scholarly journals Low program access despite high burden of sexual, structural, and reproductive health vulnerabilities among young women who sell sex in Mombasa, Kenya

2020 ◽  
Author(s):  
Elizabeth Roberts ◽  
Huiting Ma ◽  
Parinita Bhattacharjee ◽  
Helgar K Musyoki ◽  
Peter Gichangi ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Condom Use ◽  
Young Women ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Sub Saharan Africa ◽  
Age Group ◽  
Inconsistent Condom ◽  
Female Sex ◽  
Inconsistent Condom Use

Abstract Background: Across Sub-Saharan Africa, young women who sell sex (YSW) face institutional barriers in accessing sexual health and HIV prevention programs designed for female sex workers. In 2018, Kenya developed a national framework to guide service provision for YSW aged 14 – 24 years. To help inform the implementation of the framework, we estimated the burden of vulnerabilities related to the Sustainable Development Goals (SDGs related to health and gender equality) and program contact among YSW. Methods: We used data from Transitions, a 2015 bio-behavioural cross-sectional survey of 408 YSW aged 14 – 24 years in Mombasa, Kenya. We estimated the prevalence of sexual (inconsistent condom use), structural (financial, violence), and reproductive health vulnerabilities; and characterized engagement with local HIV programs tailored to sex workers. We then compared the prevalence of vulnerabilities by age group (14 – 18 years, N=117; 19 – 24 years, N=291) and by program contact (ever contacted by local program for sex workers). Results: 47.3% reported inconsistent condom use with any partner in the previous week (no difference by age-group, p=1.00) . Structural vulnerabilities were common and did not vary by age: 83.6% did not have a regular source of income; 29.9% and 29.2% had experienced physical and sexual violence, respectively. 26.5% reported at least one pregnancy before age 18, and 18.5% used a non-reliable form of contraception with little variability by age. 25.7% were aware of at least one program, and only 13.7% of YSW had ever been contacted by a program (8.5% of those aged 14 – 18 years; and 15.8% of those aged 19 – 24 years, p=0.06). Sexual, structural, and reproductive health vulnerabilities did not vary by program contact. Conclusions: SDG-related vulnerabilities begin early in the lives of YSW who are not currently reached by programs designed for female sex workers.

scholarly journals Low program access despite high burden of sexual, structural, and reproductive health vulnerabilities among young women who sell sex in Mombasa, Kenya

2020 ◽  
Author(s):  
Elizabeth Roberts ◽  
Huiting Ma ◽  
Parinita Bhattacharjee ◽  
Helgar K Musyoki ◽  
Peter Gichangi ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Condom Use ◽  
Young Women ◽  
Sex Workers ◽  
Sub Saharan Africa ◽  
Cross Sectional Survey ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Sub Saharan ◽  
Inconsistent Condom Use

Abstract Background: Across Sub-Saharan Africa, young women who sell sex (YSW) face institutional barriers in accessing sexual health and HIV prevention programs designed for female sex workers. In 2018, Kenya developed a national framework to guide service provision for YSW aged 14 – 24 years. To help inform the implementation of the framework, we estimated the burden of vulnerabilities related to the Sustainable Development Goals (SDGs) and program contact among YSW. Methods: We used data from Transitions, a 2015 bio-behavioural cross-sectional survey of 408 YSW aged 14 – 24 years in Mombasa, Kenya. We estimated the prevalence of sexual (inconsistent condom use), structural (financial, violence), and reproductive health vulnerabilities; and characterized engagement with local HIV programs tailored to sex workers. We then compared the prevalence of vulnerabilities by age group (14 – 18 years, N=117; 19 – 24 years, N=291) and by program contact (ever contacted by local program for sex workers). Results: 47.3% reported inconsistent condom use in the previous week with little variability by age. Structural vulnerabilities were common and did not vary by age: 83.6% did not have a regular source of income; 29.9% and 29.2% had experienced physical and sexual violence, respectively. 26.5% reported at least one pregnancy before age 18, and 18.5% used a non-reliable form of contraception with little variability by age. 25.7% were aware of at least one program, and only 13.7% of YSW had ever been contacted by a program (8.5% of those aged 14 – 18 years; and 15.8% of those aged 19 – 24 years, p=0.06). Sexual, structural, and reproductive health vulnerabilities did not vary by program contact. Conclusions: SDG-related vulnerabilities begin early in the lives of YSW and current programs are not reaching them.

scholarly journals Low program access despite high burden of sexual, structural, and reproductive health vulnerabilities among young women who sell sex in Kenya

2019 ◽  
Author(s):  
Elizabeth Roberts ◽  
Huiting Ma ◽  
Parinita Bhattacharjee ◽  
Helgar K Musyoki ◽  
Peter Gichangi ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Condom Use ◽  
Young Women ◽  
Sex Workers ◽  
Service Provision ◽  
Sub Saharan Africa ◽  
Cross Sectional Survey ◽  
Inconsistent Condom ◽  
National Framework ◽  
Inconsistent Condom Use

Abstract Background: Across Sub-Saharan Africa, young women who sell sex (YSW) face institutional barriers in accessing sexual health and HIV prevention programs designed for female sex workers. In 2018, Kenya developed a national framework to guide service provision for YSW aged 14 – 24 years. To help inform the implementation of the framework, we estimated the burden of vulnerabilities related to the Sustainable Development Goals (SDGs) and program contact among YSW. Methods: We used data from Transitions, a 2015 bio-behavioural cross-sectional survey of 408 YSW aged 14 – 24 years in Mombasa, Kenya. We estimated the prevalence of sexual (inconsistent condom use), structural (financial, violence), and reproductive health vulnerabilities; and characterized engagement with local HIV programs tailored to sex workers. We then compared the prevalence of vulnerabilities by age group (14 – 18 years, N=117; 19 – 24 years, N=291) and by program contact (ever contacted by local program for sex workers). Results: 47.3% reported inconsistent condom use in the previous week with little variability by age. Structural vulnerabilities were common and did not vary by age: 83.6% did not have a regular source of income; 29.9% and 29.2% had experienced physical and sexual violence, respectively. 26.5% reported at least one pregnancy before age 18, and 18.5% used a non-reliable form of contraception with little variability by age. 25.7% were aware of at least one program, and only 13.7% of YSW had ever been contacted by a program (8.5% of those aged 14 – 18 years; and 15.8% of those aged 19 – 24 years, p=0.06). Sexual, structural, and reproductive health vulnerabilities did not vary by program contact. Conclusions: SDG-related vulnerabilities begin early in the lives of YSW and current programs are not reaching them. Kenya’s 2018 national framework for YSW service provision offers an opportunity - via a pragmatic and rights-based paradigm shift in health services - to reduce vulnerabilities at the intersection of adolescence and sex work.

Prevalence and correlates of inconsistent condom use among female sex workers in Armenia

Sexual Health ◽  
2011 ◽  
Vol 8 (2) ◽  
pp. 259 ◽  
Author(s):  
Karine Markosyan ◽  
Delia L. Lang ◽  
Nelli Darbinyan ◽  
Ralph J. DiClemente ◽  
Laura F. Salazar
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Inconsistent Condom ◽  
Female Sex ◽  
Inconsistent Condom Use

scholarly journals Inconsistent condom use by male clients during anal intercourse with occasional and regular female sex workers (FSWs): survey findings from southern states of India

BMJ Open ◽  
2014 ◽  
Vol 4 (11) ◽  
pp. e005166 ◽  
Author(s):  
Shreena Ramanathan ◽  
Karikalan Nagarajan ◽  
Lakshmi Ramakrishnan ◽  
Mandar K Mainkar ◽  
Prabuddhagopal Goswami ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Anal Intercourse ◽  
Inconsistent Condom ◽  
Southern States ◽  
Female Sex ◽  
Male Clients ◽  
Inconsistent Condom Use

Reasons for Inconsistent Condom Use with Female Sex Workers Measure

2012 ◽  
Author(s):  
Eileen V. Pitpitan ◽  
Karla D. Wagner ◽  
David Goodman-Meza ◽  
Shirley J. Semple ◽  
Claudia Chavarin ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Inconsistent Condom ◽  
Female Sex ◽  
Inconsistent Condom Use

Prevalence and associated factors of condom use during commercial sex by female sex workers who were or were not injecting drug users in China

Sexual Health ◽  
2012 ◽  
Vol 9 (4) ◽  
pp. 368 ◽  
Author(s):  
Joseph T. F. Lau ◽  
Jing Gu ◽  
Hi Yi Tsui ◽  
Hongyao Chen ◽  
Eleanor Holroyd ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Odds Ratio ◽  
Female Sex Workers ◽  
Unprotected Sex ◽  
Commercial Sex ◽  
Inconsistent Condom ◽  
Female Sex ◽  
Psychosocial Conditions ◽  
Inconsistent Condom Use

Objectives We compared the prevalence of inconsistent condom use during commercial sex between female sex workers (FSWs) who did or did not inject drugs (FSW-IDUs and FSW-NIDUs) and investigated factors associated with this inconsistent use within these two groups. Methods: Some 158 FSW-NIDUs recruited from sex work venues and 218 FSW-IDUs recruited via the snowball sampling method were interviewed anonymously. Results: Only 16.5% of the FSW-IDUs and 51.3% of the FSW-NIDUs had used condoms consistently during commercial sex in the last month (odds ratio (OR) = 0.19). Factors significantly associated with inconsistent condom use in both groups included: behavioural intention for condom use (adjusted odds ratio (AOR) = 0.05 and 0.13), condom unavailability (AOR = 4.77 and 5.33), a perceived need to engage in unprotected sex if the client paid more (AOR = 8.74 and 10.84) or insisted on demanding unprotected sex (AOR = 19.78 and 7.59), and submissive gender power (AOR = 11.65 and 2.58). One factor, perceived susceptibility (AOR = 2.64), was significant only among FSW-NIDUs, whereas perceived efficacy of condom use in preventing HIV transmission (AOR = 0.08), perceptions that peer FSWs would not use condoms with clients (AOR = 2.23), self-hatred (AOR = 2.25) and lack of social support (AOR = 2.93) were significant only among FSW-IDUs. Injecting with used syringes was also associated with inconsistent condom use among FSW-IDUs (AOR = 4.64). Conclusions: FSW-IDUs were more likely than FSW-NIDUs to possess the cognitive and psychosocial conditions associated with unprotected commercial sex. Interventions need to take these differences into account.

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