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Trends in condom use among female sex workers in Andhra Pradesh, India: the impact of a community mobilisation intervention.
J Epidemiol Community Health. 2012 Oct; 66 Suppl 2:ii49-54.JE

Abstract

BACKGROUND

Community mobilisation interventions for HIV prevention among female sex workers (FSWs) aim to organise FSWs for collective action and challenge the structures of power that underlie HIV risk. Assessing intervention impact is challenging because the importance of direct individual exposure to intervention components may decrease over time as change occurs at social-normative, policy and other structural levels. In this paper, the authors examine changes over time in consistent condom use among FSWs in Rajahmundry, Andhra Pradesh, the location of a long-standing community mobilisation intervention.

METHODS

The authors analyse cross-sectional data collected among FSWs at three time points (n=2276) using respondent-driven sampling. Multiple logistic regression was used to assess the association of programme exposure with consistent condom use and whether this association varied over time.

RESULTS

The proportion of FSWs having no exposure or only receptive exposure to the intervention decreased over time, while active utilisation increased from 19.4% in 2006 to 48.5% in 2009-2010. Consistent condom use with clients also increased from 56.3% in 2006 to 75.3% in 2009-2010. Multivariate analysis showed that age, age at start of sex work, venue, living conditions and programme exposure were significantly associated with condom use. The positive association between programme exposure and consistent condom use did not vary significantly over time.

CONCLUSIONS

Findings indicate improvements in HIV risk reduction behaviour among FSWs and suggest that the intervention has substantial reach in the FSW population. The intervention's strategies may be contributing to population-level HIV risk reduction among FSWs.

Authors+Show Affiliations

Duke Global Health Institute, Duke University, Durham, North Carolina, USA. jt.erausquin@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22495773

Citation

Erausquin, Jennifer Toller, et al. "Trends in Condom Use Among Female Sex Workers in Andhra Pradesh, India: the Impact of a Community Mobilisation Intervention." Journal of Epidemiology and Community Health, vol. 66 Suppl 2, 2012, pp. ii49-54.
Erausquin JT, Biradavolu M, Reed E, et al. Trends in condom use among female sex workers in Andhra Pradesh, India: the impact of a community mobilisation intervention. J Epidemiol Community Health. 2012;66 Suppl 2:ii49-54.
Erausquin, J. T., Biradavolu, M., Reed, E., Burroway, R., & Blankenship, K. M. (2012). Trends in condom use among female sex workers in Andhra Pradesh, India: the impact of a community mobilisation intervention. Journal of Epidemiology and Community Health, 66 Suppl 2, ii49-54. https://doi.org/10.1136/jech-2011-200511
Erausquin JT, et al. Trends in Condom Use Among Female Sex Workers in Andhra Pradesh, India: the Impact of a Community Mobilisation Intervention. J Epidemiol Community Health. 2012;66 Suppl 2:ii49-54. PubMed PMID: 22495773.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trends in condom use among female sex workers in Andhra Pradesh, India: the impact of a community mobilisation intervention. AU - Erausquin,Jennifer Toller, AU - Biradavolu,Monica, AU - Reed,Elizabeth, AU - Burroway,Rebekah, AU - Blankenship,Kim M, Y1 - 2012/04/11/ PY - 2012/4/13/entrez PY - 2012/4/13/pubmed PY - 2012/12/12/medline SP - ii49 EP - 54 JF - Journal of epidemiology and community health JO - J Epidemiol Community Health VL - 66 Suppl 2 N2 - BACKGROUND: Community mobilisation interventions for HIV prevention among female sex workers (FSWs) aim to organise FSWs for collective action and challenge the structures of power that underlie HIV risk. Assessing intervention impact is challenging because the importance of direct individual exposure to intervention components may decrease over time as change occurs at social-normative, policy and other structural levels. In this paper, the authors examine changes over time in consistent condom use among FSWs in Rajahmundry, Andhra Pradesh, the location of a long-standing community mobilisation intervention. METHODS: The authors analyse cross-sectional data collected among FSWs at three time points (n=2276) using respondent-driven sampling. Multiple logistic regression was used to assess the association of programme exposure with consistent condom use and whether this association varied over time. RESULTS: The proportion of FSWs having no exposure or only receptive exposure to the intervention decreased over time, while active utilisation increased from 19.4% in 2006 to 48.5% in 2009-2010. Consistent condom use with clients also increased from 56.3% in 2006 to 75.3% in 2009-2010. Multivariate analysis showed that age, age at start of sex work, venue, living conditions and programme exposure were significantly associated with condom use. The positive association between programme exposure and consistent condom use did not vary significantly over time. CONCLUSIONS: Findings indicate improvements in HIV risk reduction behaviour among FSWs and suggest that the intervention has substantial reach in the FSW population. The intervention's strategies may be contributing to population-level HIV risk reduction among FSWs. SN - 1470-2738 UR - https://www.unboundmedicine.com/medline/citation/22495773/Trends_in_condom_use_among_female_sex_workers_in_Andhra_Pradesh_India:_the_impact_of_a_community_mobilisation_intervention_ L2 - https://jech.bmj.com/lookup/pmidlookup?view=long&pmid=22495773 DB - PRIME DP - Unbound Medicine ER -