Table 4. Factors associated with lower knowledge of sexual reproductive health among adolescent female sex workers (N = 310).
| Factors | % (n/N) with low knowledge (score ≤ (n/N | Crude OR(95%CI) | p value | Adjusted OR (95%CI) | p value |
|---|---|---|---|---|---|
| All women | 51 (158/310) | ||||
| Age, years | |||||
| 15–17 | 45 (24/53) | 1.0 | 0.36 | ||
| 18–20 | 52 (134/257) | 1.32 (0.73–2.38) | |||
| Education level | 0.31 | ||||
| No school or primary school only | 56 (15/27) | 1.74 (0.69–4.40) | |||
| Middle school | 53 (120/228) | 1.55 (0.85–2.80) | |||
| High school | 42 (23/55) | 1.0 | |||
| Current non-paying partner | 0.04 | 0.42 | |||
| No | 60 (59/99) | 1.0 | 1.0 | ||
| Yes | 47 (99/211) | 0.60 (0.37–0.97) | 0.77 (0.42–1.45) | ||
| Experienced physical or sexual violence from any sexual partner (past year) | 0.17 | 0.03 | |||
| No | 48 (92/192) | 1.0 | 1.0 | ||
| Yes | 56 (66/118) | 1.38 (0.87–2.19) | 1.84 (1.06–3.19) | ||
| Average monthly income from sex work (Euro) | 0.10 | 0.46 | |||
| <633EUR | 56 (79/141) | 1.0 | 1.0 | ||
| ≥633EUR | 47 (79/169) | 0.69 (0.44–1.08) | 0.82 (0.48–1.39) | ||
| Time in sex work | 0.27 | ||||
| <1 month | 62 (23/37) | 1.0 | |||
| 1–6 months | 47 (72/154) | 0.53 (0.26–1.12) | |||
| 7–12 months | 50 (38/76) | 0.61 (0.27–1.36) | |||
| >12 months | 58 (25/43) | 0.85 (0.34–2.08) | |||
| Alcohol use, past year | 0.36 | ||||
| Abstainer or casual-drinker | 45 (24/53) | 1.0 | |||
| Daily or usual-drinker (more than twice a week) | 52 (134/257) | 1.32 (0.73–2.38) | |||
| Abortion ever | 0.08 | 0.55 | |||
| No | 47 (81/174) | 1.0 | 1.0 | ||
| Yes | 57 (77/136) | 1.50 (0.95–2.35) | 1.17 (0.69–1.99) | ||
| Any self-reported symptom of STI (past year) | 0.19 | 0.53 | |||
| No | 56 (59/105) | 1.0 | 1.0 | ||
| Yes | 48 (99/205) | 0.73 (0.45–1.17) | 0.83 (0.46–1.49) | ||
| Received any SRH services 1 in the past year | <0.05 | 0.20 | |||
| No | 77 (10/13) | 1.0 | 2.51 (0.61–10.3) | ||
| Yes | 50 (148/297) | 3.36 (0.91–12.4) | 1.0 | ||
| Ever used any modern method of contraception (excluding condoms) 2 | <0.05 | 0.28 | |||
| No | 57 (77/134) | 1.0 | 1.0 | ||
| Yes | 46 (81/176) | 0.63 (0.40–0.99) | 0.73 (0.42–1.29) | ||
| Currently using dual protection (modern contraception and condoms) 2 | 0.04 | 0.24 | |||
| No | 53 (151/287) | 1.0 | 1.0 | ||
| Yes | 30 (7/23) | 0.39 (0.16–0.99) | 0.52 (0.17–1.56) | ||
| Consistent use of condoms with non-paying partners (past month) 3 | <0.01 | 0.09 | |||
| Inconsistent | 54 (74/137) | 1.0 | 1.0 | ||
| Consistent | 34 (25/74) | 0.43 (0.24–0.78) | 0.56 (0.28–1.10) | ||
| Consistent use of condoms with paying partners (past month) 3 | <0.01 | 0.02 | |||
| Inconsistent | 65 (51/79) | 1.0 | 1.0 | ||
| Consistent | 46 (107/231) | 0.47 (0.28–0.80) | 0.50 (0.27–0.91) | ||
| Obtained SRH information from health providers | 0.84 | ||||
| No | 51 (116/226) | 1.0 | |||
| Yes | 50 (42/84) | 0.95 (0.57–1.56) | |||
| Obtained SRH information from traditional media(TV/movie/newspaper/magazine/book) | <0.001 | <0.001 | |||
| No | 68 (80/118) | 1.0 | 1.0 | ||
| Yes | 41 (78/192) | 0.33 (0.20–0.53) | 0.35 (0.20–0.59) | ||
| Obtained SRH information from Peers(classmate/colleague/friend/sexual partner) | 0.03 | 0.05 | |||
| No | 60 (56/93) | 1.0 | 1.0 | ||
| Yes | 47 (102/217) | 0.59 (0.36–0.96) | 0.57 (0.32–1.00) | ||
| Obtained SRH information from school | 0.09 | 0.31 | |||
| No | 54 (119/220) | 1.0 | 1.0 | ||
| Yes | 43 (39/90) | 0.65 (0.40–1.06) | 0.74 (0.42–1.32) | ||
| Obtained SRH information from the internet | 0.46 | ||||
| No | 53 (102/194) | 1.0 | |||
| Yes | 48 (56/116) | 0.84 (0.53–1.33) | |||
| Obtained SRH information from parents/relatives | 0.26 | ||||
| No | 52 (147/283) | 1.0 | |||
| Yes | 41 (11/27) | 0.64 (0.29–1.42) |
1 SRH services including contraception, HIV/STI testing, free condoms
2 Dual protection defined as current use of any modern contraception plus consistent condom use with all partners in the past month. Modern contraception includes sterilisation, oral contraceptive pill, IUD, diaphragm, injection, emergency contraception, implant.
3 Consistent condom use was defined as always using condoms, including when drunk