CHARME-India Project, Bangalore, India.
Sex Transm Infect. 2010 Feb;86 Suppl 1(Suppl_1):i44-8. doi: 10.1136/sti.2009.038398.
OBJECTIVES: A key indicator of success of HIV prevention programmes is the number of female sex worker (FSW) sex acts protected by condoms. This measure usually relies on FSW reports, which may be biased. We examined condom availability data in five Karnataka districts to estimate the proportion of FSW sex acts potentially protected by condoms. METHODS: Financial, programme, population, condom and contraceptive data were obtained from governmental and non-governmental sources, surveys and HIV prevention programmes. Sexual behaviour data were obtained from general population and FSW surveys. We examined four scenarios in a sensitivity analysis, each one assuming different proportions of available condoms that might have been used by sex workers. RESULTS: Possible condom use rates for all FSW sex acts ranged from 3%-36% in 2004 to 56%-96% in 2008. The two most realistic scenarios that discounted the number of private sector condoms that might have been bought for sex acts other than with FSWs showed that 16-24% of FSW sex acts could have been protected by condoms in 2004 rising to 77-85% in 2008. CONCLUSIONS: These data suggest that condom availability in these Karnataka districts in 2004 was low in relation to the number of FSW sex acts, but rose substantially over the ensuing 4 years. Condom availability data can be useful for triangulation with other available data, such as self-reported condom use, to provide a range of possibilities regarding the number of FSW sex acts protected by condoms.
目的:艾滋病预防项目成功的一个关键指标是女性性工作者(FSW)安全套保护性行为的数量。这一衡量标准通常依赖于 FSW 报告,但这些报告可能存在偏差。我们检查了卡纳塔克邦五个地区的 condom 可及性数据,以估计 condom 可能保护的 FSW 性活动比例。
方法:我们从政府和非政府来源、调查和艾滋病预防项目中获取了财务、项目、人口、condom 和避孕数据。性行为数据则从一般人群和 FSW 调查中获取。我们在敏感性分析中检查了四个场景,每个场景都假设了不同比例的 condom 可能被性工作者使用。
结果:2004 年至 2008 年,所有 FSW 性活动中 condom 可能使用率的范围从 3%到 36%,到 56%到 96%。两个最现实的场景考虑到私营部门 condom 可能用于与 FSW 无关的性行为,结果显示,2004 年有 16-24%的 FSW 性活动可能得到 condom 保护,到 2008 年上升到 77-85%。
结论:这些数据表明,2004 年卡纳塔克邦这些地区的 condom 可及性与 FSW 性活动数量相比很低,但在接下来的 4 年中大幅上升。 condom 可及性数据可以与其他可用数据(如自我报告的 condom 使用情况)进行三角测量,为 condom 保护的 FSW 性活动数量提供一系列可能性。
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