Table 3. Multivariate models of factors associated with condom use among female sex workers in The Gambia.
| Always used condoms in past 6 months | Always used condoms in past month with new clients | Always used condoms in past month with nonpaying partners | Used condom at last vaginal or anal sex with nonpaying partner | |||||
|---|---|---|---|---|---|---|---|---|
| aOR | 95% CI | aOR | 95% CI | aOR | 95% CI | aOR | 95% CI | |
| Grew up | ||||||||
| Rural Gambia | REF | REF | REF | REF | REF | REF | REF | REF |
| Urban Gambia | 0.40 | 0.14, 1.14 | 0.16 | 0.02, 1.28 | 0.08* | 0.01, 0.64 | 0.30 | 0.06, 1.40 |
| Outside Gambia | 1.36 | 0.56, 3.29 | 0.52 | 0.06, 4.24 | 0.76 | 0.17, 3.39 | 1.85 | 0.49, 6.93 |
| Number of children | 0.94 | 0.75, 1.18 | 1.59 | 0.80, 3.18 | 1.02 | 0.71, 1.47 | 1.00 | 0.73, 1.37 |
| Lives with | ||||||||
| No one | REF | REF | REF | REF | REF | REF | REF | REF |
| Sexual partner | 0.69 | 0.24, 1.95 | 1.53 | 0.30, 7.67 | 1.35 | 0.30, 6.00 | ||
| Other | 0.94 | 0.43, 2.05 | 1.42 | 0.34, 5.95 | 1.95 | 0.60, 6.35 | ||
| Because of selling sex… | ||||||||
| Afraid to seek healthcare | 0.26* | 0.07, 0.88 | ∼ | ∼ | 0.18 | 0.01, 4.25 | 0.36 | 0.05, 2.67 |
| Experienced verbal or physical harassment | 0.76 | 0.33, 2.09 | 1.57 | 0.19, 13.21 | 0.34 | 0.06, 1.92 | 0.31 | 0.74, 1.29 |
| Experienced blackmail | 0.73 | 0.33, 1.63 | 1.56 | 0.21, 11.90 | 2.04 | 0.55, 7.55 | 3.82* | 1.20, 12.12 |
| Safe places to socialize with other sex workers | 0.77 | 0.30, 1.94 | 3.07 | 0.60, 15.61 | 0.51 | 0.08, 3.09 | 0.61 | 0.14, 2.66 |
| Can count on sex worker colleagues to support condom use | ||||||||
| Strongly disagree | REF | REF | REF | REF | REF | REF | REF | REF |
| Disagree | 1.19 | 0.21, 6.76 | 0.89 | 0.03, 23.19 | 8.28 | 0.47, 144.83 | 1.06 | 0.11, 10.37 |
| Agree | 1.95 | 0.59, 6.52 | 0.23 | 0.02, 3.50 | 1.08 | 0.73, 16.10 | 1.70 | 0.23, 11.74 |
| Strongly agree | 1.61 | 0.45, 5.78 | 0.33 | 0.02, 4.72 | 1.27 | 0.08, 19.51 | 1.52 | 0.21, 11.16 |
| Disclosed sex work to health worker | 1.15 | 0.53, 2.53 | 3.45 | 0.52, 22.90 | 0.47 | 0.11, 1.97 | 0.28* | 0.09, 0.84 |
| Tested for HIV in past year | 1.64 | 0.76, 3.54 | 10.81** | 1.90, 61.63 | 1.46 | 0.39, 5.46 | 1.14 | 0.40, 3.29 |
| Received HIV prevention information in past year | 1.76 | 0.78, 4.00 | 2.00 | 0.37, 10.75 | 7.11 | 0.97, 52.25 | 2.51 | 0.60, 10.44 |
| Ever pregnant | 0.60 | 0.19, 1.96 | 0.21 | 0.02, 2.75 | 0.09* | 0.01, 0.79 | 0.57 | 0.13, 2.54 |
| Condom acquisition | ||||||||
| Buy all | REF | REF | REF | REF | REF | REF | REF | REF |
| Get all for free | 0.87 | 0.35, 2.18 | 2.80 | 0.28, 27.81 | 4.10 | 0.80, 21.00 | 3.75 | 0.89, 15.75 |
| Buy and get for free | 0.53 | 0.18, 1.56 | 1.63 | 0.14, 18.66 | 2.11 | 0.33, 13.42 | 2.69 | 0.59, 12.36 |
| Ever offered more money for non-condom-protected sex | 0.77 | 0.33, 1.79 | 0.64 | 0.10, 3.95 | 0.56 | 0.13, 2.33 | 1.93 | 0.56, 6.65 |
| Ease suggesting condom use with clients | 1.03** | 1.01, 1.04 | 1.02 | 0.99, 1.06 | – | – | – | – |
| Analysis sample (n) | 207 | 142 | 106 | 108 | ||||
Notes.
95% confidence intervals in parentheses.
p < 0.05.
p < 0.01.
predicts success perfectly.
∼ omitted due to collinearity.
– omitted because questions did not include nonpaying partners.