County Government of Mombasa, Mombasa, Kenya.
Department of Environment and Health Sciences, School of Applied and Health Sciences, Technical University of Mombasa, Mombasa, Kenya.
Pan Afr Med J. 2024 Apr 24;47:209. doi: 10.11604/pamj.2024.47.209.41775. eCollection 2024.
female sex workers (FSWs) are vulnerable to acquiring HIV and other sexually transmitted infections due to unprotected sex. Understanding and addressing the gaps in safer sex among FSWs can help to reduce HIV acquisition and transmission. This study described sexual practices, their correlates and use of HIV services among FSWs in Mombasa County, Kenya.
participants were recruited for a baseline survey by a time-location cluster randomized design at predetermined intervals from five bars and five clubs in Mombasa County until a sample size of 160 was reached. Descriptive statistics and inferential analysis using R were conducted, and p<0.05 was regarded as statistically significant.
nearly all (99%) of the participants were unmarried, and 11% had tertiary education. Ninety-eight percent (98%) reported vaginal intercourse, 51% reported using alcohol/drugs before sex, and 28% practiced unprotected intercourse. About 64% had tested for HIV within three months, 14% believed that it is safe to reuse condoms, and 10% that it is safe to engage in unprotected sex. In bi-variate analysis, FSWs were more likely to engage in unprotected intercourse if they reported more frequent sex, more frequent sex with regular clients, poor HIV knowledge, alcohol/drug use, and violence. In multivariate analysis, risky sexual practices were associated with frequency of sexual intercourse, alcohol/drug use, and poor HIV knowledge.
female sex workers engage in unprotected sex while under the influence of substances, belief in re-using condoms and have high frequency of sexual intercourse. Inadequate knowledge of HIV and substance use significantly correlated with unprotected sex. Interventions to address these modifiable factors are needed to mitigate the risk of HIV among FSWs.
由于没有安全措施，性工作者（FSWs）很容易感染艾滋病毒和其他性传播感染。了解和解决 FSWs 中安全性行为的差距可以帮助减少艾滋病毒的获得和传播。本研究描述了肯尼亚蒙巴萨县 FSWs 的性实践、与其相关的因素以及对艾滋病毒服务的使用情况。
通过时间-地点聚类随机设计，在蒙巴萨县的五个酒吧和五个俱乐部按预定间隔招募参与者进行基线调查，直到达到 160 人的样本量。使用 R 进行描述性统计和推断分析，p<0.05 被认为具有统计学意义。
几乎所有（99%）的参与者都是未婚的，11%的人接受过高等教育。98%的人报告有阴道性交，51%的人报告在性交前饮酒/吸毒，28%的人没有使用安全套。大约 64%的人在三个月内接受过艾滋病毒检测，14%的人认为重复使用安全套是安全的，10%的人认为无保护性行为是安全的。在双变量分析中，如果 FSWs 报告更频繁的性行为、更频繁地与常客发生性行为、对艾滋病毒知识了解较差、饮酒/吸毒以及遭受暴力，他们更有可能进行无保护的性行为。在多变量分析中，风险性行为与性交频率、药物使用和对艾滋病毒知识的了解不足有关。
性工作者在受到物质影响、相信可以重复使用避孕套以及有较高性交频率的情况下进行无保护性行为。对艾滋病毒和物质使用的认识不足与无保护性行为显著相关。需要采取干预措施来解决这些可改变的因素，以减轻 FSWs 感染艾滋病毒的风险。
