Individual vulnerabilities related to sexual behaviour among female sex workers in Pakistan in 2006 and 2011 for the nine cities included in both rounds of the IBBS (N=6987)
| Lahore | Other Punjab | Karachi | Other Sindh | Quetta | Peshawar | All cities* | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2006 | 2011 | 2006 | 2011 | 2006 | 2011 | 2006 | 2011 | 2006 | 2011 | 2006 | 2011 | 2006 | 2011 | |
| N=425 | N=375 | N=1200 | N=1126 | N=403 | N=377 | N=800 | N=750 | N=396 | N=345 | N=423 | N=367 | N=3647 | N=3340 | |
| Condom use with clients in the last month, % (95% CI) | ||||||||||||||
| Always | 31.0 (25.8 to 36.7) | 31.3 (24.6 to 38.8) | 11.2 (8.2 to 15.1) | 22.2 (19.0 to 25.6) | 43.9 (37.6 to 50.4) | 48.3 (41.4 to 55.2) | 17.3 (10.2 to 28.0) | 29.1 (19.5 to 40.9) | 35.1 (29.3 to 41.3) | 39.2 (32.3 to 46.5) | 33.7 (26.7 to 41.4) | 26.9 (23.1 to 31.2) | 23.6 (20.6 to 26.7) | 30.0 (26.6 to 33.6) |
| Sometimes | 47.5 (41.1 to 54.0) | 42.0 (34.2 to 50.2) | 56.8 (52.7 to 60.7) | 50.8 (48.9 to 52.7) | 39.0 (32.5 to 45.8) | 41.6 (34.6 to 49.1) | 36.7 (24.4 to 51.0) | 47.9 (42.2 to 53.6) | 53.7 (46.4 to 60.9) | 35.0 (28.1 to 42.7) | 52.6 (45.5 to 59.7) | 41.8 (36.1 to 47.6) | 48.5 (44.2 to 52.7) | 45.5 (43.5 to 47.5) |
| Never | 21.5 (17.9 to 25.6) (N=423) | 26.7 (18.9 to 36.4) (N=374) | 32.1 (28.1 to 36.3) (N=1198) | 27.1 (23.0 to 31.6)† (N=1124) | 17.1 (12.5 to 23.0) | 10.1 (6.9 to 14.4)† | 46.0 (26.8 to 66.5) (N=796) | 23.1 (16.1 to 31.9)† | 11.2 (8.2 to 15.3) (N=365) | 25.8 (19.5 to 33.3)† (N=337) | 13.7 (9.7 to 18.9) (N=416) | 31.3 (25.0 to 38.5)† (N=364) | 28.0 (23.0 to 33.7) (N=3601) | 24.5 (21.8 to 27.5)† (N=3326) |
| Anal sex with a client in the last month, % (95% CI) | 11.8 (8.7 to 15.8) (N=424) | 28.6 (22.2 to 36.1)† (N=374) | 35.6 (28.5 to 43.5) (N=1188) | 68.2 (61.9 to 73.9)† (N=1125) | 12.0 (8.1 to 17.4) (N=399) | 7.2 (4.5 to 11.3) | 1.0 (0.38 to 2.7) (N=793) | 52.9 (43.7 to 62.0)† | 12.0 (8.5 to 16.7) (N=341) | 77.2 (70.0 to 83.1)† (N=342) | 5.2 (3.6 to 7.5) (N=420) | 36.1 (30.1 to 42.5)† (N=366) | 16.7 (13.0 to 21.0) (N=3565) | 50.8 (45.4 to 56.2)† (N=3334) |
| Oral sex with a client in the last month, % (95% CI) | 7.4 (4.7 to 11.3) (N=422) | 17.4 (11.9 to 24.8)† (N=374) | 39.8 (31.0 to 49.3) (N=1191) | 66.1 (61.2 to 70.8)† (N=1125) | 20.0 (13.6 to 28.4) (N=400) | 20.1 (15.4 to 25.8) (N=373) | 0.38 (0 to 2.5) (N=793) | 55.3 (44.6 to 65.5)† (N=747) | 8.7 (4.8 to 15.4) (N=333) | 49.4 (39.0 to 59.9)† (N=340) | 4.1 (2.5 to 6.6) (N=420) | 13.9 (9.1 to 20.5)† (N=361) | 17.8 (13.5 to 23.2) (N=3559) | 45.6 (40.8 to 50.6)† (N=3320) |
| Had sex with a non-paying partner in the past 1 month, % (95% CI) | 46.0 (39.1 to 53.0) (N=424) | 63.7 (51.8 to 74.2)† | 69.8 (65.6 to 73.7) (N=1199) | 65.8 (61.8 to 69.6) | 25.6 (19.5 to 32.8) (N=398) | 23.6 (19.0 to 29.0) | 39.2 (16.9 to 67.2) (N=798) | 18.9 (15.6 to 22.8) | 17.3 (14.2 to 20.8) (N=371) | 71.2 (63.8 to 77.6)† (N=344) | 6.0 (3.7 to 9.5) (N=418) | 23.7 (18.1 to 30.4)† | 42.6 (37.5 to 47.8) (N=3608) | 46.2 (40.9 to 51.6) (N=3339) |
| Condom use with non-paying partner in the last month‡ | ||||||||||||||
| Always | 21.4 (15.9 to 28.3) | 20.2 (15.8 to 25.4) | 8.7 (6.4 to 11.8) | 15.5 (11.5 to 20.6) | 21.8 (14.8 to 30.9) | 36.4 (29.0 to 44.4) | 11.0 (5.2 to 21.5) | 15.6 (7.6 to 29.3) | 39.7 (25.8 to 55.6) | 33.5 (27.4 to 40.2) | 20.0 (8.7 to 39.5) | 23.0 (15.0 to 33.6) | 13.4 (11.5 to 15.7) | 20.7 (18.4 to 23.3) |
| Sometimes | 31.1 (23.2 to 40.3) | 34.9 (25.7 to 45.3) | 34.7 (29.8 to 39.9) | 36.8 (32.8 to 41.0) | 35.5 (27.1 to 44.8) | 29.6 (19.6 to 42.0) | 29.7 (16.8 to 47.0) | 34.8 (27.3 to 43.1) | 47.4 (33.5 to 61.8) | 35.9 (28.7 to 43.9) | 32.0 (12.2 to 61.5) | 36.8 (30.4 to 43.7) | 33.9 (29.8 to 38.2) | 35.7 (33.4 to 38.2) |
| Never | 47.5 (39.3 to 55.8) (N=196) | 45.0 (36.2 to 54.1) (N=238) | 56.6 (51.6 to 61.6) (N=837) | 47.7 (42.1 to 53.4)† (N=740) | 42.7 (35.2 to 50.6) (N=110) | 34.1 (24.6 to 45.1) (N=88) | 59.4 (40.0 to 76.2) (N=310) | 49.7 (45.3 to 54.0) (N=141) | 12.8 (7.8 to 20.4) (N=78) | 30.6 (24.9 to 37.0)† (N=245) | 48.0 (23.0 to 74.0) (N=25) | 40.2 (29.7 to 51.7) (N=87) | 52.7 (47.7 to 57.6) (N=1556) | 43.5 (40.9 to 46.2)† (N=1539) |
| HIV prevalence,§ % (95% CI) | 0 | 0.53 (0.16 to 1.8) | 0 | 0.18 (0 to 0.71) | 0 | 1.9 (0.90 to 3.8) | 0 | 1.3 (0.65 to 2.7) | 0 | 0 | 0 | 0 | 0 | 0.63 (0.43 to 0.92) |
*Refers to the following cities where the IBBS was conducted in both 2006 and 2011: Lahore, Karachi, Quetta, Peshawar, Multan, Faisalabad, Sargoda (these last three in ‘Other Punjab’), Sukkur and Larkana (these last two in ‘Other Sindh’).
†Significant difference at the 5% α-level using parametric and non-parametric tests of significance between survey rounds and within each region, as well as between rounds for all cities combined.
‡Condom use among FSWs who had sex with a non-paying partner in the previous month.
§HIV prevalence was not compared between rounds.
FSW, female sex worker; IBBS, integrated biological and behavioural surveys; KK, kothikhana; N, number of respondents.