IJCRR - 7(23), December, 2015
PREVALENCE OF CONDOM USE AND ASSOCIATED FACTORS AMONG FEMALE SEX WORKERS IN KARACHI, PAKISTAN
Author: Atif M., Khalil R., GulS, Bilal B.
As they have multiple sex partners, female sex workers are at a higher risk of sexually transmitted infections, including human immunodeficiency virus. Consistent and correct use of male condoms can reduce this risk. However, condom use among female sex workers is a complicated issue.
Objectives: The purpose of this study was to determine the revalence of condom use and to evaluate the factors associated with its use among female sex workers in Karachi, Pakistan.
Methodology: A mixed method study was conducted in Karachi, Pakistan. Quantitative data were collected from 200 female sex workers (FSWs) through a structured questionnaire, while Qualitative methods comprised40 in-depth interviews of every 5th female sex worker participating in the cross sectional survey, and Focus-group discussions. The information on socio-demographic characteristics, prevalence of condom use, factors associated with use of condoms, knowledge and awareness about STIs and HIV/AIDS was gathered. The data were analyzed using SPSS 18 and frequencies with percentages were calculated for all qualitative variables.
Results: Average age of the participants was 27.9 ± 6.5 years. More than one third had no formal education with 85% reporting a monthly income of more than 8000 PKR[Mean; 16615 ± 10867 PKR]. Nearly half (52%) had spent 4 or fewer years in sex work. The average number of clients per day was 3 ± 1.5 per sex worker. FSWs attached to a brothel were 6 times more likely to use acondom in comparison with street based FSWs. Whereas, FSWs aged younger than 35 years were 2.7 times more likely to use a condom in comparison to older FSWs. Factors found to be associated with not using a condom included being in the sex work for more than 05 years, having sex with non-paying partners, alcohol use, non-availability of condoms, not being associated with a service delivery program and lack of knowledge that condoms can protect against HIV.
Conclusion: The study revealed that the prevalence of condom use among female sex workers was low. FSW’s lack of negotiating power for condom use was a major reason for its non-use. Other factors associated with not using condoms included not being attached to a brothel, being over 35 years old, more than 05 years in sex work, having sex with nonpaying partners, use of alcohol, unavailability of condoms, no exposure to a service delivery program and no knowledge about condom being protective against HIV.
Keywords: Condom use, Female sex workers, Commercial sex workers
Atif M., Khalil R., GulS, Bilal B.. PREVALENCE OF CONDOM USE AND ASSOCIATED FACTORS AMONG FEMALE SEX WORKERS IN KARACHI, PAKISTAN International Journal of Current Research and Review. 7(23), December, 40-46
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