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Table 2 Sexual behavior and reproductive tract infections among female sex workers in 2000 and 2005, and a comparison between those in 2005 who had or had not received peer-mediated interventions

From: Impact of five years of peer-mediated interventions on sexual behavior and sexually transmitted infections among female sex workers in Mombasa, Kenya

  2000 survey 2005 survey OR*(95%CI) Non peers Peers AOR** (95%CI)
UNPROTECTED SEX       
Total years in sex work, mean (sd) 9.2 (7.8) 5.6 (7.0) - 5.5 (4.7) 6.1 (5.1) -
≥ 4 sexual partners in past week 29.2% (147/503) 48.0% (243/506) 2.2 (1.7–2.9) 50.7% (183/361) 41.4% (60/145) 0.8 (0.5–1.1)
≥ 4 casual one-time clients in past week§ 7.0% (33/472) 33.2% (148/446) 6.6 (4.4–10.2) 35.9% (115/320) 26.2% (33/126) 0.7 (0.5–1.2)
Used a condom with last client 47.3% (238/503) 85.8% (434/506) 6.7 (4.9–9.2) 82.6% (298/361) 93.8% (136/145) 3.5 (1.6–7.4)
Always used a condom with clients 28.8% (145/503) 70.4% (356/506) 5.9 (4.4–7.8) 64.0% (231/361) 86.2% (125/145) 3.6 (2.1–6.1)
Always used a condom with boyfriend/husband 20.3% (66/325) 20.1% (60/298) 1.0 (0.7–1.5) 17.6% (37/210) 26.7% (24/90) 1.7 (0.9–3.1)
SEX WORKER EMPOWERMENT       
Own idea to use the condom at last sex 89.9% (214/238) 90.3% (392/434) 1.0 (0.6–1.8) 88.3% (263/298) 94.9% (129/136) 2.3 (1.0–5.5)
Provided the condom at last sex herself 72.7% (173/238) 71.2% (309/434) 0.9 (0.6–1.3) 68.5% (204/298) 77.2% (105/136) 1.6 (1.0–2.6)
HIV-related knowledge and attitudes       
   Thinks a client might be HIV-infected 22.1% (111/502) 30.6% (154/504) 1.5 (1.2–2.1) 30.0% (108/360) 31.3% (45/144) 1.2 (0.8–1.8)
   Knows people with HIV can look healthy 95.6% (481/503) 94.2% (474/503) 0.7 (0.4–1.4) 92.8% (334/360) 97.2% (141/145) 3.0 (1.0–9.1)
   Mentions advantage to knowing HIV status 78.3% (393/503) 94.4% (475/503) 4.7 (3.0–7.6) 93.0% (334/359) 97.9% (142/145) 3.2 (0.9–11.3)
   Knows ≥ 2 symptoms of STI in women 81.9% (412/503) 66.4% (336/506) 0.4 (0.3–0.6) 61.2% (221/361) 79.3% (115/145) 2.7 (1.6–4.3)
   Cited ≥ 2 ways to prevent STI 43.9% (221/503) 30.4% (154/506) 0.6 (0.4–0.7) 23.8% (86/361) 46.9% (68/145) 2.8 (1.9–4.3)
Ever refused client unwilling to use condoms 41.4% (208/503) 77.7% (393/506) 4.9 (3.7–6.6) 75.4% (272/361) 83.5% (121/145) 1.7 (1.0–2.8)
TRANSMISSION EFFICIENCY       
Awareness of own HIV status 5.2% (26/503) 40.2% (203/505) 12.3 (7.9–19.8) 38.2% (138/361) 44.8% (65/145) 1.4 (0.9–2.1)
Self reported history of RTI in past year       
   Excessive or foul smelling vaginal discharge 20.9% (105/503) 47.2% (239/506) 3.4 (2.5–4.5) 48.8% (176/360) 43.5% (63/145) 0.8 (0.5–1.2)
   Genital ulcer 11.1% (56/503) 19.6% (99/505) 1.9 (1.3–2.8) 21.1% (76/361) 16.6% (24/145) 0.8 (0.5–1.3)
RTI prevalence       
   Syphilis infection 2.0% (10/500) 2.0% (10/498) 1.0 (0.4–2.4) 2.5% (9/235) 0.7% (1/142) 0.3 (0.04–2.3)
   Chlamydial infection 4.2% (21/502) - - - - -
   Gonorrhoeal infection 1.8% (9/502) 1.0% (5/484) 0.6 (0.1–1.9) 1.2% (4/432) 0.7% (1/142) 0.6 (0.7–5.9)
   Trichomonas vaginalis infection - 20.4% (100/490) - 21.8% (76/348) 16.9% (24/142) 0.7 (0.5–1.2)
   Bacterial vaginosis infection - 46.5% (205/441) - 47.8% (149/312) 43.4% (56/129) 0.9 (0.6–1.3)
   Candida infection - 22.4% (110/491) - 21.0% (73/348) 25.9% (37/143) 1.5 (0.9–2.3)
  1. Notes to Table 2:
  2. RTI reproductive-tract infection. Cells contain %, n/N unless indicated.
  3. §Among those women having had a one-time client in the past week
  4. Among those women who reported having a boyfriend/husband
  5. *H0:odds ratio = 1
  6. **AOR, odds ratio adjusted for age, marital status, education and place of work. Logistic regression was used to calculate AOR.