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Social cohesion, condom use, and sexually transmitted infections among female sex workers living with HIV in the Dominican Republic.
Int J STD AIDS. 2019 01; 30(1):64-71.IJ

Abstract

This cross-sectional study examines the relationship between social cohesion with consistent condom use (CCU) and sexually transmitted infections (STIs) among the Abriendo Puertas (Opening Doors) cohort of female sex workers (FSWs) living with human immunodeficiency virus (HIV) in the Dominican Republic (n = 228). Using data from the follow-up survey of the cohort, we conducted multivariate logistic regression to explore these dynamics. Social cohesion was significantly associated with CCU between FSWs living with HIV and their clients in the last month (adjusted odds ratio [AOR] = 1.65, 95% confidence interval [CI]: 1.11-2.45) and STI prevalence among FSWs (AOR: 3.76, CI: 1.159-12.162). Social cohesion was not associated with CCU between FSWs living with HIV and their steady partners. However, both illicit drug use in the past six months (AOR = 0.11, CI: 0.023-0.57) and pregnancy intentions (AOR = 0.11; CI: 0.02-0.42) were significantly associated with CCU with steady partners. Findings highlight the differential role of social cohesion on condom use outcomes between FSWs living with HIV and their paying clients versus steady partners. Research on the pathways via which cohesion influences condom use among sex workers and their clients is merited, as is research regarding the role of drug use and pregnancy intentions on condom use with steady partners.

Authors+Show Affiliations

1 Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 2 Office of HIV/AIDS United States Agency for International Development, Washington, DC, USA.3 Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.4 HIV Vaccine Research Unit, Instituto Dermatalogico y Cirugia de Piel Dr. Humberto Bogart Diaz, Santo Domingo, Dominican Republic.4 HIV Vaccine Research Unit, Instituto Dermatalogico y Cirugia de Piel Dr. Humberto Bogart Diaz, Santo Domingo, Dominican Republic.1 Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 5 Department of Sociology, Center on Health, Risk and Society, American University, Washington, DC, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

30170526

Citation

Carrasco, M A., et al. "Social Cohesion, Condom Use, and Sexually Transmitted Infections Among Female Sex Workers Living With HIV in the Dominican Republic." International Journal of STD & AIDS, vol. 30, no. 1, 2019, pp. 64-71.
Carrasco MA, Barrington C, Perez M, et al. Social cohesion, condom use, and sexually transmitted infections among female sex workers living with HIV in the Dominican Republic. Int J STD AIDS. 2019;30(1):64-71.
Carrasco, M. A., Barrington, C., Perez, M., Donastorg, Y., & Kerrigan, D. (2019). Social cohesion, condom use, and sexually transmitted infections among female sex workers living with HIV in the Dominican Republic. International Journal of STD & AIDS, 30(1), 64-71. https://doi.org/10.1177/0956462418792100
Carrasco MA, et al. Social Cohesion, Condom Use, and Sexually Transmitted Infections Among Female Sex Workers Living With HIV in the Dominican Republic. Int J STD AIDS. 2019;30(1):64-71. PubMed PMID: 30170526.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Social cohesion, condom use, and sexually transmitted infections among female sex workers living with HIV in the Dominican Republic. AU - Carrasco,M A, AU - Barrington,C, AU - Perez,M, AU - Donastorg,Y, AU - Kerrigan,D, Y1 - 2018/08/31/ PY - 2018/9/2/pubmed PY - 2019/7/23/medline PY - 2018/9/2/entrez KW - Dominican Republic KW - HIV KW - Social cohesion KW - female sex workers KW - sexually transmitted infections SP - 64 EP - 71 JF - International journal of STD & AIDS JO - Int J STD AIDS VL - 30 IS - 1 N2 - This cross-sectional study examines the relationship between social cohesion with consistent condom use (CCU) and sexually transmitted infections (STIs) among the Abriendo Puertas (Opening Doors) cohort of female sex workers (FSWs) living with human immunodeficiency virus (HIV) in the Dominican Republic (n = 228). Using data from the follow-up survey of the cohort, we conducted multivariate logistic regression to explore these dynamics. Social cohesion was significantly associated with CCU between FSWs living with HIV and their clients in the last month (adjusted odds ratio [AOR] = 1.65, 95% confidence interval [CI]: 1.11-2.45) and STI prevalence among FSWs (AOR: 3.76, CI: 1.159-12.162). Social cohesion was not associated with CCU between FSWs living with HIV and their steady partners. However, both illicit drug use in the past six months (AOR = 0.11, CI: 0.023-0.57) and pregnancy intentions (AOR = 0.11; CI: 0.02-0.42) were significantly associated with CCU with steady partners. Findings highlight the differential role of social cohesion on condom use outcomes between FSWs living with HIV and their paying clients versus steady partners. Research on the pathways via which cohesion influences condom use among sex workers and their clients is merited, as is research regarding the role of drug use and pregnancy intentions on condom use with steady partners. SN - 1758-1052 UR - https://www.unboundmedicine.com/medline/citation/30170526/Social_cohesion_condom_use_and_sexually_transmitted_infections_among_female_sex_workers_living_with_HIV_in_the_Dominican_Republic_ DB - PRIME DP - Unbound Medicine ER -