Risk factors for inconsistent condom use among female commercial sex workers in three Malawian districts in 2011

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dc.contributor.authorLimwame, Ken
dc.date.accessioned2016-02-12T12:48:12Z
dc.date.available2016-02-12T12:48:12Z
dc.date.issued2016-02-12
dc.descriptionA research report submitted to the School of Public Health, University of the Witwatersrand in partial fulfillment of the requirements for the degree of Master of Public Health (MPH). 14th August 2015en_ZA
dc.description.abstractObjective: At 71%, HIV prevalence is disproportionately high among Malawi’s female commercial sex workers (FCSWs) (NSO and Macro, 2011) (NAC, 2006). Yet little is known about FCSWs risk behaviors. This study sought to determine the risk factors for inconsistent condom use among FCSWs in three Malawi districts in 2011. Methods: This was a secondary analysis of a cross-sectional primary study that collected data in October 2011 of FCSWs in Malawi’s three southern districts of Blantyre, Mwanza and Zomba to inform a behavior change intervention. The primary study used respondent driven sampling to recruit 198 FCSWs. Data from all the participants of the primary study were included in the secondary analysis. A structured questionnaire was used to collect information on socio-demographics; sex and sexual history; and condom use with different partner types. The dichotomous outcome variable “inconsistent condom use” was generated from a composite of variables: condom use with last sex and condom use in the last 30 days – which were measured across partner types. Descriptive analysis was performed and categorical data were reported as proportions and frequencies while continuous data as means or median. Chi square analysis was used to detect associations in cross tabulations and two multivariate logistic regression models were built for inconsistent condom use - across all partners and clients. Results: Overall, slightly less than half of FCSWs (45.92%) used condoms consistently (n=196). FCSWs with secondary school education were 2.18 times more likely than FCSWs with primary school education to be inconsistent condom users (across all partners). FCSWs who first had sex between the ages of 15 to 19 years were .39 times less likely to be inconsistent condom users (across all partners) than FCSWs who first had sex under 15 years of age. FCSWs who had residence in the area for more than four years were 7.2 times more likely to be inconsistent condom users than the reference group (FCSWs who had stayed in the area for one year or less). An increase in number of paying partners by one partner is associated with decreased likelihood of inconsistent condom use by 31% (0.69 times) (AOR .69, .52 – .92). Conclusions: FCSWs remain a key population in the HIV epidemic. All efforts should promote 100% condom use across all partner types of FCSWs with particular focus on the regular, intimate partner.en_ZA
dc.identifier.urihttp://hdl.handle.net/10539/19505
dc.language.isoenen_ZA
dc.titleRisk factors for inconsistent condom use among female commercial sex workers in three Malawian districts in 2011en_ZA
dc.typeThesisen_ZA
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