Investigation of Demographic Characteristics Associated with Uptake of HIV and AIDS Combined Prevention Strategies among Female Sex Workers in Nakuru County, Kenya
Abstract
Purpose: The study aimed at identifying the demographic characteristics for FSWs associated with uptake of HIV and AIDS combined prevention strategies in Nakuru County.
Methods: The study adopted a descriptive cross sectional research design. A sample size of 336 FSWs was reached through Snowballing. Quantitative data was collected using questionnaires and qualitative data was collected using interviews through FGDs with 8 purposefully selected participants. Data was analyzed descriptively to produce percentages and frequencies which were presented in tables and figures. Chi-square test of association and binary multivariate logistic regression analysis was used to establish relationship between independent and dependent variables.
Results: Tertiary level of education (AOR: 5.59; 95% CI: 1.43-21.88; p: 0.013) and long duration in sex work (AOR: 3.83; 95% CI: 1.48-9.87; p: 0.006) increases likelihood of uptake of HIV and AIDS combined prevention strategies.
Recommendations: The study recommends educating FSWs constantly as they start engaging in sex work on HIV and AIDS combined prevention strategies, HIV and AIDs risks and positive behavior change, overcoming barriers so as to utilize HIV and AIDS combined prevention strategies.
Keywords: HIV/AIDS, demographic characteristics, combined prevention strategies, sex workers, Nakuru County
References
Baral, S., Beyrer, C., Muessig, K., Poteat, T., Wirtz, A. L., Decker, M. R., ... & Kerrigan, D. (2012). Burden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis. The Lancet infectious diseases, 12(7), 538-549.
Cohen, M. L. (2000). Changing patterns of infectious disease. Nature, 406(6797), 762.
Cornish, F. (2006). Empowerment to participate: a case study of participation by Indian sex workers in HIV prevention. Journal of Community Applied Social Psychology16(4), 301–315.
Erausquin, J. T. & Reed, E. (2011). Police-related experiences and HIV risk among female sex workers in Andhra Pradesh, India. Journal of Infectious Diseases; 204(5),1223– 1228.
Evans, C., Jana, S. & Lambert, H. (2010). What makes a structural intervention? Reducing vulnerability to HIV in community settings, with particular reference to sex work.Global Public Health; 5(5), 449–461.
Ferguson, A. G., & Morris, C. N. (2007). Mapping transactional sex on the Northern Corridor highway in Kenya. Health & place, 13(2), 504-519.
Festinger, L. (1957) A theory of cognitive Dissonance. Stanford, CA: Stanford University Press.
Green, J., & Thorogood, N. (2009). Group interviews. Qualitative methods for health research, 123-146.
Karanja, T. (2011). Assessment of self-reported sexual behavior and condom use among female sex workers in Nairobi. Sexually Transmitted Diseases; 35(5), 489–494.
Mehret, M., Khodakevich, L., Zewdie, D., Ayehunie, S., Gizaw, G., Shanko, B., ... & Bekele, D. (1990). HIV-1 infection and related risk factors among female sex workers in urban areas of Ethiopia. Ethiop J Health Dev, 4(2), 163-170.
Mutua, G., Sanders, E., Mugo, P., Anzala, O., Haberer, J. E., Bangsberg, D., ... & Fast, P. (2009). Safety and adherence to intermittent pre-exposure prophylaxis (PrEP) for HIV-1 in African men who have sex with men and female sex workers. PloS one, 7(4), e33103.
Nyagero, J., Wangila, S., Kutai, V., Olango, S. (2012). Behaviour change and associated factors among Female Sex Workers in Kenya.Pan Afr Med J. 13(1), 16-28
Olesen, O. (2011). An integrated structural intervention to reduce vulnerability to HIV and sexually transmitted infections among female sex workers in Ghana.BMC Public Health; 11, 755.
Ramesh, B. M., Moses, S. & Washington, R. (2011). Determinants of HIV prevalence among female sex workers in four south Indian states: analysis of cross-sectional surveys in twenty-three districts. AIDS.22(5), S35–S44.
Scorgie, F., Smit, J. A., Kunene, B., Martin-Hilber, A., Beksinska, M., & Chersich, M. F. (2011). Predictors of vaginal practices for sex and hygiene in KwaZulu-Natal, South Africa: findings of a household survey and qualitative inquiry. Culture, health & sexuality, 13(04), 381-398.
Simbayi, L. C., Kalichman, S., Strebel, A., Cloete, A., Henda, N., & Mqeketo, A. (2007). Internalized stigma, discrimination, and depression among men and women living with HIV/AIDS in Cape Town, South Africa. Social science & medicine, 64(9), 1823- 1831.
UNAIDS (2010): Tailoring and coordinating Biomedical, Behavioural and structural strategies to reduce new HIV infection UNAIDS discussion paper. Retrieved from www.unaids.org/en/resources- documents /2010/20101006_ prevention_ paper JC 2007_ combination_ prevention_ paper. United Kingdom: Allen Inclusion Health
Wong, F. Y., Huang, Z. J., Wang, W., He, N., Marzzurco, J., Frangos, S., ... & Smith, B. D. (2009). STIs and HIV among men having sex with men in China: a ticking time bomb?. AIDS Education & Prevention, 21(5), 430-446.
World Health Organization. (2011). Progress report 2011: Global HIV/AIDS response. Geneva: WHO.
