Department of Health, Behavior and Society, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.
Department of Epidemiology, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
AIDS Behav. 2018 Nov;22(11):3742-3750. doi: 10.1007/s10461-018-2065-x.
This study assessed the association between community savings group participation and consistent condom use (CCU) among female sex workers (FSW) in Iringa, Tanzania. Using cross-sectional data from a survey of venue-based FSW (n = 496), logistic regression was used to examine the associations between financial indicators including community savings group participation and CCU. Over one-third (35%) of the women participated in a savings group. Multivariable regression results indicated that participating in a savings group was significantly associated with nearly two times greater odds of CCU with new clients in the last 30 days (aOR = 1.77, 95% CI 1.10-2.86). Exploratory mediation analysis indicated that the relationship between savings group participation and CCU was partially mediated by financial security, as measured by monthly income. Findings indicate that community savings groups may play an important role in reducing sexual risk behaviors of FSW and hold promise as part of comprehensive, community-led HIV prevention strategies among FSW.
本研究评估了坦桑尼亚伊林加社区储蓄小组参与情况与性工作者（FSW）坚持使用安全套（CCU）之间的关联。本研究使用基于场所的 FSW 调查的横断面数据（n=496），采用逻辑回归检验了包括社区储蓄小组参与情况在内的金融指标与 CCU 之间的关联。超过三分之一（35%）的女性参加了储蓄小组。多变量回归结果表明，与新客户在过去 30 天内发生性行为时坚持使用安全套相比，参加储蓄小组的可能性几乎高出两倍（优势比[OR] = 1.77，95%置信区间 [CI] 为 1.10-2.86）。探索性中介分析表明，储蓄小组参与情况与 CCU 之间的关系部分通过财务安全（以月收入衡量）进行中介。研究结果表明，社区储蓄小组可能在减少 FSW 的性风险行为方面发挥重要作用，并有望成为 FSW 综合社区主导型 HIV 预防策略的一部分。
