings highlight the differential role of social cohesion on condom use outcomes between FSWs living with HIV and their paying clients versus steady partners. Research on the pathways via which cohesion influences condom use among sex workers and their clients is merited, as is research regarding the role of drug use and pregnancy intentions on condom use with steady partners.

Original languageEnglish (US)
JournalInternational Journal of STD and AIDS
DOIs
StateAccepted/In press - Jan 1 2018

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Dominican Republic
Sex Workers
Condoms
Sexually Transmitted Diseases
HIV
Odds Ratio
Confidence Intervals
Pregnancy
Street Drugs
Research
Cross-Sectional Studies
Logistic Models

Keywords

  • Dominican Republic
  • female sex workers
  • HIV
  • sexually transmitted infections
  • Social cohesion

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Pharmacology (medical)
  • Infectious Diseases

Cite this

Social cohesion, condom use, and sexually transmitted infections among female sex workers living with HIV in the Dominican Republic. / Carrasco, M. A.; Barrington, C.; Perez, M.; Donastorg, Y.; Kerrigan, Deanna.

In: International Journal of STD and AIDS, 01.01.2018.

Research output: Contribution to journalArticle

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