Power, community mobilization, and condom use practices among female sex workers in Andhra Pradesh, India
Power, community mobilization, and condom use practices among female sex workers in Andhra Pradesh, India
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DOI：
10.1097/01.aids.0000343769.92949.dd
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发表时间：
2008-12-01
期刊：
影响因子：
3.8
通讯作者：
Biradavolu, Monica R.
中科院分区：
文献类型：
--
作者：
Blankenship, Kim A.;West, Brooke S.;Biradavolu, Monica R.
目的：我们使用了一个结构性干预框架，分析权力和安全套的使用之间的关联的样本女性性工作者（FSW），以及如何暴露于当地社区动员干预（CMI）影响这些协会。设计图：数据来自一个横断面调查812 FSW在东戈达瓦里区的安得拉邦，印度，通过响应驱动sampling.Methods招募：我们确定了三种类型的权力-集体权力，控制工作，经济权力，和三个层面的集体权力-集体身份，效能和机构。多变量Logistic回归分析，这三种类型的权力和接触到一个CMI与一致的安全套使用与clients.Results的关系：共有803名受访者交换性与偶尔或定期客户在7天前的采访。多因素Logistic回归分析显示，控制性别类型[校正比值比（AOR）1.70，95%置信区间（CI）1.23-2.34]和收费金额（AOR 1.56，95% CI 1.12-2.16）和经济依赖性（AOR 0.54，95% CI 0.35-0.83）与避孕套的持续使用相关，与计划暴露相关（AOR 2.09，95% CI 1.48-2.94）。节目曝光和集体代理之间的相互作用也是显着的（卡方6.62，P = 0.01）。在受访者报告的方案暴露和高水平的集体机构，一致的安全套使用的优势比是2.5倍，其他FSW.Conclusion：结构性干预框架是有用的了解艾滋病毒的风险FSW。需要做更多的工作来促进FSW对工作和获得经济资源的控制。(C)2008年威科健康|利平科特威廉姆斯&威尔金斯
Objectives: We used a structural interventions framework to analyse the associations between power and condom use among a sample of female sex workers (FSW), and how exposure to a local community mobilization intervention (CMI) affects these associations. Design: Data came from a cross-sectional survey of 812 FSW in the East Godavari district of Andhra Pradesh, India, recruited through respondent-driven sampling.Methods: We identified three types of power - collective power, control over work, and economic power, and three dimensions of collective power - collective identity, efficacy, and agency. Multivariate logistic regression analysis was used to analyse the relationship of these three types of power and exposure to a CMI with consistent condom use with clients.Results: A total of 803 respondents exchanged sex with an occasional or regular client in the 7 days before the interview. Multivariate logistic regression shows that control over both the type of sex [adjusted odds ratio (AOR) 1.70, 95% confidence interval (CI) 1.23-2.34] and the amount charged (AOR 1.56, 95% CI 1.12-2.16), and economic dependence (AOR 0.54, 95% CI 0.35-0.83) are associated with consistent condom use as is programme exposure (AOR 2.09, 95% CI 1.48-2.94). The interaction between programme exposure and collective agency was also significant (chi-square 6.62, P = 0.01). Among respondents who reported both programme exposure and high levels of collective agency, the odds ratio of consistent condom use was 2.5 times that of other FSW.Conclusion: A structural interventions framework is useful for understanding HIV risk among FSW. More needs to be done to promote FSW control over work and access to economic resources. (C) 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins