The Longitudinal Association of Venue Stability With Consistent Condom Use Among Female Sex Workers in Two Mexico-USA Border Cities

Int J STD AIDS. 2013 Jul;24(7):523-9. doi: 10.1177/0956462412473890. Epub 2013 Jun 25.

Abstract

We examined the relationship between venue stability and consistent condom use (CCU) among female sex workers who inject drugs (FSW-IDUs; n = 584) and were enrolled in a behavioural intervention in two Mexico-USA border cities. Using a generalized estimating equation approach stratified by client type and city, we found venue stability affected CCU. In Tijuana, operating primarily indoors was significantly associated with a four-fold increase in the odds of CCU among regular clients (odds ratio [OR]: 3.77, 95% confidence interval [CI]: 1.44, 9.89), and a seven-fold increase among casual clients (OR: 7.18, 95% CI: 2.32, 22.21), relative to FSW-IDUs spending equal time between indoor and outdoor sex work venues. In Ciudad Juarez, the trajectory of CCU increased over time and was highest among those operating primarily indoors. Results from this analysis highlight the importance of considering local mobility, including venue type and venue stability, as these characteristics jointly influence HIV risk behaviours.

Keywords: AIDS; HIV; Mexico; condom use; female sex workers; injection drug use; longitudinal analysis; mobility; prevention; sexual risk behaviours; sexually transmitted infections; venue stability.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Cities
  • Condoms / statistics & numerical data*
  • Female
  • HIV Infections / prevention & control
  • Humans
  • Interviews as Topic
  • Longitudinal Studies
  • Mexico
  • Odds Ratio
  • Risk-Taking
  • Sex Work*
  • Sex Workers / psychology*
  • Sex Workers / statistics & numerical data
  • Socioeconomic Factors
  • Substance Abuse, Intravenous / psychology
  • Transients and Migrants
  • Unsafe Sex / prevention & control*
  • Urban Population