Evolution of Condom Use Among a 5-Year Cohort of Female Sex Workers in Zambia

Observing sexual behaviour change over time could help develop behavioural HIV prevention interventions for female sex workers in Zambia, where these interventions are lacking. We investigated the evolution of consistent condom use among female sex workers and their clients and steady partners. Part...

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Vydané v:AIDS and behavior Ročník 26; číslo 2; s. 470 - 477
Hlavní autori: Malama, Kalonde, Price, Matt A., Sagaon-Teyssier, Luis, Parker, Rachel, Wall, Kristin M., Tichacek, Amanda, Sharkey, Tyronza, Kilembe, William, Inambao, Mubiana, Spire, Bruno, Allen, Susan
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: New York Springer US 01.02.2022
Springer Nature B.V
Springer Verlag
Predmet:
Behavior change
Behavior modification
Clients
Cohort analysis
Condoms
Counseling
Evolution
Female
Females
Health behavior
Health Psychology
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Infectious Diseases
Intervention
Life Sciences
Medical screening
Medicine
Medicine & Public Health
Original Paper
Prevention programs
Preventive medicine
Prostitution
Public Health
Sex industry
Sex Workers
Sexual Behavior
Sexually transmitted diseases
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - prevention & control
STD
Tests
Women
Workers
Working women
Zambia - epidemiology
Zambia
Condom use
Female sex workers
Zambia
Risk behaviour
Cohort study
ISSN:1090-7165, 1573-3254, 1573-3254
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Abstract Observing sexual behaviour change over time could help develop behavioural HIV prevention interventions for female sex workers in Zambia, where these interventions are lacking. We investigated the evolution of consistent condom use among female sex workers and their clients and steady partners. Participants were recruited into an HIV incidence cohort from 2012 to 2017. At each visit, women received HIV counselling and testing, screening for sexually transmitted infections (STIs) and free condoms. Our outcome was reported consistent (100%) condom use in the previous month with steady partners, repeat clients, and non-repeat clients. Consistent condom use at baseline was highest with non-repeat clients (36%) followed by repeat clients (27%) and steady partners (17%). Consistent condom use between baseline and Month 42 increased by 35% with steady partners, 39% with repeat clients and 41% with non-repeat clients. Access to condoms, HIV/STI counselling and testing promoted positive sexual behaviour change.
AbstractList Observing sexual behaviour change over time could help develop behavioural HIV prevention interventions for female sex workers in Zambia, where these interventions are lacking. We investigated the evolution of consistent condom use among female sex workers and their clients and steady partners. Participants were recruited into an HIV incidence cohort from 2012 to 2017. At each visit, women received HIV counselling and testing, screening for sexually transmitted infections (STIs) and free condoms. Our outcome was reported consistent (100%) condom use in the previous month with steady partners, repeat clients, and non-repeat clients. Consistent condom use at baseline was highest with non-repeat clients (36%) followed by repeat clients (27%) and steady partners (17%). Consistent condom use between baseline and Month 42 increased by 35% with steady partners, 39% with repeat clients and 41% with non-repeat clients. Access to condoms, HIV/STI counselling and testing promoted positive sexual behaviour change.
Observing sexual behaviour change over time could help develop behavioural HIV prevention interventions for female sex workers in Zambia, where these interventions are lacking. We investigated the evolution of consistent condom use among female sex workers and their clients and steady partners. Participants were recruited into an HIV incidence cohort from 2012 to 2017. At each visit, women received HIV counselling and testing, screening for sexually transmitted infections (STIs) and free condoms. Our outcome was reported consistent (100%) condom use in the previous month with steady partners, repeat clients, and non-repeat clients. Consistent condom use at baseline was highest with non-repeat clients (36%) followed by repeat clients (27%) and steady partners (17%). Consistent condom use between baseline and Month 42 increased by 35% with steady partners, 39% with repeat clients and 41% with non-repeat clients. Access to condoms, HIV/STI counselling and testing promoted positive sexual behaviour change.Observing sexual behaviour change over time could help develop behavioural HIV prevention interventions for female sex workers in Zambia, where these interventions are lacking. We investigated the evolution of consistent condom use among female sex workers and their clients and steady partners. Participants were recruited into an HIV incidence cohort from 2012 to 2017. At each visit, women received HIV counselling and testing, screening for sexually transmitted infections (STIs) and free condoms. Our outcome was reported consistent (100%) condom use in the previous month with steady partners, repeat clients, and non-repeat clients. Consistent condom use at baseline was highest with non-repeat clients (36%) followed by repeat clients (27%) and steady partners (17%). Consistent condom use between baseline and Month 42 increased by 35% with steady partners, 39% with repeat clients and 41% with non-repeat clients. Access to condoms, HIV/STI counselling and testing promoted positive sexual behaviour change.
Author Parker, Rachel
Sagaon-Teyssier, Luis
Kilembe, William
Spire, Bruno
Price, Matt A.
Wall, Kristin M.
Allen, Susan
Inambao, Mubiana
Sharkey, Tyronza
Malama, Kalonde
Tichacek, Amanda
AuthorAffiliation 2) Center for Family Health Research in Zambia, Rwanda Zambia HIV Research Group, Lusaka, Zambia
6) Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America
3) IAVI, New York, New York, United States of America
7) Center for Family Health Research in Zambia, Rwanda Zambia HIV Research Group, Ndola, Zambia
1) Aix-Marseille University, INSERM, IRD, SESSTIM, ORS PACA, Marseille, France
5) Rwanda Zambia HIV Research Group, Emory University, Atlanta, Georgia, United States of America
4) University of California at San Francisco, San Francisco, California, United States of America
AuthorAffiliation_xml – name: 4) University of California at San Francisco, San Francisco, California, United States of America
– name: 3) IAVI, New York, New York, United States of America
– name: 7) Center for Family Health Research in Zambia, Rwanda Zambia HIV Research Group, Ndola, Zambia
– name: 5) Rwanda Zambia HIV Research Group, Emory University, Atlanta, Georgia, United States of America
– name: 2) Center for Family Health Research in Zambia, Rwanda Zambia HIV Research Group, Lusaka, Zambia
– name: 1) Aix-Marseille University, INSERM, IRD, SESSTIM, ORS PACA, Marseille, France
– name: 6) Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America
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  givenname: Kalonde
  orcidid: 0000-0001-7655-5916
  surname: Malama
  fullname: Malama, Kalonde
  email: kalondemalama@gmail.com
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  organization: Rwanda Zambia HIV Research Group, Emory University
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CitedBy_id crossref_primary_10_1186_s12889_023_17253_8
crossref_primary_10_1186_s12879_022_07544_7
crossref_primary_10_1186_s12889_025_21937_8
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Copyright The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021
2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021.
Distributed under a Creative Commons Attribution 4.0 International License
Copyright_xml – notice: The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021
– notice: 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
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ISSN 1090-7165
1573-3254
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Issue 2
Keywords Condom use
Female sex workers
Zambia
Risk behaviour
Cohort study
Language English
License 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Distributed under a Creative Commons Attribution 4.0 International License: http://creativecommons.org/licenses/by/4.0
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PMCID: PMC8801539
Authors’ contributions: KM analysed the data and wrote the manuscript. SA, WK and MI conceived the original study and reviewed the manuscript. LST, RP and KMW supported the analysis and reviewed the manuscript. AT, MA, TS and BS reviewed the manuscript.
ORCID 0000-0001-7655-5916
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/8801539
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  year: 2022
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PublicationTitle AIDS and behavior
PublicationTitleAbbrev AIDS Behav
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Springer Verlag
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References KayembePKMapatanoMABusanguAFNyandweJKMusemaGMKibunguJPDeterminants of consistent condom use among female commercial sex workers in the Democratic Republic of Congo: implications for interventionsSex Transm Infect20088432022061:STN:280:DC%2BD1czkt1yqsA%3D%3D10.1136/sti.2007.028324
NtumbanzondoMDubrowRNiccolaiLMMwandagalirwaKMersonMHUnprotected intercourse for extra money among commercial sex workers in Kinshasa Democratic Republic of CongoAIDS Care20061877777851:STN:280:DC%2BD28rksFemug%3D%3D10.1080/09540120500412824
FeldblumPJNasutionMDHokeTHDammeKVTurnerANGmachRPregnancy among sex workers participating in a condom intervention trial highlights the need for dual protectionContraception200776210511010.1016/j.contraception.2007.04.009
ScorgieFChersichMFNtaganiraIGerbaseALuleFLoY-RSocio-demographic characteristics and behavioral risk factors of female sex workers in sub-saharan africa: a systematic reviewAIDS Behav201216492093310.1007/s10461-011-9985-z
ChudakovBIlanKBelmakerRHCwikelJThe motivation and mental health of sex workersJ Sex Marital Ther200228430531510.1080/00926230290001439
EmmanuelGFolayanMUndelikweGOchonyeBJayeobaTYusufACommunity perspectives on barriers and challenges to HIV pre-exposure prophylaxis access by men who have sex with men and female sex workers access in NigeriaBMC Public Health2020201691:STN:280:DC%2BB38%2FgsV2lug%3D%3D10.1186/s12889-020-8195-x
LiQLiXStantonBAlcohol use among female sex workers and male clients: an integrative review of global literatureAlcohol Alcohol201045218819910.1093/alcalc/agp095
LiJLKilembeWInambaoMVwalikaBParkerRSharkeyTFertility intentions and long-acting reversible contraceptive use among HIV-negative single mothers in ZambiaAm J Obstet Gynecol202010.1016/j.ajog.2019.12.269333095627578241
FehrenbacherAEChowdhuryDJanaSRayPDeyBGhoseTConsistent condom use by married and cohabiting female sex workers in india: investigating relational norms with commercial versus intimate partnersAIDS Behav201822124034404710.1007/s10461-018-2219-x
World Health Organisation. WHO Expands Recommendation on Oral Pre-Exposure Prophylaxis of HIV Infection (PrEP) [Internet]. Geneva, Switzerland: WHO; 2015. https://apps.who.int/iris/bitstream/handle/10665/197906/WHO_HIV_2015.48_eng.pdf;jsessionid=0FF1F0C2002F493E392EB772FD8FE6DF?sequence=1
GalloMFWarnerLBellAJBukusiEASharmaANjorogeBDeterminants of condom use among female sex workers in kenya: a case-crossover analysisJ Women’s Health.201120573373810.1089/jwh.2010.2436
WangBLiXStantonBZhangLFangXAlcohol use, unprotected sex, and sexually transmitted infections among female sex workers in ChinaSex Transm Dis2010371062963610.1097/OLQ.0b013e3181e2118a
DhanaALuchtersSMooreLLafortYRoyAScorgieFSystematic review of facility-based sexual and reproductive health services for female sex workers in AfricaGlobal Health201410104610.1186/1744-8603-10-46
SheaJBulaADundaWHosseinipourMCGolinCEHoffmanIFThe drug will help protect my tomorrow: perceptions of integrating prep into hiv prevention behaviors among female sex workers in LilongweMALAWI AIDS Educ Prev201931542143210.1521/aeap.2019.31.5.421
Malama K, Sagaon-Teyssier L, Parker R, Tichacek A, Sharkey T, Kilembe W, et al. Client-initiated violence against zambian female sex workers: prevalence and associations with behavior, environment, and sexual history. J Interpers Violence [Internet]. 2019. https://journals.sagepub.com/eprint/JV2HWHPXSKWEGMM5VAJY/full
de VincenziIA longitudinal study of human immunodeficiency virus transmission by heterosexual partners. European study group on heterosexual transmission of HIVN Engl J Med.1994331634134610.1056/NEJM199408113310601
RothEABenoitCJanssonMHallsgrimdottirHPublic drinking venues as risk environments: commercial sex, alcohol and violence in a large informal settlement in Nairobi, KenyaHuman Ecol201745227728310.1007/s10745-017-9897-2
CharaniaMRCrepazNGuenther-GrayCHennyKLiauAWillisLAEfficacy of structural-level condom distribution interventions: a meta-analysis of U.S. and international studies, 1998–2007AIDS Behav.20111571283129710.1007/s10461-010-9812-y
Adu-OppongAGrimesRMRossMWRisserJKessieGSocial and behavioral determinants of consistent condom use among female commercial sex workers in GhanaAIDS Educ Prev200719216017210.1521/aeap.2007.19.2.160
TracasABazziARArtamonovaIRangelMGStainesHUlibarriMDChanges in condom use over time among female sex workers and their male noncommerical partners and clientsAIDS Educ Prev201628431232410.1521/aeap.2016.28.4.312
ChersichMFBosireWKing’olaNTemmermanMLuchtersSEffects of hazardous and harmful alcohol use on HIV incidence and sexual behaviour: a cohort study of Kenyan female sex workersGlobal Health.2014102210.1186/1744-8603-10-22
DuncanEAWInfluence of partner type on condom useJ Hum Behav Soc Environ201121778480210.1080/10911359.2011.615673
Fritz KE, Woelk GB, Bassett MT, McFarland WC, Routh JA, Tobaiwa O, et al. The association between alcohol use, sexual risk behavior, and hiv infection among men attending beerhalls in harare, Zimbabwe. AIDS Behav. 2002;8.
BaralSBeyrerCMuessigKPoteatTWirtzALDeckerMRBurden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysisLancet Infect Dis201212753854910.1016/S1473-3099(12)70066-X
KinslerJJBlasMMCabralACarcamoCHalseyNBrownBUnderstanding STI risk and condom use patterns by partner type among female sex workers in PeruOpen AIDS J2014308172010.2174/1874613601408010017
MbitaGMwanamsanguAPlotkinMCasaliniCShaoALijaGConsistent condom use and dual protection among female sex workers: surveillance findings from a large-scale, community-based combination HIV prevention program in TanzaniaAIDS Behav201910.1007/s10461-019-02642-1311977007018834
UNAIDS. UNAIDS Data 2019 [Internet]. Geneva, Switzerland; 2019. https://www.unaids.org/sites/default/files/media_asset/2019-UNAIDS-data_en.pdf
Cairns G. PrEP spreads across Africa – slowly [Internet]. United Kingdom: Aidsmap. 2018. http://www.aidsmap.com/news/aug-2018/prep-spreads-across-africa-slowly
KilembeWInambaoMSharkeyTWallKMParkerRHimukumbwaCSingle mothers and female sex workers in zambia have similar risk profilesAIDS Res Hum Retrovir201935981482510.1089/aid.2019.0013
ChersichMFLuchtersSMFMalonzaIMMwarogoPKing’olaNTemmermanMHeavy episodic drinking among Kenyan female sex workers is associated with unsafe sex, sexual violence and sexually transmitted infectionsInt J STD AIDS.200718117647691:STN:280:DC%2BD2snotVaitg%3D%3D10.1258/095646207782212342
GunnJKLRothAMCenterKEWieheSEThe Unanticipated benefits of behavioral assessments and interviews on anxiety, self-esteem and depression among women engaging in transactional sexCommunity Ment Health J20165281064106910.1007/s10597-015-9844-x
HubbardAEAhernJFleischerNLder LaanMVLippmanSAJewellNTo GEE or Not to GEE: comparing population average and mixed models for estimating the associations between neighborhood risk factors and healthEpidemiology201021446747410.1097/EDE.0b013e3181caeb90
OkaforUOCrutzenRAduakYAdebajoSVan den BorneHWBehavioural interventions promoting condom use among female sex workers in sub-Saharan Africa: a systematic reviewAfr J AIDS Res201716325726810.2989/16085906.2017.1358753
MacalusoMDemandMJArtzLMHookEWIPartner type and condom useAIDS20001455371:STN:280:DC%2BD3c3ktFKhug%3D%3D10.1097/00002030-200003310-00009
Van RossemRMeekersDAkinyemiZConsistent condom use with different types of partners: evidence from two Nigerian surveysAIDS Educ Prev200113325226710.1521/aeap.13.3.252.19745
MalamaKKilembeWInambaoMHoaglandASharkeyTParkerRA couple-focused, integrated unplanned pregnancy and HIV prevention program in urban and rural ZambiaAm J Obstet Gynecol202010.1016/j.ajog.2020.01.007319453378377731
EAW Duncan (3403_CR34) 2011; 21
MF Chersich (3403_CR27) 2007; 18
UO Okafor (3403_CR17) 2017; 16
3403_CR1
3403_CR25
MR Charania (3403_CR9) 2011; 15
AE Hubbard (3403_CR22) 2010; 21
3403_CR5
3403_CR4
JJ Kinsler (3403_CR15) 2014; 30
Q Li (3403_CR24) 2010; 45
3403_CR6
G Mbita (3403_CR31) 2019
B Wang (3403_CR29) 2010; 37
A Dhana (3403_CR36) 2014; 10
G Emmanuel (3403_CR8) 2020; 20
JKL Gunn (3403_CR18) 2016; 52
K Malama (3403_CR35) 2020
A Adu-Oppong (3403_CR11) 2007; 19
A Tracas (3403_CR23) 2016; 28
M Macaluso (3403_CR33) 2000; 14
S Baral (3403_CR2) 2012; 12
AE Fehrenbacher (3403_CR16) 2018; 22
M Ntumbanzondo (3403_CR12) 2006; 18
JL Li (3403_CR32) 2020
MF Gallo (3403_CR13) 2011; 20
PK Kayembe (3403_CR14) 2008; 84
F Scorgie (3403_CR3) 2012; 16
J Shea (3403_CR7) 2019; 31
EA Roth (3403_CR26) 2017; 45
MF Chersich (3403_CR28) 2014; 10
PJ Feldblum (3403_CR30) 2007; 76
B Chudakov (3403_CR19) 2002; 28
R Van Rossem (3403_CR10) 2001; 13
W Kilembe (3403_CR20) 2019; 35
I de Vincenzi (3403_CR21) 1994; 331
References_xml – reference: ChersichMFBosireWKing’olaNTemmermanMLuchtersSEffects of hazardous and harmful alcohol use on HIV incidence and sexual behaviour: a cohort study of Kenyan female sex workersGlobal Health.2014102210.1186/1744-8603-10-22
– reference: Malama K, Sagaon-Teyssier L, Parker R, Tichacek A, Sharkey T, Kilembe W, et al. Client-initiated violence against zambian female sex workers: prevalence and associations with behavior, environment, and sexual history. J Interpers Violence [Internet]. 2019. https://journals.sagepub.com/eprint/JV2HWHPXSKWEGMM5VAJY/full
– reference: GunnJKLRothAMCenterKEWieheSEThe Unanticipated benefits of behavioral assessments and interviews on anxiety, self-esteem and depression among women engaging in transactional sexCommunity Ment Health J20165281064106910.1007/s10597-015-9844-x
– reference: MbitaGMwanamsanguAPlotkinMCasaliniCShaoALijaGConsistent condom use and dual protection among female sex workers: surveillance findings from a large-scale, community-based combination HIV prevention program in TanzaniaAIDS Behav201910.1007/s10461-019-02642-1311977007018834
– reference: RothEABenoitCJanssonMHallsgrimdottirHPublic drinking venues as risk environments: commercial sex, alcohol and violence in a large informal settlement in Nairobi, KenyaHuman Ecol201745227728310.1007/s10745-017-9897-2
– reference: KilembeWInambaoMSharkeyTWallKMParkerRHimukumbwaCSingle mothers and female sex workers in zambia have similar risk profilesAIDS Res Hum Retrovir201935981482510.1089/aid.2019.0013
– reference: ChersichMFLuchtersSMFMalonzaIMMwarogoPKing’olaNTemmermanMHeavy episodic drinking among Kenyan female sex workers is associated with unsafe sex, sexual violence and sexually transmitted infectionsInt J STD AIDS.200718117647691:STN:280:DC%2BD2snotVaitg%3D%3D10.1258/095646207782212342
– reference: WangBLiXStantonBZhangLFangXAlcohol use, unprotected sex, and sexually transmitted infections among female sex workers in ChinaSex Transm Dis2010371062963610.1097/OLQ.0b013e3181e2118a
– reference: LiJLKilembeWInambaoMVwalikaBParkerRSharkeyTFertility intentions and long-acting reversible contraceptive use among HIV-negative single mothers in ZambiaAm J Obstet Gynecol202010.1016/j.ajog.2019.12.269333095627578241
– reference: SheaJBulaADundaWHosseinipourMCGolinCEHoffmanIFThe drug will help protect my tomorrow: perceptions of integrating prep into hiv prevention behaviors among female sex workers in LilongweMALAWI AIDS Educ Prev201931542143210.1521/aeap.2019.31.5.421
– reference: TracasABazziARArtamonovaIRangelMGStainesHUlibarriMDChanges in condom use over time among female sex workers and their male noncommerical partners and clientsAIDS Educ Prev201628431232410.1521/aeap.2016.28.4.312
– reference: MacalusoMDemandMJArtzLMHookEWIPartner type and condom useAIDS20001455371:STN:280:DC%2BD3c3ktFKhug%3D%3D10.1097/00002030-200003310-00009
– reference: MalamaKKilembeWInambaoMHoaglandASharkeyTParkerRA couple-focused, integrated unplanned pregnancy and HIV prevention program in urban and rural ZambiaAm J Obstet Gynecol202010.1016/j.ajog.2020.01.007319453378377731
– reference: FeldblumPJNasutionMDHokeTHDammeKVTurnerANGmachRPregnancy among sex workers participating in a condom intervention trial highlights the need for dual protectionContraception200776210511010.1016/j.contraception.2007.04.009
– reference: UNAIDS. UNAIDS Data 2019 [Internet]. Geneva, Switzerland; 2019. https://www.unaids.org/sites/default/files/media_asset/2019-UNAIDS-data_en.pdf
– reference: KinslerJJBlasMMCabralACarcamoCHalseyNBrownBUnderstanding STI risk and condom use patterns by partner type among female sex workers in PeruOpen AIDS J2014308172010.2174/1874613601408010017
– reference: DuncanEAWInfluence of partner type on condom useJ Hum Behav Soc Environ201121778480210.1080/10911359.2011.615673
– reference: EmmanuelGFolayanMUndelikweGOchonyeBJayeobaTYusufACommunity perspectives on barriers and challenges to HIV pre-exposure prophylaxis access by men who have sex with men and female sex workers access in NigeriaBMC Public Health2020201691:STN:280:DC%2BB38%2FgsV2lug%3D%3D10.1186/s12889-020-8195-x
– reference: OkaforUOCrutzenRAduakYAdebajoSVan den BorneHWBehavioural interventions promoting condom use among female sex workers in sub-Saharan Africa: a systematic reviewAfr J AIDS Res201716325726810.2989/16085906.2017.1358753
– reference: ScorgieFChersichMFNtaganiraIGerbaseALuleFLoY-RSocio-demographic characteristics and behavioral risk factors of female sex workers in sub-saharan africa: a systematic reviewAIDS Behav201216492093310.1007/s10461-011-9985-z
– reference: de VincenziIA longitudinal study of human immunodeficiency virus transmission by heterosexual partners. European study group on heterosexual transmission of HIVN Engl J Med.1994331634134610.1056/NEJM199408113310601
– reference: GalloMFWarnerLBellAJBukusiEASharmaANjorogeBDeterminants of condom use among female sex workers in kenya: a case-crossover analysisJ Women’s Health.201120573373810.1089/jwh.2010.2436
– reference: Fritz KE, Woelk GB, Bassett MT, McFarland WC, Routh JA, Tobaiwa O, et al. The association between alcohol use, sexual risk behavior, and hiv infection among men attending beerhalls in harare, Zimbabwe. AIDS Behav. 2002;8.
– reference: LiQLiXStantonBAlcohol use among female sex workers and male clients: an integrative review of global literatureAlcohol Alcohol201045218819910.1093/alcalc/agp095
– reference: Cairns G. PrEP spreads across Africa – slowly [Internet]. United Kingdom: Aidsmap. 2018. http://www.aidsmap.com/news/aug-2018/prep-spreads-across-africa-slowly
– reference: World Health Organisation. WHO Expands Recommendation on Oral Pre-Exposure Prophylaxis of HIV Infection (PrEP) [Internet]. Geneva, Switzerland: WHO; 2015. https://apps.who.int/iris/bitstream/handle/10665/197906/WHO_HIV_2015.48_eng.pdf;jsessionid=0FF1F0C2002F493E392EB772FD8FE6DF?sequence=1
– reference: Van RossemRMeekersDAkinyemiZConsistent condom use with different types of partners: evidence from two Nigerian surveysAIDS Educ Prev200113325226710.1521/aeap.13.3.252.19745
– reference: BaralSBeyrerCMuessigKPoteatTWirtzALDeckerMRBurden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysisLancet Infect Dis201212753854910.1016/S1473-3099(12)70066-X
– reference: FehrenbacherAEChowdhuryDJanaSRayPDeyBGhoseTConsistent condom use by married and cohabiting female sex workers in india: investigating relational norms with commercial versus intimate partnersAIDS Behav201822124034404710.1007/s10461-018-2219-x
– reference: DhanaALuchtersSMooreLLafortYRoyAScorgieFSystematic review of facility-based sexual and reproductive health services for female sex workers in AfricaGlobal Health201410104610.1186/1744-8603-10-46
– reference: ChudakovBIlanKBelmakerRHCwikelJThe motivation and mental health of sex workersJ Sex Marital Ther200228430531510.1080/00926230290001439
– reference: KayembePKMapatanoMABusanguAFNyandweJKMusemaGMKibunguJPDeterminants of consistent condom use among female commercial sex workers in the Democratic Republic of Congo: implications for interventionsSex Transm Infect20088432022061:STN:280:DC%2BD1czkt1yqsA%3D%3D10.1136/sti.2007.028324
– reference: Adu-OppongAGrimesRMRossMWRisserJKessieGSocial and behavioral determinants of consistent condom use among female commercial sex workers in GhanaAIDS Educ Prev200719216017210.1521/aeap.2007.19.2.160
– reference: CharaniaMRCrepazNGuenther-GrayCHennyKLiauAWillisLAEfficacy of structural-level condom distribution interventions: a meta-analysis of U.S. and international studies, 1998–2007AIDS Behav.20111571283129710.1007/s10461-010-9812-y
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Snippet Observing sexual behaviour change over time could help develop behavioural HIV prevention interventions for female sex workers in Zambia, where these...
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StartPage 470
SubjectTerms Behavior change
Behavior modification
Clients
Cohort analysis
Condoms
Counseling
Evolution
Female
Females
Health behavior
Health Psychology
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Infectious Diseases
Intervention
Life Sciences
Medical screening
Medicine
Medicine & Public Health
Original Paper
Prevention programs
Preventive medicine
Prostitution
Public Health
Sex industry
Sex Workers
Sexual Behavior
Sexually transmitted diseases
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - prevention & control
STD
Tests
Women
Workers
Working women
Zambia - epidemiology
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Title Evolution of Condom Use Among a 5-Year Cohort of Female Sex Workers in Zambia
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