Perceived Control over Condom Use among Sex Workers in Madagascar: A Cohort Study [Open Access]
Journal Article
Pettifor, Audrey E.
Norris Turner, Abigail
Swezey, Teresa A.
Khan, Maria R.
Raharinivo, Mbolatiana S. M.
Randrianasolo, Bodo
Penman-Aguilar, Ana
Van Damme, Kathleen
Jamieson, Denise J.
Behets, Frieda M.-T. F.
2010
BMC Women's Health
10
4
10.1186/1472-6874-10-4
PMC2828400
4435
BACKGROUND: Women'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. METHODS: We 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. RESULTS: In 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. CONCLUSION: Perceived 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.
Sexual Behavior, Contraceptive Use, and Reproductive Health
4435.ris
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