Behavioural interventions promoting condom use among female sex workers in sub-Saharan Africa: a systematic review

Okafor, Uchenna; Crutzen, Rik; Aduak, Yauri; Adebajo, Sylvia; Borne, H.W. van den

doi:10.2989/16085906.2017.1358753

Cited by 32 publications

(25 citation statements)

References 61 publications

(139 reference statements)

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“…Furthermore, more effort should be made to reach FSW who are not in contact with counselling and treatment institutions [18]. Government aided educational programs in promoting condom use among FSW have also proven to be beneficial in achieving positive sexual health outcomes [27,28]. These joined efforts could enhance wellbeing of FSW, increase knowledge among clients and could eventually lower STI prevalence in both FSW and clients of FSW.…”

Section: Public Health Implicationsmentioning

confidence: 99%

Sexually transmitted infections in male heterosexual Dutch clients who visited German cross-border female sex workers; a 3 year retrospective study

Kampman¹,

Hoebe

Koene

et al. 2020

BMC Public Health

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Background: Some male heterosexual clients prefer to visit a cross-border Female Sex Worker (FSW) because of cheaper sex and unsafe sex practices, and may therefore be at risk for sexually transmitted infections (STI). The objective of this study was to assess whether having commercial cross-border sex is an independent risk factor for being diagnosed with a STI. Methods: An observational retrospective study was performed using data of 8 Dutch STI clinics bordering Germany, between 2011 and 2013. All male heterosexual clients of FSWs were selected and data on country of FSW visit and occurrence of STI were used for multivariable regression analysis. Results: The study population consisted of 2664 clients of FSW. Most clients visited the Netherlands (82.4%), followed by visits to another country (beyond cross-border) (9.9%) and cross-border visits (7.8%). Clients of FSW were less likely to be STI positive when they were younger than 25 years(OR = 0.6, 95%CI 0.4 to 0.8 25-44 years and OR = 0.5, 95%CI 0.4 to 0.7 older than 45 years), and more likely when they had 20 or more sex partners in the last 6 months (OR = 2.9, 95%CI 1.9 to 4.4), did not use a condom during last sexual contact (OR = 2.2, 95%CI 1.6 to 2.9) and made cross-border visits (OR = 1.7, 95%CI 1.1 to 2.6). Conclusions: As cross-border visits appears to be a novel independent risk factor for STI in clients of FSW, this group should therefore be advised on STI prevention.

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Section: Public Health Implicationsmentioning

confidence: 99%

Sexually transmitted infections in male heterosexual Dutch clients who visited German cross-border female sex workers; a 3 year retrospective study

Kampman¹,

Hoebe

Koene

et al. 2020

BMC Public Health

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“…7,8 Condoms offer only limited protection against HPV infection, [9][10][11][12] presumably because HPV may infect mucosa and skin of the anogenital area, not just the glans penis or cervix. Condom use among SW varies between populations and settings (e.g., very high among SW in Amsterdam, 12,13 but much lower in some other settings 14 ). Female SW tend to be relatively young women, with almost half under 26 years of age.…”

Section: Introductionmentioning

confidence: 99%

Should female sex workers be offered HPV vaccination?

Loeff

Vorsters

Marra

et al. 2019

Human Vaccines & Immunotherapeutics

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Prophylactic vaccines are efficacious in preventing Human Papillomavirus (HPV) infection and subsequent cervical intraepithelial neoplasia (CIN), cervical cancer, other anogenital cancers, and anogenital warts. Female sex workers (SW) are at increased risk of acquiring sexually transmitted infections, including HPV. There are several reasons to offer HPV vaccination to SW: they are at high risk for HPV and often unvaccinated, and the immunogenicity of the vaccine is also excellent in previously HPV exposed women. Furthermore, women with disease caused by HPV may still benefit from vaccination. The efficacy of vaccinating mid-adult women (26-44 years old) against persistent HPV infection and CIN2+ is good. Although an SW may have been infected or exposed to HPV, she may not have been exposed to all vaccine-included hrHPV types. Vaccination induces mucosal immunity via the production of neutralizing antibodies on the surface of the female genital tract, thus preventing potential transmission to clients. Nevertheless, some considerations argue against offering vaccination to SWs. Current vaccines are only prophylactic and as such, do not affect current HPV infections. Women who have previously cleared HPV infections, may do so again and thus not need vaccination. Fewer SW might be naïve to HPV-types than currently thought. HPV vaccination has probably no effect on latent infections. Vaccinating sometime after sexual debut could be too late, as infections have already occurred. Taken together, some data suggest that vaccination of SW may offer health benefits, also for the community, but sufficient evidence is lacking. In certain cases, HPV vaccination of SW may be recommended. Evidencebased, public health decisions concerning vaccination of SW are challenging and could be facilitated with more research in this high-risk group.

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“…Among the few studies on the factors associated to condom use among sex workers, a review study has shown that behavioral interventions have increased the use of condoms, but there is lack of information on other outcomes related to the use of condoms by key-populations ( 16 ) . Another review has also presented that there are evidences of the efficiency of behavioral interventions, with better results for the use of condoms with paying partners ( 17 ) .…”

Section: Introductionmentioning

confidence: 99%

Factors associated to inconsistent condom use among sex workers

Magalhães

Sousa

Gir

et al. 2019

Rev. Latino-Am. Enfermagem

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Objective:to analyze the factors associated to the inconsistent condom use among sex workers.Method:a transversal study, carried out in prostitution area, using the Respondent Drive Sampling. The sample was calculated based on the information by the Sex Workers Association: 600 female sex workers. The study selected seven women with different characteristics regarding color, age, and place of work, who were called seeds. After the participation, they received three coupons to recruit other participants in order to obtain a representative sample. The definition of inconsistent condom use was determined as occasional use or never using it. Univariate analyses and a multivariate logistic regression were performed.Results:416 female sex workers participated in the study. The associated factors were having studied for less than eight years (Odds Ratio = 27.28), not having a permanent partner (Odds Ratio = 2.79), high alcohol use (Odds Ratio = 5.07), and being black (Odds Ratio = 2.21).Conclusion:the factors associated to inconsistent condom use were: lower education levels, not having a permanent partner, high alcohol use, and being black.

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Behavioural interventions promoting condom use among female sex workers in sub-Saharan Africa: a systematic review

Cited by 32 publications

References 61 publications

Sexually transmitted infections in male heterosexual Dutch clients who visited German cross-border female sex workers; a 3 year retrospective study

Sexually transmitted infections in male heterosexual Dutch clients who visited German cross-border female sex workers; a 3 year retrospective study

Should female sex workers be offered HPV vaccination?

Factors associated to inconsistent condom use among sex workers

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