Community Collectivization and Consistent Condom Use Among Female Sex Workers in Southern India: Evidence from Two Rounds of Behavioral Tracking Surveys.
Community collectivization is an integral part of condom use and HIV risk reduction interventions among key population. This study assesses community collectivization among female sex workers (FSWs), and explores its relationship with sex workers' consistent condom use (CCU) with different partners considering the interaction effect of time and collectivization. Data were drawn from two rounds of cross-sectional surveys collected during 2010 (N1 = 1986) and 2012 (N2 = 1973) among FSWs in Andhra Pradesh, India. Results of the multiple logistic regression analysis show that, CCU with regular and occasional clients increased over the inter-survey period among FSWs with a high collective efficacy (AOR 2.9 and 6.1) and collective agency (AOR 14.4 and 19.0) respectively. The association of high levels of collectivization with CCU and self-efficacy for condom use are central to improve the usefulness and sustainability of HIV prevention programs worldwide.
India HIV/AIDS Alliance, Sarovar Center, Secretariat Road, Hyderabad, India.
Shanti
S
Vejella
HIV and AIDS Program, Population Council, 142, Golf Links, New Delhi, 110003, India. skpatel@popcouncil.org.
Sangram Kishor
SK
Patel
HIV and AIDS Program, Population Council, 142, Golf Links, New Delhi, 110003, India.
Niranjan
N
Saggurti
India HIV/AIDS Alliance, Sarovar Center, Secretariat Road, Hyderabad, India.
Parimi
P
Prabhakar
D000293:Adolescent; D000328:Adult; D003098:Collective Bargaining; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007194:India / Q000453:epidemiology; D040242:Risk Reduction Behavior; D021841:Safe Sex / Q000523:psychology / Q000706:statistics & numerical data; D020377:Self Efficacy; D060386:Sex Workers / Q000523:psychology / Q000706:statistics & numerical data*; D012747:Sexual Partners; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D035862:Vulnerable Populations
Andhra Pradesh; Community collectivization; Consistent condom use; Female sex worker; India; Interaction effect; Mediation analysis