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Changes in Condom Use Over Time Among Female Sex Workers and Their Male Noncommercial Partners and Clients.

Authors
  • Tracas, Ashley1
  • Bazzi, Angela Robertson2
  • Artamonova, Irina3
  • Rangel, M Gudelia4
  • Staines, Hugo5
  • Ulibarri, Monica D6, 7
  • 1 Department of Psychology, San Diego State University, San Diego, California.
  • 2 Department of Community Health Sciences, School of Public Health, Boston University, Boston, Massachusetts.
  • 3 Division of Global Public Health, School of Medicine, University of California, San Diego, La Jolla, California.
  • 4 Comisión de Salud Fronteriza México-Estado Unidos, Tijuana, Baja California, México.
  • 5 Departamento de Ciencias Médicas, Universidad Autónoma de Ciudad Juárez, Ciudad Juárez, Chihuahua, México.
  • 6 Department of Psychiatry, University of California, San Diego, La Jolla.
  • 7 California School of Professional Psychology, Alliant International University, San Diego, California.
Type
Published Article
Journal
AIDS education and prevention : official publication of the International Society for AIDS Education
Publication Date
August 2016
Volume
28
Issue
4
Pages
312–324
Identifiers
DOI: 10.1521/aeap.2016.28.4.312
PMID: 27427926
Source
Medline
License
Unknown

Abstract

Female sex workers (FSWs) often report inconsistent condom use with clients and noncommercial male partners, yet changes in condom use with various partner types during participation in observation studies remains underexplored. This longitudinal study of 214 FSWs and their male, noncommercial partners in the Mexico-U.S. border region, where HIV prevalence among FSWs continues to be high, utilized negative binomial regressions to examine changes in condom use with intimate partners and clients (regular and nonregular) over 24 months. Condom use decreased over time among couples in Ciudad Juarez, but there was no change in condom use among couples in Tijuana. FSWs' condom use with regular and nonregular clients significantly increased over time, which is consistent with previous research finding behavioral changes when participating in observational studies. Findings suggest the need for continued efforts to promote condom use among FSWs and their noncommercial male partners in addition to clients.

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