International Center for Child Health and Development (ICHAD), Washington University in St. Louis Brown School, 1 Brookings Drive, 63130, St. Louis, MO, USA.
Columbia University School of Social Work, 1255 Amsterdam Avenue, 10027, New York, NY, USA.
AIDS Behav. 2023 Mar;27(3):969-977. doi: 10.1007/s10461-022-03833-z. Epub 2022 Sep 16.
We examined the factors associated with consistent condom use among women engaged in sex work in the Southern parts of Uganda. We used baseline data from a longitudinal study involving WESW from 19 hotspots in Southern Uganda. We conducted hierarchical models to determine the individual, economic, behavioral, and health-related factors associated with consistent condom use. We found that, alcohol use (b=-0.48, 95% CI=-0.77, -0.19), accepting money for condomless sex (b=-0.33, 95% CI=-0.38, -0.28), multiple customers (b=-0.01, 95% CI=-0.01, -0.005), being married (b = 0.50, 95% CI = 0.01, 0.99), owning more assets (b = 0.08, 95% CI = 0.05, 0.13), having another income earner in the household (b = 0.55, 95% CI = 0.27, 0.83), condom use self-efficacy (b = 0.11, 95% CI = 0.03, 0.19), condom use communication (b = 0.06, 95% CI = 0.001, 0.12), and being knowledgeable about HIV/STIs transmission (b = 0.08, 95% CI = 0.01, 0.15) were associated with consistent condom use. Additionally, 29% of the women were consistent condom users. Hence, there is need to implement interventions that promote consistent condom use among WESW.
我们研究了乌干达南部从事性工作的女性中与坚持使用安全套相关的因素。我们使用了一项涉及乌干达南部 19 个热点地区性工作者的纵向研究的基线数据。我们进行了分层模型，以确定与坚持使用安全套相关的个体、经济、行为和健康相关因素。我们发现，饮酒（b=-0.48，95%CI=-0.77，-0.19）、接受金钱换取无保护性行为（b=-0.33，95%CI=-0.38，-0.28）、有多个顾客（b=-0.01，95%CI=-0.01，-0.005）、已婚（b=0.50，95%CI=0.01，0.99）、拥有更多资产（b=0.08，95%CI=0.05，0.13）、家中有另一个收入来源（b=0.55，95%CI=0.27，0.83）、安全套使用自我效能感（b=0.11，95%CI=0.03，0.19）、安全套使用沟通（b=0.06，95%CI=0.001，0.12）和了解 HIV/性传播感染的传播（b=0.08，95%CI=0.01，0.15）与坚持使用安全套有关。此外，29%的女性是坚持使用安全套的。因此，需要实施干预措施，促进性工作者坚持使用安全套。
