title: Love moderates the relationship between partner type and condom use among women engaging in transactional vaginal sex.
abstract: Background Relationship characteristics and day-to-day variation in affective state have been associated with HIV risk behaviour. However, no research has assessed the impact of these factors on event-level condom use among women engaging in transactional sex.
  
  
  
  Twenty-six women engaging in transactional sex were enrolled in a prospective study of their sexual health. They completed diaries about multi-level predictors of condom use during vaginal sex twice, daily.
  
  
  
  Over 4 weeks, 18 participants reported 87 paid/traded vaginal intercourse events. Of these, 51.7% were condom protected. The majority of paid/traded events (81.5%) occurred with a non-romantic partner. After controlling for partner type, feeling in love on a given day was associated with higher odds of condom use during paid/traded sexual events, while having sex on the weekend and at night were associated with lower odds of condom use (all P≤0.05). There was a significant interaction between being in love and using condoms during transactional sex (P<0.01). In paid/traded sexual events with romantic partners, the frequency of condom use was 71.4% (5/7) when women did not report love and 40% (4/10) when love was reported. In sexual events with non-romantic partners, the frequency of condom use was 43.8% (14/32) when women did not report love and 59.5% (22/37) when love was reported.
  
  
  
  Women were less likely to report protected sex with romantic partners and more likely to report protected sex with non-romantic partners when they are in love. Interventions focusing on the link between day-to-day variation in affective state on condom use may help women with risk management across partner types.
authors.affiliation: Department of Community Health and Prevention, School of Public Health, Drexel University, Nesbitt Hall, 3215 Market Street, Philadelphia, Pennsylvania 19104, USA.
authors.forename: Alexis M
authors.initials: AM
authors.lastname: Roth
authors.affiliation: Pennsylvania State University, 149Biobehavioral Health Building, University Park, PA 16802, USA.
authors.forename: Joshua G
authors.initials: JG
authors.lastname: Rosenberger
authors.affiliation: Indiana University Purdue University Indianapolis, 410W. 10 Street, Indianapolis, IN 46202, USA.
authors.forename: Devon J
authors.initials: DJ
authors.lastname: Hensel
authors.affiliation: Indiana University Purdue University Indianapolis, 410W. 10 Street, Indianapolis, IN 46202, USA.
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Wiehe
authors.affiliation: Indiana University Purdue University Indianapolis, 410W. 10 Street, Indianapolis, IN 46202, USA.
authors.forename: J Dennis
authors.initials: JD
authors.lastname: Fortenberry
authors.affiliation: University of Nevada, 1664N. Virginia Street MS 0274, Reno, NV 89557-0274, USA.
authors.forename: Karla D
authors.initials: KD
authors.lastname: Wagner
mesh_terms: D000328:Adult; D017280:Condoms; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D006801:Humans; D008149:Love; D011446:Prospective Studies; D012725:Sexual Behavior; D012747:Sexual Partners