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P3.170 Women, harm reduction and hiv
  1. Njeri Mbugua1,
  2. Elizabeth Ann Bukusi2,
  3. Asunta Wagura3,
  4. Elizabeth Ngugi4
  1. 1Kenya Medical Research Institute/Nairobi University/Kenyatta Hospital/Kenya Women With HIV/AIDS, Nairobi, Kenya
  2. 2Kenya Medical Research Institute/Nairobi University, Nairobi, Kenya
  3. 3Kenya Network of Women Living With Hiv/Aids, Nairobi, Kenya
  4. 4Nairobi University, Nairobi, Kenya

Abstract

Introduction This paper compares and contrasts number of partners and condom use behaviour for female sex workers and a sample of women working in other economic activities, with both samples drawn from the large informal settlement of Kibera, Nairobi.

Methods As expected, univariate analysis revealed much higher numbers of overall sexual partners and higher levels of condom use among female sex workers compared to Kibera women in other occupations. An unexpected finding, however, was that female sex workers with a romantic partner had significantly fewer sexual partners per unit time than female sex workers without such a partner.

Results This finding held for multivariate analysis, with negative binomial regression analyses showing that having a romantic partner was significantly associated with reductions in total number of both sexual partners overall and with sexual partners who did not use condoms. In contrast, HIV status, education, number of immediate family members and levels of alcohol consumption were non-significant factors for both regression analyses.

Conclusion Results suggest that female sex workers’ romantic partners act as more than sources of possible HIV infection; rather, romantic partners appear to have an important positive impact on health. We discuss this finding in light of possible harm-reduction programmes focusing on female sex workers and their romantic partners.

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