Perceived control over condom use among sex workers in Madagascar: a cohort study

<p>Abstract</p> <p>Background</p> <p>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 t...

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Main Authors: Penman-Aguilar Ana, Randrianasolo Bodo, Raharinivo Mbolatiana SM, Khan Maria, Swezey Teresa, Turner Abigail, Pettifor Audrey, Van Damme Kathleen, Jamieson Denise J, Behets Frieda
Format: Article
Language:English
Published: BMC 2010-01-01
Series:BMC Women's Health
Online Access:http://www.biomedcentral.com/1472-6874/10/4
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author Penman-Aguilar Ana
Randrianasolo Bodo
Raharinivo Mbolatiana SM
Khan Maria
Swezey Teresa
Turner Abigail
Pettifor Audrey
Van Damme Kathleen
Jamieson Denise J
Behets Frieda
author_facet Penman-Aguilar Ana
Randrianasolo Bodo
Raharinivo Mbolatiana SM
Khan Maria
Swezey Teresa
Turner Abigail
Pettifor Audrey
Van Damme Kathleen
Jamieson Denise J
Behets Frieda
author_sort Penman-Aguilar Ana
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>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.</p>
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spelling doaj.art-33d63014d2f244e9904fde9fcde782802022-12-21T20:55:58ZengBMCBMC Women's Health1472-68742010-01-01101410.1186/1472-6874-10-4Perceived control over condom use among sex workers in Madagascar: a cohort studyPenman-Aguilar AnaRandrianasolo BodoRaharinivo Mbolatiana SMKhan MariaSwezey TeresaTurner AbigailPettifor AudreyVan Damme KathleenJamieson Denise JBehets Frieda<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>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.</p>http://www.biomedcentral.com/1472-6874/10/4
spellingShingle Penman-Aguilar Ana
Randrianasolo Bodo
Raharinivo Mbolatiana SM
Khan Maria
Swezey Teresa
Turner Abigail
Pettifor Audrey
Van Damme Kathleen
Jamieson Denise J
Behets Frieda
Perceived control over condom use among sex workers in Madagascar: a cohort study
BMC Women's Health
title Perceived control over condom use among sex workers in Madagascar: a cohort study
title_full Perceived control over condom use among sex workers in Madagascar: a cohort study
title_fullStr Perceived control over condom use among sex workers in Madagascar: a cohort study
title_full_unstemmed Perceived control over condom use among sex workers in Madagascar: a cohort study
title_short Perceived control over condom use among sex workers in Madagascar: a cohort study
title_sort perceived control over condom use among sex workers in madagascar a cohort study
url http://www.biomedcentral.com/1472-6874/10/4
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