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Title

The Contribution of Emotional Partners to Sexual Risk Taking and Violence among Female Sex Workers in Mombasa, Kenya: A Cohort Study.

Authors

 RM Grant, PPL Anderson, V. McMahan, et al.

Network Affiliation

Other

Organization

 

Journal Name

PLOS One

Publication Date

8/1/2013

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/23950879

Link to full-text

 

PMID

23950879

Abstract

OBJECTIVES:

To assess sexual risk-taking of female sex workers (FSWs) with emotional partners (boyfriends and husbands), compared to regular and casual clients. Experiences of violence and the degree of relationship control that FSWs have with emotional partners are also described.

DESIGN:

Cohort study with quarterly follow-up visit over 12-months.

METHODS:

Four hundred HIV-uninfected FSWs older than 16 years were recruited from their homes and guesthouses in Mombasa, Kenya. A structured questionnaire assessed participant characteristics and study outcomes at each visit, and women received risk-reduction counselling, male and female condoms, and HIV testing.

RESULTS:

Four or more unprotected sex acts in the past week were reported by 21.3% of women during sex with emotional partners, compared to 5.8% with regular and 4.8% with casual clients (P<0.001). Total number of unprotected sex acts per week was 5-6-fold higher with emotional partners (603 acts with 259 partners) than with regular or casual clients (125 acts with 456, and 98 acts with 632 clients, respectively; P<0.001). Mostly, perceptions of "trust" underscored unprotected sex with emotional partners. Low control over these relationships, common to many women (36.9%), was linked with higher partner numbers, inconsistent condom use, and being physically forced to have sex by their emotional partners. Half experienced sexual or physical violence in the past year, similarly associated with partner numbers and inconsistent condom use.

CONCLUSIONS:

High-risk sexual behaviour, low control and frequent violence in relationships with emotional partners heighten FSWs' vulnerability and high HIV risk, requiring targeted interventions that also encompass emotional partners.

 

Keywords

 

Topic

Behavior; Intervention; Women; Violence

Attachments

Created at 8/22/2013 10:56 AM by Davis, Gregory P
Last modified at 11/13/2014 11:09 AM by Davis, Gregory P