A cross-sectional study to evaluate factors related to condom use with commercial sexual partners in workers from Ecuadorian companies
Identifieur interne : 003295 ( Ncbi/Checkpoint ); précédent : 003294; suivant : 003296A cross-sectional study to evaluate factors related to condom use with commercial sexual partners in workers from Ecuadorian companies
Auteurs : María C. Cabezas [Belgique, Équateur] ; Marco Fornasini [Équateur] ; Nadia Dardenne [Belgique] ; David Barmettler [Canada] ; Teresa Borja [Équateur] ; Adelin Albert [Belgique]Source :
- BMC Public Health [ 1471-2458 ] ; 2015.
Abstract
Unprotected intercourse with sex workers is one of the major risk factors for HIV infection. Consistent condom use is a prerequisite to lower the incidence of HIV.
We assessed the prevalence of condom use and its determinants among company workers engaged with commercial sexual partners in Ecuador. The study was based on a random sample of 115 companies and 1,732 workers stratified by province and working sector and utilized the “Behavioral Surveillance Surveys – Adult questionnaire” developed by Family Health International.
Of the 1,561 sexually active workers, 311 (19.9 %) reported having intercourse with sex workers. Among them 25.9 % did not use a condom at the last sexual intercourse. As for condom use frequency over the last 12 months, 29/208 (13.9 %) reported never, 23 (11.1 %) sometimes, 24 (11.5 %) almost every time and 132 (63.5 %) every time. Factors adversely affecting condom use frequency over the last 12 months were female gender (OR = 4.56, 95 % CI: 1.45-14.4), older age (OR = 1.07, 95 % CI: 1.03-1.10), low educational level (OR = 4.69, 95 % CI: 1.95-11.3) and married workers living with spouse (OR = 7.66, 95 % CI: 3.08-19.1). By contrast, factors such as age at first sexual intercourse, job category, HIV transmission and prevention measure knowledge, single workers, previous exposure to HIV intervention programs and having a casual sexual partner were not affecting condom use frequency. When considering condom use during the last sexual intercourse or during the past 12 months with commercial sexual partners, results were similar.
Workers with low education, older age, female gender and those married living with their spouse should be targeted for specific educational interventions.
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DOI: 10.1186/s12889-015-2184-5
PubMed: 26337966
PubMed Central: 4558841
Affiliations:
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Cabezas</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Public Health Department, University of Liège, Liège, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Public Health Department, University of Liège, Liège</wicri:regionArea><orgName type="university">Université de Liège</orgName><placeName><settlement type="city">Liège</settlement><region type="region" nuts="1">Région wallonne</region><region type="province" nuts="1">Province de Liège</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Medical School, Pontifical Catholic University, Quito, Ecuador</nlm:aff><country xml:lang="fr">Équateur</country><wicri:regionArea>Medical School, Pontifical Catholic University, Quito</wicri:regionArea><wicri:noRegion>Quito</wicri:noRegion></affiliation></author><author><name sortKey="Fornasini, Marco" sort="Fornasini, Marco" uniqKey="Fornasini M" first="Marco" last="Fornasini">Marco Fornasini</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Translational Research Center, Universidad de las Américas (UDLA), Quito, Ecuador</nlm:aff><country xml:lang="fr">Équateur</country><wicri:regionArea>Translational Research Center, Universidad de las Américas (UDLA), Quito</wicri:regionArea><wicri:noRegion>Quito</wicri:noRegion></affiliation></author><author><name sortKey="Dardenne, Nadia" sort="Dardenne, Nadia" uniqKey="Dardenne N" first="Nadia" last="Dardenne">Nadia Dardenne</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Public Health Department, University of Liège, Liège, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Public Health Department, University of Liège, Liège</wicri:regionArea><orgName type="university">Université de Liège</orgName><placeName><settlement type="city">Liège</settlement><region type="region" nuts="1">Région wallonne</region><region type="province" nuts="1">Province de Liège</region></placeName></affiliation></author><author><name sortKey="Barmettler, David" sort="Barmettler, David" uniqKey="Barmettler D" first="David" last="Barmettler">David Barmettler</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Accreditation Canada International, Ottawa, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Accreditation Canada International, Ottawa</wicri:regionArea><wicri:noRegion>Ottawa</wicri:noRegion></affiliation></author><author><name sortKey="Borja, Teresa" sort="Borja, Teresa" uniqKey="Borja T" first="Teresa" last="Borja">Teresa Borja</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Psychology School, Universidad San Francisco de Quito (USFQ), Cumbaya, Ecuador</nlm:aff><country xml:lang="fr">Équateur</country><wicri:regionArea>Psychology School, Universidad San Francisco de Quito (USFQ), Cumbaya</wicri:regionArea><wicri:noRegion>Cumbaya</wicri:noRegion></affiliation></author><author><name sortKey="Albert, Adelin" sort="Albert, Adelin" uniqKey="Albert A" first="Adelin" last="Albert">Adelin Albert</name><affiliation wicri:level="4"><nlm:aff id="Aff1">Public Health Department, University of Liège, Liège, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Public Health Department, University of Liège, Liège</wicri:regionArea><orgName type="university">Université de Liège</orgName><placeName><settlement type="city">Liège</settlement><region type="region" nuts="1">Région wallonne</region><region type="province" nuts="1">Province de Liège</region></placeName></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Unprotected intercourse with sex workers is one of the major risk factors for HIV infection. Consistent condom use is a prerequisite to lower the incidence of HIV.</p></sec><sec><title>Methods</title><p>We assessed the prevalence of condom use and its determinants among company workers engaged with commercial sexual partners in Ecuador. The study was based on a random sample of 115 companies and 1,732 workers stratified by province and working sector and utilized the “Behavioral Surveillance Surveys – Adult questionnaire” developed by Family Health International.</p></sec><sec><title>Results</title><p>Of the 1,561 sexually active workers, 311 (19.9 %) reported having intercourse with sex workers. Among them 25.9 % did not use a condom at the last sexual intercourse. As for condom use frequency over the last 12 months, 29/208 (13.9 %) reported never, 23 (11.1 %) sometimes, 24 (11.5 %) almost every time and 132 (63.5 %) every time. Factors adversely affecting condom use frequency over the last 12 months were female gender (OR = 4.56, 95 % CI: 1.45-14.4), older age (OR = 1.07, 95 % CI: 1.03-1.10), low educational level (OR = 4.69, 95 % CI: 1.95-11.3) and married workers living with spouse (OR = 7.66, 95 % CI: 3.08-19.1). By contrast, factors such as age at first sexual intercourse, job category, HIV transmission and prevention measure knowledge, single workers, previous exposure to HIV intervention programs and having a casual sexual partner were not affecting condom use frequency. When considering condom use during the last sexual intercourse or during the past 12 months with commercial sexual partners, results were similar.</p></sec><sec><title>Conclusions</title><p>Workers with low education, older age, female gender and those married living with their spouse should be targeted for specific educational interventions.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Williams, J" uniqKey="Williams J">J Williams</name></author><author><name sortKey="Alary, M" uniqKey="Alary M">M Alary</name></author><author><name sortKey="Lowndes, C" uniqKey="Lowndes C">C Lowndes</name></author><author><name sortKey="Behanzin, L" uniqKey="Behanzin L">L Béhanzin</name></author><author><name sortKey="Labbe, A" uniqKey="Labbe A">A Labbé</name></author><author><name sortKey="Anagonou, S" uniqKey="Anagonou S">S Anagonou</name></author><author><name 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Bernales</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Torales, G" uniqKey="Torales G">G Torales</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guzman, I" uniqKey="Guzman I">I Guzmán</name></author><author><name sortKey="Vega, E" uniqKey="Vega E">E Vega</name></author><author><name sortKey="Rodriguez, M" uniqKey="Rodriguez M">M Rodríguez</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Cabezas, M" uniqKey="Cabezas M">M Cabezas</name></author><author><name sortKey="Fornasini, M" uniqKey="Fornasini M">M Fornasini</name></author><author><name sortKey="Barmettler, D" uniqKey="Barmettler D">D Barmettler</name></author><author><name sortKey="Ortu O, D" uniqKey="Ortu O D">D Ortuño</name></author><author><name sortKey="Borja, T" uniqKey="Borja T">T Borja</name></author><author><name sortKey="Albert, A" uniqKey="Albert A">A Albert</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Belgique</li><li>Canada</li><li>Équateur</li></country><region><li>Province de Liège</li><li>Région wallonne</li></region><settlement><li>Liège</li></settlement><orgName><li>Université de Liège</li></orgName></list><tree><country name="Belgique"><region name="Région wallonne"><name sortKey="Cabezas, Maria C" sort="Cabezas, Maria C" uniqKey="Cabezas M" first="María C." last="Cabezas">María C. Cabezas</name></region><name sortKey="Albert, Adelin" sort="Albert, Adelin" uniqKey="Albert A" first="Adelin" last="Albert">Adelin Albert</name><name sortKey="Dardenne, Nadia" sort="Dardenne, Nadia" uniqKey="Dardenne N" first="Nadia" last="Dardenne">Nadia Dardenne</name></country><country name="Équateur"><noRegion><name sortKey="Cabezas, Maria C" sort="Cabezas, Maria C" uniqKey="Cabezas M" first="María C." last="Cabezas">María C. Cabezas</name></noRegion><name sortKey="Borja, Teresa" sort="Borja, Teresa" uniqKey="Borja T" first="Teresa" last="Borja">Teresa Borja</name><name sortKey="Fornasini, Marco" sort="Fornasini, Marco" uniqKey="Fornasini M" first="Marco" last="Fornasini">Marco Fornasini</name></country><country name="Canada"><noRegion><name sortKey="Barmettler, David" sort="Barmettler, David" uniqKey="Barmettler D" first="David" last="Barmettler">David Barmettler</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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