TY - JOUR
T1 - Factors Associated with Risky Sexual Practices among Female Sex Workers in Karnataka, India
AU - Mahapatra, Bidhubhusan
AU - Lowndes, Catherine
AU - Mohanty, Sanjay Kumar
AU - Gurav, Kaveri
AU - Ramesh, Banadakoppa M.
AU - Moses, Stephen
AU - Washington, Reynold
AU - Alary, Michel
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2013/4/18
Y1 - 2013/4/18
N2 - Introduction:The objectives of this study are to develop a summary measure of risky sexual practice and examine the factors associated with this among female sex workers (FSWs) in Karnataka, India.Materials and Methods:Data were drawn from special behavioral surveys (SBS) conducted in 2007 among 577 FSWs in two districts of Karnataka, India: Belgaum and Bangalore. FSWs were recruited using the two-stage probability sampling design. FSWs' sexual practice was considered risky if they reported inconsistent condom use with any sexual partner and reported experience of one of the following vulnerabilities to HIV risk: anal sex, alcohol consumption prior to sex and concurrent sexual relationships.Results:About 51% of FSWs had engaged in risky sexual practice. The odds of engaging in risky sex were higher among FSWs who were older (35+ years) than younger (18-25 years) (58% vs. 45%, Adjusted Odds Ratio (AOR): 2.0, 95% confidence interval (CI): 1.2-3.4), who were currently married than never married (61% vs. 51%, AOR: 4.8, 95% CI: 2.5-9.3), who were in sex work for 10+ years than those who were in sex work for less than five years (66% vs. 39%, AOR: 2.6, 95% CI: 1.6-4.2), and who had sex with 3+ clients/day than those who had sex with fewer clients (67% vs. 38%, AOR: 3.7, 95% CI:2.5-5.5).Conclusion:FSWs who are older, currently married, practicing sex work for longer duration and with higher clientele were more likely to engage in risky sexual practices. HIV prevention programs should develop strategies to reach these most-at risk group of FSWs to optimize the effectiveness of such programs.
AB - Introduction:The objectives of this study are to develop a summary measure of risky sexual practice and examine the factors associated with this among female sex workers (FSWs) in Karnataka, India.Materials and Methods:Data were drawn from special behavioral surveys (SBS) conducted in 2007 among 577 FSWs in two districts of Karnataka, India: Belgaum and Bangalore. FSWs were recruited using the two-stage probability sampling design. FSWs' sexual practice was considered risky if they reported inconsistent condom use with any sexual partner and reported experience of one of the following vulnerabilities to HIV risk: anal sex, alcohol consumption prior to sex and concurrent sexual relationships.Results:About 51% of FSWs had engaged in risky sexual practice. The odds of engaging in risky sex were higher among FSWs who were older (35+ years) than younger (18-25 years) (58% vs. 45%, Adjusted Odds Ratio (AOR): 2.0, 95% confidence interval (CI): 1.2-3.4), who were currently married than never married (61% vs. 51%, AOR: 4.8, 95% CI: 2.5-9.3), who were in sex work for 10+ years than those who were in sex work for less than five years (66% vs. 39%, AOR: 2.6, 95% CI: 1.6-4.2), and who had sex with 3+ clients/day than those who had sex with fewer clients (67% vs. 38%, AOR: 3.7, 95% CI:2.5-5.5).Conclusion:FSWs who are older, currently married, practicing sex work for longer duration and with higher clientele were more likely to engage in risky sexual practices. HIV prevention programs should develop strategies to reach these most-at risk group of FSWs to optimize the effectiveness of such programs.
UR - http://www.scopus.com/inward/record.url?scp=84876323547&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0062167
DO - 10.1371/journal.pone.0062167
M3 - Article
C2 - 23637991
AN - SCOPUS:84876323547
SN - 1932-6203
VL - 8
JO - PLoS ONE
JF - PLoS ONE
IS - 4
M1 - e62167
ER -
