Condom use and sexually transmitted infections among Malagasy sex workers

Int J STD AIDS. 2011 Oct;22(10):552-7. doi: 10.1258/ijsa.2011.010311.

Abstract

We evaluated whether use of a short- or longer-term recall period for condom use was superior for assessing risk of acquisition of incident sexually transmitted infection (STI). Female sex workers (n = 1000) in Madagascar took part in a randomized trial comparing counselling strategies for male and female condom promotion. We explored associations between women's self-reported condom use with clients and non-paying partners and incident STI, examining both short-term recall (last sex act) and longer-term recall (over the past month and year). Self-reported condom use was generally not associated with reduced STI risk, whether measured at the last act or over longer time periods; with clients or non-paying partners; and through unadjusted and adjusted modelling. No condom use measure (short versus longer time periods, with one or both partner types) was strongly predictive of STI, suggesting poor validity.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Condoms / statistics & numerical data*
  • Condoms, Female / statistics & numerical data*
  • Counseling / methods*
  • Female
  • Humans
  • Madagascar / epidemiology
  • Male
  • Predictive Value of Tests
  • Risk
  • Sex Work*
  • Sexually Transmitted Diseases / epidemiology
  • Sexually Transmitted Diseases / etiology
  • Sexually Transmitted Diseases / prevention & control*
  • Time Factors