Social cohesion, condom use, and sexually transmitted infections among female sex workers living with HIV in the Dominican Republic

International Journal of STD & AIDS
Maria Augusta CarrascoDeanna Kerrigan

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 thei...Continue Reading

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Citations

Jan 25, 2020·AIDS Care·Maria A CarrascoRyan Phelps
May 13, 2020·Tropical Medicine and Infectious Disease·I Gusti Ngurah Edi Putra, Pande Putu Januraga

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Methods Mentioned

BETA
nucleic acid amplification

Software Mentioned

STATA

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