Early sex work initiation and condom use among alcohol-using female sex workers in Mombasa, Kenya: a cross-sectional analysis
ObjectivesEarly initiation of sex work is prevalent among female sex workers (FSWs) worldwide. The objectives of this study were to investigate if early initiation of sex work was associated with: (1) consistent condom use, (2) condom negotiation self-efficacy or (3) condom use norms among alcohol-u...
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| Veröffentlicht in: | Sexually transmitted infections 2016-12, Vol.92 (8), p.593-598 |
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| creator | Parcesepe, Angela M L'Engle, Kelly L Martin, Sandra L Green, Sherri Suchindran, Chirayath Mwarogo, Peter |
| description | ObjectivesEarly initiation of sex work is prevalent among female sex workers (FSWs) worldwide. The objectives of this study were to investigate if early initiation of sex work was associated with: (1) consistent condom use, (2) condom negotiation self-efficacy or (3) condom use norms among alcohol-using FSWs in Mombasa, Kenya.MethodsIn-person interviews were conducted with 816 FSWs in Mombasa, Kenya. Sample participants were: recruited from HIV prevention drop-in centres, 18 years or older and moderate risk drinkers. Early initiation was defined as first engaging in sex work at 17 years or younger. Logistic regression modelled outcomes as a function of early initiation, adjusting for drop-in centre, years in sex work, supporting others and HIV status.ResultsFSWs who initiated sex work early were significantly less likely to report consistent condom use with paying sex partners compared with those who initiated sex work in adulthood. There was no significant difference between groups in consistent condom use with non-paying sex partners. FSWs who initiated sex work early endorsed less condom negotiation self-efficacy with paying sex partners compared with FSWs who did not initiate sex work early.ConclusionsFindings highlight a need for early intervention for at-risk youth and adolescent FSWs, particularly in relation to HIV sexual risk behaviours. Evidence-based interventions for adolescent FSWs or adult FSWs who began sex work in adolescence should be developed, implemented and evaluated. |
| doi_str_mv | 10.1136/sextrans-2016-052549 |
| format | Article |
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The objectives of this study were to investigate if early initiation of sex work was associated with: (1) consistent condom use, (2) condom negotiation self-efficacy or (3) condom use norms among alcohol-using FSWs in Mombasa, Kenya.MethodsIn-person interviews were conducted with 816 FSWs in Mombasa, Kenya. Sample participants were: recruited from HIV prevention drop-in centres, 18 years or older and moderate risk drinkers. Early initiation was defined as first engaging in sex work at 17 years or younger. Logistic regression modelled outcomes as a function of early initiation, adjusting for drop-in centre, years in sex work, supporting others and HIV status.ResultsFSWs who initiated sex work early were significantly less likely to report consistent condom use with paying sex partners compared with those who initiated sex work in adulthood. There was no significant difference between groups in consistent condom use with non-paying sex partners. FSWs who initiated sex work early endorsed less condom negotiation self-efficacy with paying sex partners compared with FSWs who did not initiate sex work early.ConclusionsFindings highlight a need for early intervention for at-risk youth and adolescent FSWs, particularly in relation to HIV sexual risk behaviours. Evidence-based interventions for adolescent FSWs or adult FSWs who began sex work in adolescence should be developed, implemented and evaluated.</description><identifier>ISSN: 1368-4973</identifier><identifier>EISSN: 1472-3263</identifier><identifier>DOI: 10.1136/sextrans-2016-052549</identifier><identifier>PMID: 27217378</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adults ; Age ; Alcohol Drinking - psychology ; Binomial distribution ; Child development ; Condoms ; Condoms - utilization ; Data collection ; Disease prevention ; Endorsements ; Evidence-Based Practice ; Female ; Harm Reduction ; Health Knowledge, Attitudes, Practice ; Health services ; HIV ; HIV Infections - prevention & control ; HIV Infections - psychology ; HIV Infections - transmission ; Human immunodeficiency virus ; Humans ; Kenya ; Marital status ; Negotiating ; Population ; Prevalence ; Sex industry ; Sex Workers - psychology ; Sexual Behavior - psychology ; Sexual Behavior - statistics & numerical data ; Sexual Partners - psychology ; Sociodemographics ; Studies ; Teenagers</subject><ispartof>Sexually transmitted infections, 2016-12, Vol.92 (8), p.593-598</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.</rights><rights>Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b476t-4eb49760a9ae69e782d8f48d5e6a1aed32e7ccf326b7d744ae7c84413f3e3bd73</citedby><cites>FETCH-LOGICAL-b476t-4eb49760a9ae69e782d8f48d5e6a1aed32e7ccf326b7d744ae7c84413f3e3bd73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://sti.bmj.com/content/92/8/593.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://sti.bmj.com/content/92/8/593.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,780,784,885,3196,23571,27924,27925,77600,77631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27217378$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Parcesepe, Angela M</creatorcontrib><creatorcontrib>L'Engle, Kelly L</creatorcontrib><creatorcontrib>Martin, Sandra L</creatorcontrib><creatorcontrib>Green, Sherri</creatorcontrib><creatorcontrib>Suchindran, Chirayath</creatorcontrib><creatorcontrib>Mwarogo, Peter</creatorcontrib><title>Early sex work initiation and condom use among alcohol-using female sex workers in Mombasa, Kenya: a cross-sectional analysis</title><title>Sexually transmitted infections</title><addtitle>Sex Transm Infect</addtitle><description>ObjectivesEarly initiation of sex work is prevalent among female sex workers (FSWs) worldwide. The objectives of this study were to investigate if early initiation of sex work was associated with: (1) consistent condom use, (2) condom negotiation self-efficacy or (3) condom use norms among alcohol-using FSWs in Mombasa, Kenya.MethodsIn-person interviews were conducted with 816 FSWs in Mombasa, Kenya. Sample participants were: recruited from HIV prevention drop-in centres, 18 years or older and moderate risk drinkers. Early initiation was defined as first engaging in sex work at 17 years or younger. Logistic regression modelled outcomes as a function of early initiation, adjusting for drop-in centre, years in sex work, supporting others and HIV status.ResultsFSWs who initiated sex work early were significantly less likely to report consistent condom use with paying sex partners compared with those who initiated sex work in adulthood. There was no significant difference between groups in consistent condom use with non-paying sex partners. FSWs who initiated sex work early endorsed less condom negotiation self-efficacy with paying sex partners compared with FSWs who did not initiate sex work early.ConclusionsFindings highlight a need for early intervention for at-risk youth and adolescent FSWs, particularly in relation to HIV sexual risk behaviours. Evidence-based interventions for adolescent FSWs or adult FSWs who began sex work in adolescence should be developed, implemented and evaluated.</description><subject>Adults</subject><subject>Age</subject><subject>Alcohol Drinking - psychology</subject><subject>Binomial distribution</subject><subject>Child development</subject><subject>Condoms</subject><subject>Condoms - utilization</subject><subject>Data collection</subject><subject>Disease prevention</subject><subject>Endorsements</subject><subject>Evidence-Based Practice</subject><subject>Female</subject><subject>Harm Reduction</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health services</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>HIV Infections - transmission</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Kenya</subject><subject>Marital status</subject><subject>Negotiating</subject><subject>Population</subject><subject>Prevalence</subject><subject>Sex industry</subject><subject>Sex Workers - psychology</subject><subject>Sexual Behavior - psychology</subject><subject>Sexual Behavior - statistics & numerical data</subject><subject>Sexual Partners - psychology</subject><subject>Sociodemographics</subject><subject>Studies</subject><subject>Teenagers</subject><issn>1368-4973</issn><issn>1472-3263</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkUtv1TAQhS0EoqXwDxCyxIZFQ-NHbIdFJVSVhyhiA2trkkxaXxy72An0LvjvONz2ClghWbJHPvNpzhxCnrL6JWNCnWS8mROEXPGaqapueCPbe-SQSc0rwZW4X95CmUq2WhyQRzlv6rpWumkfkgOuOdNCm0Py8xyS39ICoz9i-kpdcLOD2cVAIQy0j2GIE10yUphiuKTg-3gVfbVkV6oRJ_C478aUC4B-jFMHGY7pBwxbeEWB9inmXGXsVzD4gga_zS4_Jg9G8Bmf3N5H5Mub889n76qLT2_fn72-qDqp1VxJ7IoLVUMLqFrUhg9mlGZoUAEDHARH3fdjcd3pQUsJpTRSMjEKFN2gxRE53XGvl27CocdQVuftdXITpK2N4OzfP8Fd2cv43TacNcbIAnhxC0jx24J5tpPLPXoPAeOSLTNcKdOypi7S5_9IN3FJxfCqkg1fzzqR3Kl-rybhuB-G1XbN197la9d87S7f0vbsTyP7prtAi-BkJ-imzf8hfwFmn7Xt</recordid><startdate>20161201</startdate><enddate>20161201</enddate><creator>Parcesepe, Angela M</creator><creator>L'Engle, Kelly L</creator><creator>Martin, Sandra L</creator><creator>Green, Sherri</creator><creator>Suchindran, Chirayath</creator><creator>Mwarogo, Peter</creator><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20161201</creationdate><title>Early sex work initiation and condom use among alcohol-using female sex workers in Mombasa, Kenya: a cross-sectional analysis</title><author>Parcesepe, Angela M ; L'Engle, Kelly L ; Martin, Sandra L ; Green, Sherri ; Suchindran, Chirayath ; Mwarogo, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b476t-4eb49760a9ae69e782d8f48d5e6a1aed32e7ccf326b7d744ae7c84413f3e3bd73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adults</topic><topic>Age</topic><topic>Alcohol Drinking - psychology</topic><topic>Binomial distribution</topic><topic>Child development</topic><topic>Condoms</topic><topic>Condoms - utilization</topic><topic>Data collection</topic><topic>Disease prevention</topic><topic>Endorsements</topic><topic>Evidence-Based Practice</topic><topic>Female</topic><topic>Harm Reduction</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health services</topic><topic>HIV</topic><topic>HIV Infections - prevention & control</topic><topic>HIV Infections - psychology</topic><topic>HIV Infections - transmission</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Kenya</topic><topic>Marital status</topic><topic>Negotiating</topic><topic>Population</topic><topic>Prevalence</topic><topic>Sex industry</topic><topic>Sex Workers - psychology</topic><topic>Sexual Behavior - psychology</topic><topic>Sexual Behavior - statistics & numerical data</topic><topic>Sexual Partners - psychology</topic><topic>Sociodemographics</topic><topic>Studies</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Parcesepe, Angela M</creatorcontrib><creatorcontrib>L'Engle, Kelly L</creatorcontrib><creatorcontrib>Martin, Sandra L</creatorcontrib><creatorcontrib>Green, Sherri</creatorcontrib><creatorcontrib>Suchindran, Chirayath</creatorcontrib><creatorcontrib>Mwarogo, Peter</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sexually transmitted infections</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Parcesepe, Angela M</au><au>L'Engle, Kelly L</au><au>Martin, Sandra L</au><au>Green, Sherri</au><au>Suchindran, Chirayath</au><au>Mwarogo, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early sex work initiation and condom use among alcohol-using female sex workers in Mombasa, Kenya: a cross-sectional analysis</atitle><jtitle>Sexually transmitted infections</jtitle><addtitle>Sex Transm Infect</addtitle><date>2016-12-01</date><risdate>2016</risdate><volume>92</volume><issue>8</issue><spage>593</spage><epage>598</epage><pages>593-598</pages><issn>1368-4973</issn><eissn>1472-3263</eissn><abstract>ObjectivesEarly initiation of sex work is prevalent among female sex workers (FSWs) worldwide. The objectives of this study were to investigate if early initiation of sex work was associated with: (1) consistent condom use, (2) condom negotiation self-efficacy or (3) condom use norms among alcohol-using FSWs in Mombasa, Kenya.MethodsIn-person interviews were conducted with 816 FSWs in Mombasa, Kenya. Sample participants were: recruited from HIV prevention drop-in centres, 18 years or older and moderate risk drinkers. Early initiation was defined as first engaging in sex work at 17 years or younger. Logistic regression modelled outcomes as a function of early initiation, adjusting for drop-in centre, years in sex work, supporting others and HIV status.ResultsFSWs who initiated sex work early were significantly less likely to report consistent condom use with paying sex partners compared with those who initiated sex work in adulthood. There was no significant difference between groups in consistent condom use with non-paying sex partners. FSWs who initiated sex work early endorsed less condom negotiation self-efficacy with paying sex partners compared with FSWs who did not initiate sex work early.ConclusionsFindings highlight a need for early intervention for at-risk youth and adolescent FSWs, particularly in relation to HIV sexual risk behaviours. Evidence-based interventions for adolescent FSWs or adult FSWs who began sex work in adolescence should be developed, implemented and evaluated.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>27217378</pmid><doi>10.1136/sextrans-2016-052549</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adults Age Alcohol Drinking - psychology Binomial distribution Child development Condoms Condoms - utilization Data collection Disease prevention Endorsements Evidence-Based Practice Female Harm Reduction Health Knowledge, Attitudes, Practice Health services HIV HIV Infections - prevention & control HIV Infections - psychology HIV Infections - transmission Human immunodeficiency virus Humans Kenya Marital status Negotiating Population Prevalence Sex industry Sex Workers - psychology Sexual Behavior - psychology Sexual Behavior - statistics & numerical data Sexual Partners - psychology Sociodemographics Studies Teenagers |
| title | Early sex work initiation and condom use among alcohol-using female sex workers in Mombasa, Kenya: a cross-sectional analysis |
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