Identifying Barriers to Condom Use Among Female Sex Workers: a Systematic Review and Meta-analysis

Abstract

Background: Many studies have shown a lot of factors which are as barriers to the condom use among female sex workers (FSWs). However, there is not a comprehensive study to report the number and magnitude of these barriers. This study aimed to resolve this gap by comprehensive systematic review and meta-analysis. Methods: We have searched the electronic databases include Web of Science, PubMed, and Scopus until September 2019. For each database we formulated a separate search strategy using keywords such as “condom use” and “sex worker” and the related synonyms. Epidemiological epidemiology addressed the factors associated with unprotected sex for the female sex worker. The heterogeneity across studies and probability of publication bias was investigated by I2 statistic and Begg's and Egger's tests respectively. The pooled effect size were expressed as odds ratio (OR) with 95% confidence intervals (CI) using a random-effects model.Results: Out of 5854 studies obtained in initial search, 35 studies with sample size 14218 participants had eligibility criteria which were included in the final analysis. Ten factors include marital status, alcohol use, history of violence, history of sexual abuse, history of STIs, STIs knowledge, HIV risk perception, drug use, knowledge about the condom use, condom use self-efficacy were identified in those studies. History of sexual abuse with OR=1.87 and the knowledge on AIDS with OR=1.07 had the strongest association and weakest association with condom use respectively. Conclusion: Many factors with different degrees of association influence on the condom use among female sex workers. However, history of sexual abuse, a history of violence, and HIV risk perception were considered as the major determinants of the condom use. The structural interventions, policy change and empowerment of female sex workers are recommended to increase consistent condom use in FSWs.

Determinan yang Berhubungan dengan Upaya Pencegahan Infeksi Menular Seksual pada Wanita Pekerja Seks di Jakarta Timur

“…Perlunya kualitas pelayanan pada fasilitas kesehatan, sehingga pemahaman wanita pekerja seks (WPS) lebih baik terhadap pencegahan IMS. Selain itu, keterlibatan dalam program pemberdayaan masyarakat, seperti dukungan komunitas diperlukan untuk memberikan informasi edukasi terkait cara mencegah IMS (Khanam et al, 2017;Omidi et al, 2020;Parcesepe et al, 2016).…”

“…Penggunaan kondom secara tidak konsisten meningkat empat kali lipat untuk WPS yang memiliki persepsi rendah dari nilai kehidupan, dibandingkan dengan WPS yang memiliki persepsi lebih tinggi. Hal ini menunjukkan bahwa persepsi yang baik tentang perilaku sehat, dapat menimbulkan nilai positif untuk mencegah infeksi menular seksual pada WPS Omidi et al, 2020;Keamogetse & Gorata, 2017).…”