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. 2022 Feb;26(2):470-477.
doi: 10.1007/s10461-021-03403-9. Epub 2021 Jul 31.

Evolution of Condom Use Among a 5-Year Cohort of Female Sex Workers in Zambia

Kalonde Malama  1   2 , Matt A Price  3   4 , Luis Sagaon-Teyssier  5 , Rachel Parker  6 , Kristin M Wall  6   7 , Amanda Tichacek  6 , Tyronza Sharkey  8 , William Kilembe  8 , Mubiana Inambao  9 , Bruno Spire  5 , Susan Allen  6
Affiliations

Evolution of Condom Use Among a 5-Year Cohort of Female Sex Workers in Zambia

Kalonde Malama et al. AIDS Behav. 2022 Feb.

Abstract

Observing sexual behaviour change over time could help develop behavioural HIV prevention interventions for female sex workers in Zambia, where these interventions are lacking. We investigated the evolution of consistent condom use among female sex workers and their clients and steady partners. Participants were recruited into an HIV incidence cohort from 2012 to 2017. At each visit, women received HIV counselling and testing, screening for sexually transmitted infections (STIs) and free condoms. Our outcome was reported consistent (100%) condom use in the previous month with steady partners, repeat clients, and non-repeat clients. Consistent condom use at baseline was highest with non-repeat clients (36%) followed by repeat clients (27%) and steady partners (17%). Consistent condom use between baseline and Month 42 increased by 35% with steady partners, 39% with repeat clients and 41% with non-repeat clients. Access to condoms, HIV/STI counselling and testing promoted positive sexual behaviour change.

Keywords: Cohort study; Condom use; Female sex workers; Risk behaviour; Zambia.

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Conflict of interest statement

Conflicts: The authors have no conflicts of interest to declare

Figures

Figure 1:
Figure 1:
Flowchart showing Zambian female sex workers who were eligible for analysis (N=389)
Figure 2:
Figure 2:. Condom use trend with all partners of Zambian female sex workers
Mann-Kendall trend test: **p-value < 0.01, ***p-value < 0.001
See this image and copyright information in PMC

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