Determinants of consistent condom use among female commercial sex workers in the Democratic Republic of Congo: implications for interventions

Kayembé, Patrick; Mapatano, Mala Ali; Busangu, A F; Nyandwe, Jean; Musema, Godefoid; Kibungu, J P; Mashinda, Désiré Kulimba; Matamba, L T; Mayala, G M

doi:10.1136/sti.2007.028324

Cited by 75 publications

(73 citation statements)

References 27 publications

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“…Condom use with regular non-paying partners and boyfriends were reported to be lower and less consistent than condom use with paying partners. This finding is consistent with other studies reporting similar outcomes in condom use by FSWs with regular or non-paying clients (Johnson, Haefton, Fishbeina, Kasprzykb, & Montanob, 2001;Kayembe et al, 2008;Stoebenau, Hindin, Nathanson, Rakotoarison, & Razafintsalama, 2009;Voeten, Egesah, Varkevisser, & Habbema, 2007;Wang et al, 2007). This trend could compromise ongoing efforts to address the HIV epidemic in sub-Saharan Africa.…”

Section: Discussionsupporting

confidence: 82%

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

Okafor

Crutzen

Aduak

et al. 2017

African Journal of AIDS Research

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Section: Discussionsupporting

confidence: 82%

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

Okafor

Crutzen

Aduak

et al. 2017

African Journal of AIDS Research

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“…Subsequent studies in Congo have just shown information about condom availability (which is not nationally ensured) (Bosmans, Cikuru, Claeys, & Temmerman, 2006), condom use (Laga et al, 1994), determinants (Kayembe et al, 2008;Ntumbanzondo, Dubrow, Niccolai, Mwandagalirwa, & Merson, 2006) and barriers for using condoms (Irwin et al, 1991;Kabamba Mulongo, Schirvel, Mukalay Wa Mukalay, & Dramaix Wilmet, 2011;Kayembe, Fatuma, Mapatano, & Mambu, 2006). A recent cross-sectional study among people attending VCT in a rural area found a very low prevalence of consistent use and a non-significant association, in a bivariate analysis, between any condom use and HIV (Kautako-Kiambi, Ekila, Kama-Lemba, Wumba, & Aloni, 2015).…”

Section: Introductionmentioning

confidence: 99%

Male condom use, multiple sexual partners and HIV: a prospective case-control study in Kinshasa (DRC)

Carlos

Burgueño

et al. 2016

AIDS Care

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In the Democratic Republic of Congo no previous studies have assessed the factors associated with different patterns of condom use and with multiple sexual partners and the association between condom use simultaneously taking into account multiple sexual partnerships, and HIV infection. We carried out a prospective case-control study. From December 2010 until June 2012, 1,630 participants aged 15-49 getting HIV Voluntary Counseling and Testing in a hospital in Kinshasa were selected. Cases were new HIV diagnosis and controls were HIVnegative participants detected along the study period. We recruited 274 cases and 1,340 controls that were interviewed about HIV-related knowledge, attitudes and behaviours.Among cases there was a high prevalence of multiple lifetime and concurrent sexual partnerships (89.8% and 20.4%, respectively) and most cases never used condoms with only 1.5% using them consistently. Condom use and multiple partnerships were associated with male, single and high-educated participants. An association was found between multiple lifetime partners and `any condom use´ (OR=2.99; 95%CI: 2.14-4.19) but not with consistent use. Both having two or more multiple concurrent sexual partners or not using condoms were variables similarly and highly associated to HIV risk. The association found between having two or more concurrent sexual partners and HIV was slightly higher (OR=3.58, 95%CI:2.31-5-56) than the association found between never condom use and HIV (OR=3.38, 95%CI:1.15-9.93). We found a high prevalence of multiple lifetime sexual partners and an extremely high prevalence of inconsistent condom use, both strongly associated with HIV seropositivity.Local programs would benefit from comprehensive interventions targeting all behavioural and sociocultural determinants.

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“…The limited amount of existing research has shown high incidences of unintended pregnancy and a low contraceptive prevalence in this particular group [3][4][5][6] . All studies report that sex workers who do use contraception resort most often to condoms yet the latter are not consistently used in all sex acts 3,[5][6][7][8][9] . FSWs may have difficulties in negotiating the consistent use of condoms with clients, and also may deliberately use condoms with some types of partners (such as casual clients) while deliberately not using condoms with other types of partners (such as emotional partners or regular clients) 10 .…”

Section: Introductionmentioning

confidence: 99%

Contraceptive needs of female sex workers in Kenya – A cross-sectional study

Sutherland

Alaii²,

Tsui

et al. 2011

The European Journal of Contraception & Reproductive Health

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A B S T R A C TBackground and objectives Female sex workers (FSWs) are thought to be at heightened risk for unintended pregnancy, although sexual and reproductive health interventions reaching these populations are typically focused on the increased risk of sexually transmitted infections. The objective of this study of FSWs in Kenya is to document patterns of contraceptive use and unmet need for contraception. Methods This research surveys a large sample of female sex workers (N ¼ 597) and also uses qualitative data from focus group discussions. Results The reported level of modern contraceptives in our setting was very high. However, like in other studies, we found a great reliance on male condoms, coupled with inconsistent use at last sex, which resulted in a higher potential for unmet need for contraception than the elevated levels of modern contraceptives might suggest. Dual method use was also frequently encountered in this population and the benefits of this practice were clearly outlined by focus group participants. Conclusion These findings suggest that the promotion of dual methods among this population could help meet the broader reproductive health needs of FSWs. Furthermore, this research underscores the necessity of considering consistency of condom use when estimating the unmet or undermet contraceptive needs of this population.

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Determinants of consistent condom use among female commercial sex workers in the Democratic Republic of Congo: implications for interventions

Abstract: The risk perception bias associated with non-paying partners, time as a commercial sex worker and age should be taken into account when planning interventions targeting CSW. Access to condoms and VCT should be improved because they are likely to impact on behaviour.

Cited by 75 publications

References 27 publications

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

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

Male condom use, multiple sexual partners and HIV: a prospective case-control study in Kinshasa (DRC)

Contraceptive needs of female sex workers in Kenya – A cross-sectional study

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