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Relationship between reported prior condom use and current self-perceived risk of acquiring HIV among mobile female sex workers in southern India

BACKGROUND: With the evolution of Health Belief Model, risk perception has been identified as one of several core components of public health interventions. While female sex workers (FSWs) in India continue to be at most risk of acquiring and transmitting HIV, little is known about their perception...

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Autores principales: Jain, Anrudh K, Saggurti, Niranjan, Mahapatra, Bidhubhusan, Sebastian, Mary Philip, Modugu, Hanimi Reddy, Halli, Shiva S, Verma, Ravi K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3287558/
https://www.ncbi.nlm.nih.gov/pubmed/22375731
http://dx.doi.org/10.1186/1471-2458-11-S6-S5
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author Jain, Anrudh K
Saggurti, Niranjan
Mahapatra, Bidhubhusan
Sebastian, Mary Philip
Modugu, Hanimi Reddy
Halli, Shiva S
Verma, Ravi K
author_facet Jain, Anrudh K
Saggurti, Niranjan
Mahapatra, Bidhubhusan
Sebastian, Mary Philip
Modugu, Hanimi Reddy
Halli, Shiva S
Verma, Ravi K
author_sort Jain, Anrudh K
collection PubMed
description BACKGROUND: With the evolution of Health Belief Model, risk perception has been identified as one of several core components of public health interventions. While female sex workers (FSWs) in India continue to be at most risk of acquiring and transmitting HIV, little is known about their perception towards risk of acquiring HIV and how this perception depends upon their history of consistent condom use behavior with different type of partners. The objective of this study is to fill this gap in the literature by examining this relationship among mobile FSWs in southern India. METHODS: We analyzed data for 5,413 mobile FSWs from a cross-sectional behavioral survey conducted in 22 districts from four states in southern India. This survey assessed participants’ demographics, condom use in sex with different types of partners, continuation of sex while experiencing STI symptoms, alcohol use before having sex, and self-perceived risk of acquiring HIV. Descriptive analyses and multilevel logistic regression models were used to examine the associations between risky sexual behaviors and self-perceived risk of acquiring HIV; and to understand the geographical differences in HIV risk perception. RESULTS: Of the total mobile FSWs, only two-fifths (40%) perceived themselves to be at high risk of acquiring HIV; more so in the state of Andhra Pradesh (56%) and less in Maharashtra (17%). FSWs seem to assess their current risk of acquiring HIV primarily on the basis of their past condom use behavior with occasional clients and less on the basis of their past condom use behaviors with regular clients and non-paying partners. Prior inconsistent condom use with occasional clients was independently associated with current perception of high HIV risk (adjusted odds ratio [aOR)] = 2.1, 95% confidence interval [CI]: 1.7-2.6). In contrast, prior inconsistent condom use with non-paying partners was associated with current perception of low HIV risk (aOR= 0.7, 95% CI: 0.5-0.9). The congruence between HIV risk perception and condom use with occasional clients was high: only 12% of FSWs reported inconsistent condom use with occasional clients but perceived themselves to be at low risk of acquiring HIV. CONCLUSION: The association between high risk perception of acquiring HIV and inconsistent condom use, especially with regular clients and non-paying partners, has not been completely internalized by this high risk group of mobile FSWs in India. Motivational efforts to prevent HIV should emphasize the importance of accurately assessing an individual’s risk of acquiring HIV based on condom use behavior with all types of partners: occasional and regular clients as well as non-paying partners; and encourage behavior change based on an accurate self-assessment of HIV risk.
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spelling pubmed-32875582012-02-28 Relationship between reported prior condom use and current self-perceived risk of acquiring HIV among mobile female sex workers in southern India Jain, Anrudh K Saggurti, Niranjan Mahapatra, Bidhubhusan Sebastian, Mary Philip Modugu, Hanimi Reddy Halli, Shiva S Verma, Ravi K BMC Public Health Research BACKGROUND: With the evolution of Health Belief Model, risk perception has been identified as one of several core components of public health interventions. While female sex workers (FSWs) in India continue to be at most risk of acquiring and transmitting HIV, little is known about their perception towards risk of acquiring HIV and how this perception depends upon their history of consistent condom use behavior with different type of partners. The objective of this study is to fill this gap in the literature by examining this relationship among mobile FSWs in southern India. METHODS: We analyzed data for 5,413 mobile FSWs from a cross-sectional behavioral survey conducted in 22 districts from four states in southern India. This survey assessed participants’ demographics, condom use in sex with different types of partners, continuation of sex while experiencing STI symptoms, alcohol use before having sex, and self-perceived risk of acquiring HIV. Descriptive analyses and multilevel logistic regression models were used to examine the associations between risky sexual behaviors and self-perceived risk of acquiring HIV; and to understand the geographical differences in HIV risk perception. RESULTS: Of the total mobile FSWs, only two-fifths (40%) perceived themselves to be at high risk of acquiring HIV; more so in the state of Andhra Pradesh (56%) and less in Maharashtra (17%). FSWs seem to assess their current risk of acquiring HIV primarily on the basis of their past condom use behavior with occasional clients and less on the basis of their past condom use behaviors with regular clients and non-paying partners. Prior inconsistent condom use with occasional clients was independently associated with current perception of high HIV risk (adjusted odds ratio [aOR)] = 2.1, 95% confidence interval [CI]: 1.7-2.6). In contrast, prior inconsistent condom use with non-paying partners was associated with current perception of low HIV risk (aOR= 0.7, 95% CI: 0.5-0.9). The congruence between HIV risk perception and condom use with occasional clients was high: only 12% of FSWs reported inconsistent condom use with occasional clients but perceived themselves to be at low risk of acquiring HIV. CONCLUSION: The association between high risk perception of acquiring HIV and inconsistent condom use, especially with regular clients and non-paying partners, has not been completely internalized by this high risk group of mobile FSWs in India. Motivational efforts to prevent HIV should emphasize the importance of accurately assessing an individual’s risk of acquiring HIV based on condom use behavior with all types of partners: occasional and regular clients as well as non-paying partners; and encourage behavior change based on an accurate self-assessment of HIV risk. BioMed Central 2011-12-29 /pmc/articles/PMC3287558/ /pubmed/22375731 http://dx.doi.org/10.1186/1471-2458-11-S6-S5 Text en Copyright ©2011 Jain et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Jain, Anrudh K
Saggurti, Niranjan
Mahapatra, Bidhubhusan
Sebastian, Mary Philip
Modugu, Hanimi Reddy
Halli, Shiva S
Verma, Ravi K
Relationship between reported prior condom use and current self-perceived risk of acquiring HIV among mobile female sex workers in southern India
title Relationship between reported prior condom use and current self-perceived risk of acquiring HIV among mobile female sex workers in southern India
title_full Relationship between reported prior condom use and current self-perceived risk of acquiring HIV among mobile female sex workers in southern India
title_fullStr Relationship between reported prior condom use and current self-perceived risk of acquiring HIV among mobile female sex workers in southern India
title_full_unstemmed Relationship between reported prior condom use and current self-perceived risk of acquiring HIV among mobile female sex workers in southern India
title_short Relationship between reported prior condom use and current self-perceived risk of acquiring HIV among mobile female sex workers in southern India
title_sort relationship between reported prior condom use and current self-perceived risk of acquiring hiv among mobile female sex workers in southern india
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3287558/
https://www.ncbi.nlm.nih.gov/pubmed/22375731
http://dx.doi.org/10.1186/1471-2458-11-S6-S5
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