title: Predictive factors of unprotected sex for female sex workers: first study in French Guiana, the French territory with the highest HIV prevalence.
abstract: French Guiana is the French territory that is most affected by HIV. AIDS incidence is much higher than in mainland France and sex work seems to be an important driver of the epidemic. The objective of this study was to describe consistent condom use among female sex workers with their clients and their intimate partners and to identify determinants of non-use of condoms. An HIV/AIDS Knowledge, Attitudes, Behaviours and Practices survey was conducted in 2009-2010 among sex workers in French Guiana. A total of 477 sex workers were interviewed. Female sex workers were more likely to use condoms with their clients (97%) than with their intimate partners (45%). The factors associated with non-consistent condom use with the intimate partner were having had an abortion, feeling at risk for HIV, not evaluating one's own risk for HIV, living as a couple, being Dominican, and not feeling comfortable asking intimate partners to use condoms. Although a high proportion of female sex workers declared using condoms with commercial partners, there is still room for improvement in the prevention of transmission with both commercial and intimate partners.
authors: Centre d'Investigation Clinique Antilles Guyane, Cayenne General Hospital, Cayenne, French Guiana marie-claire.parriault@ch-cayenne.fr.
authors: Marie-Claire
authors: MC
authors: Parriault
authors: Centre d'Investigation Clinique Antilles Guyane, Cayenne General Hospital, Cayenne, French Guiana.
authors: Célia
authors: C
authors: Basurko
authors: Centre d'Investigation Clinique Antilles Guyane, Cayenne General Hospital, Cayenne, French Guiana.
authors: Astrid Van
authors: AV
authors: Melle
authors: COREVIH Guyane, Cayenne General Hospital, Cayenne, French Guiana.
authors: Emilie
authors: E
authors: Gaubert-Maréchal
authors: Centre d'Investigation Clinique Antilles Guyane, Cayenne General Hospital, Cayenne, French Guiana.
authors: Stéphanie
authors: S
authors: Rogier
authors: Department of Dermatology, Cayenne General Hospital, Cayenne, French Guiana.
authors: Pierre
authors: P
authors: Couppié
authors: Centre d'Investigation Clinique Antilles Guyane, Cayenne General Hospital, Cayenne, French Guiana COREVIH Guyane, Cayenne General Hospital, Cayenne, French Guiana.
authors: Mathieu
authors: M
authors: Nacher
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D005616:French Guiana / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015994:Incidence; D007407:Interviews as Topic; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012309:Risk-Taking; D011477:Sex Work / Q000706:statistics & numerical data*; D060386:Sex Workers / Q000523:psychology / Q000706:statistics & numerical data*; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000517:prevention & control; D047568:Unsafe Sex; D035862:Vulnerable Populations; D055815:Young Adult
keywords: AIDS; Female sex worker; French Guiana; HIV; condom use; intimate partner; prevention; sexually transmitted infection