Community Research and Training Institute, Yaoundé, Cameroon.
Ministry of Public Health, Yaoundé, Cameroon.
PLoS One. 2018 Jun 18;13(6):e0198853. doi: 10.1371/journal.pone.0198853. eCollection 2018.
The purpose of this study was to examine the relationship between socio-demographic characteristics, risky sexual behaviour, alcohol use and transactional sex among female bar workers in Yaounde, Cameroon.
A cross-sectional survey was conducted among a representative sample of 410 female bar workers, recruited through a modified version of venue-based cluster sampling technique from May to June 2017. Transactional sex was defined as having received money/gifts in exchange for sex with any sexual partner in the past 12 months. Logistic regression models were performed to identify the factors associated with transactional sex. The level of statistical significance was set at p< = 0.05.
About 14.9% (n = 61) of respondents reported to have engaged in transactional sex, 83.7% (n = 338) had multiple sexual partners at the time of the study, 14.4% (n = 55) had sex with one or more of their male customers in the past 6 months. Almost 73.4% (n = 301) reported alcohol use. Of these, 37.2% (n = 112) were frequent alcohol consumers. About 17.6% (n = 72) reported to have had unprotected sex under the influence of alcohol in the past 6 months. Multivariate logistic regression analysis showed that those who engaged in transactional sex were more likely to have had sex with a male customer in the past 6 months (aOR = 7.34; 95% CI, 3.63-16.98), had sex under the influence of alcohol in the past 6 months (aOR = 2.42; 95% CI, 1.18-4.96) and frequent alcohol consumers (aOR = 2.06; 95%CI, 1.04-4.10). Respondents who had their last sexual intercourse 4 weeks or more prior to the study (aOR = 0.26; 95% CI, 0.08-0.84) were less likely to have engaged in transactional sex.
Our study concludes that female bar workers are exposed to male customers and engage in risky sexual practices including transaction sex. Most of them also consume alcohol which increases their risk of HIV and STI acquisition. They are a high-risk group that need to be targeted with HIV prevention interventions.
本研究旨在探讨喀麦隆雅温得市酒吧女员工的社会人口学特征、危险性行为、饮酒与商业性性行为之间的关系。
2017 年 5 月至 6 月，采用改良的基于场所的聚类抽样技术，对 410 名具有代表性的酒吧女员工进行了横断面调查。商业性性行为定义为在过去 12 个月中，与任何性伴侣发生性关系时收到金钱/礼物。采用 logistic 回归模型确定与商业性性行为相关的因素。统计显著性水平设为 p< = 0.05。
约 14.9%（n = 61）的受访者报告曾从事商业性性行为，83.7%（n = 338）在研究时与多个性伴侣发生性关系，14.4%（n = 55）在过去 6 个月中与 1 名或多名男顾客发生性关系。近 73.4%（n = 301）报告饮酒。其中，37.2%（n = 112）为频繁饮酒者。约 17.6%（n = 72）报告在过去 6 个月中曾在饮酒影响下发生无保护性行为。多变量 logistic 回归分析显示，过去 6 个月与男顾客发生性关系、过去 6 个月饮酒影响下发生性关系、频繁饮酒者（aOR = 2.06；95%CI，1.04-4.10）更有可能从事商业性性行为。与研究前 4 周或更早发生最后一次性行为的受访者（aOR = 0.26；95% CI，0.08-0.84）相比，从事商业性性行为的可能性较低。
我们的研究表明，酒吧女员工接触男顾客，并从事包括商业性性行为在内的危险性行为。她们中的大多数人也饮酒，这增加了她们感染艾滋病毒和性传播感染的风险。她们是一个需要针对艾滋病毒预防干预措施的高风险群体。
