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Fertility intentions, power relations and condom use within intimate and other non-paying partnerships of women in sex work in Bagalkot District, South India.
AIDS Care. 2015; 27(10):1241-9.AC

Abstract

This study aimed to: (1) examine the relationship between interpersonal as well as social-demographic, cultural and structural factors, and condom non-use by sex workers' main intimate or other non-paying male sex partners (NPPs), as reported by a sample of sex workers (SWs); and (2) understand HIV/sexually transmitted infections (STIs) risk (e.g., numbers of sexual partners; condom use with different partners) among couples comprised of a sub-set of SWs and their NPPs. Bivariate and multivariable logistic regression was used to identify factors associated with condom non-use at last sex by the main NPP, as reported by SWs. Adjusted odds ratios and 95% confidence intervals are reported (AOR[95%CIs]). Data were drawn from cross-sectional surveys in Bagalkot District, Karnataka State, South India. Responses by SWs whose main NPPs agreed to enrol in the study and the main NPP enroled were linked; these responses by couples (pairs of SWs and NPPs) were examined to assess sexual risk for HIV/STIs. Overall, this study included 257 SWs and 76 NPPs. The data from 67 couples (88.2%) could be linked. In over a quarter of partnerships, at least one (SW or NPP) partner reported having another type of partner besides each other (and clients of SWs). In multivariable analysis, significantly increased odds of condom non-use at last sex with the main NPP were found for the following key factors: planning to have a child with their main NPP (AOR = 3.71[1.44-9.58]); and having decisions about condom use made by their main NPP (AOR = 9.87[4.03-24.16]) or both equally (AOR = 3.18[1.39-7.80]) (versus by the SWs herself). Our study highlights the potential risk for HIV/STI acquisition and transmission between NPPs and SWs, and between NPPs and their non-SWs wives and other sex partners. Study results underscore the need for HIV/STI prevention approaches that incorporate informed decision-making about childbearing and parenting, and empowerment strategies for SWs in the context of their relationships with NPPs.

Authors+Show Affiliations

a Faculty of Medicine, Division of AIDS , University of British Columbia , Vancouver , Canada. b BC Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , Canada.c Faculty of Medicine, Community Health Sciences , University of Manitoba , Winnipeg , Canada.c Faculty of Medicine, Community Health Sciences , University of Manitoba , Winnipeg , Canada.d Karnataka Health Promotion Trust , Bangalore , India.d Karnataka Health Promotion Trust , Bangalore , India.d Karnataka Health Promotion Trust , Bangalore , India.d Karnataka Health Promotion Trust , Bangalore , India.c Faculty of Medicine, Community Health Sciences , University of Manitoba , Winnipeg , Canada. e Faculty of Medicine, Medical Microbiology , University of Manitoba , Winnipeg , Canada.c Faculty of Medicine, Community Health Sciences , University of Manitoba , Winnipeg , Canada.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26295360

Citation

Deering, Kathleen N., et al. "Fertility Intentions, Power Relations and Condom Use Within Intimate and Other Non-paying Partnerships of Women in Sex Work in Bagalkot District, South India." AIDS Care, vol. 27, no. 10, 2015, pp. 1241-9.
Deering KN, Shaw SY, Thompson LH, et al. Fertility intentions, power relations and condom use within intimate and other non-paying partnerships of women in sex work in Bagalkot District, South India. AIDS Care. 2015;27(10):1241-9.
Deering, K. N., Shaw, S. Y., Thompson, L. H., Ramanaik, S., Raghavendra, T., Doddamane, M., Bhattacharjee, P., Moses, S., & Lorway, R. (2015). Fertility intentions, power relations and condom use within intimate and other non-paying partnerships of women in sex work in Bagalkot District, South India. AIDS Care, 27(10), 1241-9. https://doi.org/10.1080/09540121.2015.1050981
Deering KN, et al. Fertility Intentions, Power Relations and Condom Use Within Intimate and Other Non-paying Partnerships of Women in Sex Work in Bagalkot District, South India. AIDS Care. 2015;27(10):1241-9. PubMed PMID: 26295360.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fertility intentions, power relations and condom use within intimate and other non-paying partnerships of women in sex work in Bagalkot District, South India. AU - Deering,Kathleen N, AU - Shaw,Souradet Y, AU - Thompson,Laura H, AU - Ramanaik,Satyanarayana, AU - Raghavendra,T, AU - Doddamane,Mahesh, AU - Bhattacharjee,Parinita, AU - Moses,Stephen, AU - Lorway,Robert, Y1 - 2015/08/21/ PY - 2015/8/22/entrez PY - 2015/8/22/pubmed PY - 2018/2/8/medline KW - HIV risk KW - Sex workers KW - condoms KW - intimate or other non-paying partners KW - intimate partners KW - non-paying partners KW - regular partners SP - 1241 EP - 9 JF - AIDS care JO - AIDS Care VL - 27 IS - 10 N2 - This study aimed to: (1) examine the relationship between interpersonal as well as social-demographic, cultural and structural factors, and condom non-use by sex workers' main intimate or other non-paying male sex partners (NPPs), as reported by a sample of sex workers (SWs); and (2) understand HIV/sexually transmitted infections (STIs) risk (e.g., numbers of sexual partners; condom use with different partners) among couples comprised of a sub-set of SWs and their NPPs. Bivariate and multivariable logistic regression was used to identify factors associated with condom non-use at last sex by the main NPP, as reported by SWs. Adjusted odds ratios and 95% confidence intervals are reported (AOR[95%CIs]). Data were drawn from cross-sectional surveys in Bagalkot District, Karnataka State, South India. Responses by SWs whose main NPPs agreed to enrol in the study and the main NPP enroled were linked; these responses by couples (pairs of SWs and NPPs) were examined to assess sexual risk for HIV/STIs. Overall, this study included 257 SWs and 76 NPPs. The data from 67 couples (88.2%) could be linked. In over a quarter of partnerships, at least one (SW or NPP) partner reported having another type of partner besides each other (and clients of SWs). In multivariable analysis, significantly increased odds of condom non-use at last sex with the main NPP were found for the following key factors: planning to have a child with their main NPP (AOR = 3.71[1.44-9.58]); and having decisions about condom use made by their main NPP (AOR = 9.87[4.03-24.16]) or both equally (AOR = 3.18[1.39-7.80]) (versus by the SWs herself). Our study highlights the potential risk for HIV/STI acquisition and transmission between NPPs and SWs, and between NPPs and their non-SWs wives and other sex partners. Study results underscore the need for HIV/STI prevention approaches that incorporate informed decision-making about childbearing and parenting, and empowerment strategies for SWs in the context of their relationships with NPPs. SN - 1360-0451 UR - https://www.unboundmedicine.com/medline/citation/26295360/Fertility_intentions_power_relations_and_condom_use_within_intimate_and_other_non_paying_partnerships_of_women_in_sex_work_in_Bagalkot_District_South_India_ DB - PRIME DP - Unbound Medicine ER -