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Table 3 Association of select variables with no or inconsistent use of condom for penetrative vaginal/anal sex by FSWs with their clients in multiple logistic regression.

From: High risk of HIV in non-brothel based female sex workers in India

Variable*

Variable categories†

Total who had penetrative sex with at least one client (6,128)‡

Number who reported no or inconsistent use of condom (%)

Odds of having no or inconsistent use of condom (95% CI)

Knowledge that HIV can be prevented

Yes

3321

840 (25.3%)

1.00

 

No

2807

2067 (73.6%)

5.01 (4.38–5.73)

Access to free condoms in the last 30 days

Yes

2468

501 (20.3%)

1.00

 

No

3660

2406 (65.7%)

3.45 (2.99–3.98)

Participation in FSW support group

Yes

566

77 (13.6%)

1.00

 

No

5561

2829 (50.9%)

2.02 (1.50–2.70)

Type of sex worker

Street-based

4599

2468 (53.7%)

3.36 (1.87–6.04)

 

Home-based

1394

421 (30.2%)

2.66 (1.46–4.86)

 

Brothel-based

135

18 (13.3%)

1.00

Social support score§

1.00 – 2.50

1306

836 (64%)

2.60 (2.17–3.12)

 

2.51 – 3.50

2518

1387 (55.1%)

2.27 (1.95–2.64)

 

>3.50

2304

684 (29.7%)

1.00

Income in the last 7 days (Rupees)

>501

1903

515 (27.1%)

1.00

 

251 – 500

1929

946 (49%)

1.31 (1.09–1.57)

 

250 or less

2295

1445 (63%)

1.66 (1.35–2.04)

Age group (years)

16 – 24

2292

875 (38.2%)

1.00

 

25 – 34

3034

1533 (50.5%)

1.29 (1.11–1.51)

 

35 or more

802

499 (62.2%)

1.69 (1.33–2.14)

Family aware of sex work

Yes

2064

655 (31.7%)

1.00

 

No

4061

2250 (55.4%)

1.32 (1.13–1.53)

Rural-urban area where the FSW was sampled from

Rural

1345

544 (40.4%)

1.45 (1.19–1.77)

 

Urban small

680

266 (39.1%)

1.07 (0.84–1.35)

 

Urban medium

2621

1460 (50.2%)

1.73 (1.47–2.04)

 

Urban large

1482

637 (43%)

1.00

Number of clients in last 7 days

7 or less

3768

2062 (54.7%)

1.20 (0.88–1.63)

 

8 – 14

1829

738 (40.3%)

1.25 (0.93–1.67)

 

> = 15

531

107 (20.2%)

1.00

Marital status

Never married

1072

257 (24%)

1.00

 

Currently married

2483

1327 (53.4%)

1.26 (1.01–1.59)

 

Other#

2573

1323 (51.4%)

1.07 (0.85–1.35)

Education level of FSW

Illiterate

4552

2428 (53.3%)

1.32 (1.13–1.55)

 

Literate

1576

479 (30.4%)

1.00

Duration of being in sex work (years)

0–5

4773

2336 (48.9%)

1.00

 

>5

1355

571 (42.1%)

0.98 (0.82–1.17)

  1. *Variables listed in descending order of effect on outcome variable.
  2. †Some categories of variables combined based on initial iterations that showed similar values for outcome variable in order to increase the power of the analysis.
  3. ‡Data on condom use was available for 6128 (99.4%) FSWs; the total of sub-categories may not always be 6128 due to a few missing values.
  4. §The social support score for each respondent was averaged for responses to 7 questions used for this score, which documented whether the respondent could count on someone for money, going to doctor, talking about problems, food or place to stay, abuse by anyone, abuse by client, and client's refusal to use condom; this score ranged from 1 to 5, with 1 indicating least social support and 5 indicating maximum social support; the three suggested categories indicate low, medium and high social support, respectively.
  5. ¶Urban small were towns with population < 50,000; urban medium were towns/cities with population 50,001 – 200,000; urban large were cities with population more than 200,000; this classification was done based on Census of India data for each sub-site.
  6. #Other includes separated, divorced and widowed.