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APPLICATION OF CONDOMS ON MALE CLIENTS BY FEMALE SEX WORKERS IN YEREVAN, ARMENIA: PREVALENCE AND CORRELATES

Published online by Cambridge University Press:  03 May 2011

NELLI DARBINYAN
Affiliation:
Centre for Health Services Research and Development, American University of Armenia, Yerevan, Armenia College of Public Health, University of South Florida, Tampa, FL, USA
DELIA L. LANG
Affiliation:
Rollins School of Public Health, Emory University, Atlanta, GA, USA Emory Centre for AIDS Research, Atlanta, GA, USA
RALPH J. DICLEMENTE
Affiliation:
Rollins School of Public Health, Emory University, Atlanta, GA, USA Emory Centre for AIDS Research, Atlanta, GA, USA Department of Paediatrics, Division of Infectious Diseases, Epidemiology and Immunology & Department of Medicine (Infectious Diseases), Emory University School of Medicine, Atlanta, GA, USA
JESSE B. JOSEPH
Affiliation:
Mailman School of Public Health, Columbia University, New York, NY, USA
KARINE MARKOSYAN
Affiliation:
Centre for Health Services Research and Development, American University of Armenia, Yerevan, Armenia

Summary

This study sought to assess the prevalence of consistent condom application on male clients by female sex workers (FSWs) in Armenia and its association with demographic, psychosocial and behavioural factors. In this cross-sectional study, 120 street-based FSWs aged 20–52 completed an interviewer-administered questionnaire. The primary outcome measure was consistent application of condoms by FSWs on their male clients. A total of 21.7% of participants reported consistently applying condoms on clients. Logistic regression analysis demonstrated that higher condom use self-efficacy (Adjusted Odds Ratio, AOR=1.1; p=0.01), lower perceived condom use barriers (AOR=0.9; p=0.04) and not using douching as a method to prevent STI/HIV (AOR=4.8; p=0.04) significantly predicted consistent condom application. Higher HIV/AIDS knowledge was a marginally significant predictor of condom application (AOR=1.3; p=0.05). Future interventions should address these modifiable factors to encourage FSWs to apply condoms on clients themselves, which may reduce condom failure and exposure to HIV transmission.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2011

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References

Adu-Oppong, A., Grimes, R. M., Ross, M. W., Risser, J. & Kessie, G. (2007) Social and behavioral determinants of consistent condom use among female commercial sex workers in Ghana. AIDS Education and Prevention 19, 160172.CrossRefGoogle ScholarPubMed
Bandura, A. (1994) Social cognitive theory and exercise of control over HIV infection. In DiClemente, R. J. & Peterson, J. (eds) Preventing AIDS: Theories and Methods of Behavioral Interventions. Plenum Press, New York, pp. 2559.Google Scholar
Basuki, E., Wolffers, I., Devillé, W., Erlaini, N., Luhpuri, D., Hargono, R., Maskuri, N., Suesen, N. & van Beelen, N. (2002) Reasons for not using condoms among female sex workers in Indonesia. AIDS Education and Prevention 14, 102116.Google Scholar
Centers for Disease Control and Prevention (2002) Sexually transmitted diseases treatment guidelines 2002. Morbidity and Mortality Weekly Report 51, 160.Google Scholar
Chiao, C., Morisky, D. E., Ksobiech, K. & Malow, R. M. (2009) Promoting HIV testing and condom use among Filipina commercial sex workers: findings from a quasi-experimental intervention study. AIDS and Behavior 13, 892901.CrossRefGoogle ScholarPubMed
Crosby, R. A., DiClemente, R. F., Holtgrave, D. R. & Wingood, G. M. (2002) Design, measurement, and analytic considerations for testing hypotheses relative to condom effectiveness against non viral STIs. Sexually Transmitted Infections 78, 228231.Google Scholar
Crosby, R. A., Sanders, S. A., Yarber, W. L. & Graham C., A. (2003) Condom use errors and problems: a neglected aspect of studies assessing condom effectiveness. American Journal of Preventive Medicine 24, 367370.CrossRefGoogle ScholarPubMed
DiClemente, R. J. & Wingood, G. M. (1995) A randomized controlled trial of an HIV sexual risk-reduction intervention for young African-American women. Journal of the American Medical Association 274, 12711276.CrossRefGoogle ScholarPubMed
DiClemente, R. J., Wingood, G. M., Harrington, K. F., Lang, D. L., Davies, S. L., Hook, E. W. et al. (2004) Efficacy of an HIV prevention intervention for African American adolescent girls: a randomized controlled trial. Journal of the American Medical Association 292, 171179.Google Scholar
Fisher, J. D. & Fisher, W. A. (1992) Changing AIDS risk behavior. Psychological Bulletin 111, 455474.CrossRefGoogle ScholarPubMed
Grigoryan, S., Hakobyan, A., Papoyan, A., Manukyan, A., Ohanyan, R. & Asatryan, A. (eds) (2008) HIV Epidemiological Surveillance in the Republic of Armenia 2007. Armenian National AIDS Foundation, Yerevan.Google Scholar
Holmes, K. K., Levine, R. & Weaver, M. (2004) Effectiveness of condoms in preventing sexually transmitted infections. Bulletin of the World Health Organization 82, 454461.Google ScholarPubMed
Hosmer, D. W. & Lemeshow, S. L. (1989) Applied Logistic Regression. John Wiley & Sons, New York.Google Scholar
Kayembe, P. K., Mapatano, M. A., Busangu, A. F., Nyandwe, J. K., Musema, G. M., Kibungu, J. P. et al. (2008) Determinants of consistent condom use among female commercial sex workers in the Democratic Republic of Congo: implications for interventions. Sexually Transmitted Infections 84, 202206.CrossRefGoogle ScholarPubMed
Markosyan, K., Babikian, T., DiClemente, R. J., Hirsch, J. S., Grigoryan, S. & del Rio, C. (2007) Correlates of HIV risk and preventive behaviors in Armenian female sex workers. AIDS and Behavior 11, 325334.CrossRefGoogle ScholarPubMed
Markosyan, K., Lang, D. L., Darbinyan, N., DiClemente, R. J. & Salazar, L. F. (in press) Prevalence and correlates of inconsistent condom use among female sex workers in Armenia. Sexual Health 8.Google Scholar
National Centre for AIDS Prevention, Armenia (2010) HIV/AIDS Epidemic in the Republic of Armenia. URL: http://www.armaids.am/main/free_code.php?lng=1&parent=3 (accessed 15th September 2010).Google Scholar
Oladosu, M. (2005) Consistent condom use dynamics among sex workers in Central America: 1997–2000. Journal of Biosocial Science 37, 435457.Google Scholar
Papoyan, A., Arakelyan, A., Bakshinyan, E. & Petrosyan, J. (2006) HIV and AIDS in Armenia: a socio-cultural approach. In Buckley, C. (ed.) HIV and AIDS in the Caucasus Region: A Socio-cultural Approach. UNESCO, Tbilisi, pp. 3550.Google Scholar
Population Service International (2004) Declining HIV gives Hope in Cambodia: Targeted Condom Promotion Credited for Fall in HIV Prevalence. URL: http://www.psi.org/sites/default/files/publication_files/cambodia2.pdf (accessed August 2010).Google Scholar
Rosenstock, I. M., Strecher, V. J. & Becker, M. H. (1994) The health belief model and HIV risk behavior change. In DiClemente, R. J. & Peterson, J. (eds) Preventing AIDS: Theories and Methods of Behavioral Interventions. Plenum Press, New York, pp. 524.Google Scholar
Steiner, M. J., Dominik, R., Rountree, R. W., Nanda, K. & Dorflinger, L. J. (2003) Contraceptive effectiveness of a polyurethane condom and a latex condom: a randomized controlled trial. Obstetrics and Gynecology 101, 539547.Google Scholar
Todd, C. S., Alibayeva, G., Khakimov, M. M., Sanchez, J. L., Bautista, C. T. & Earhart, K. C. (2007) Prevalence and correlates of condom use and HIV testing among female sex workers in Tashkent, Uzbekistan: implications for HIV transmission. AIDS and Behavior 11, 435442.Google Scholar
Tran, T. N., Detels, R. & Lan, H. P. (2006) Condom use and its correlates among female sex workers in Hanoi, Vietnam. AIDS and Behavior 10, 159167.Google Scholar
Tran, T. T., Le, C. L. & Nguyen, T. L. (2008) Factors associated with inconsistent condom use among female sex workers in Nha Trang, Vietnam. Asia-Pacific Journal of Public Health 20, 370378.Google Scholar
United Nations Programme on HIV/AIDS (UNAIDS) (2009) AIDS Epidemic Update. UNAIDS, Geneva. URL: http://data.unaids.org/pub/Report/2009/JC1700_Epi_Update_2009_en.pdf (accessed September 2010).Google Scholar
Wang, B., Li, X., McGuire, J., Kamali, V., Fang, X. & Stanton, B. (2009) Understanding the dynamics of condom use among female sex workers in China. Sexually Transmitted Diseases. URL: http://sfx.galib.uga.edu/sfx_emu1?sid=Entrez%3APubMed&id=pmid%3A19174727&issn=0148-5717Google Scholar
Wingood, G. M. & DiClemente, R. J. (2000) Application of the theory of gender and power to examine HIV-related exposures, risk factors, and effective interventions for women. Health Education and Behavior 27, 539565.CrossRefGoogle ScholarPubMed
Wingood, G. M. & DiClemente, R. J. (2002) The theory of gender and power: a social structural theory for guiding the design and implementation of public health interventions to reduce women's risk of HIV. In DiClemente, R. J., Crosby, R. A. & Kegler, M. (eds) Emerging Theories in Health Promotion Practice and Research: Strategies for Enhancing Public Health. Jossey-Bass, San Francisco, pp. 313347.Google Scholar
Zhao, R., Wang, B., Fang, X., Li, X. & Stanton, B. (2008) Condom use and self-efficacy among female sex workers with steady partners in China. AIDS Care 20, 782790.CrossRefGoogle ScholarPubMed