Peer educator dose effects on male sex worker sexual practices, knowledge and counselling and testing (n=442)
| 0 times | 1–4 times | 5 or more times | Test for ordered trend | ||||
| % (n) | AOR (95% CI) | % (n) | AOR (95% CI) | % (n) | AOR (95% CI) | p Value | |
| Sexual practices with male clients | |||||||
| Used a condom during anal sex with last male client (n=438) | 62.4 (184/295) | Ref | 78.0 (46/59) | 2.13 (1.04 to 4.38)* | 78.6 (66/84) | 2.21 (1.21 to 4.06)* | 0.002 |
| Used a water-based lubricant with last male client (n=438) | 21.0 (62/295) | Ref | 44.1 (26/59) | 2.96 (1.80 to 4.86)*** | 51.2 (43/84) | 3.94 (2.62 to 5.93)*** | <0.001 |
| ‘Always’ used a condom with male clients in the past 30 days (n=442) | 44.4 (132/297) | Ref | 59.3 (35/59) | 1.82 (0.96 to 3.46) | 64.0 (55/86) | 2.22 (1.30 to 3.78)** | 0.001 |
| Sexual practices with male non-paying partners | |||||||
| Used a condom during anal sex with last male non-paying partner (n=205) | 58.4 (73/125) | Ref | 71.4 (25/35) | 1.78 (0.89 to 3.57) | 62.2 (28/45) | 1.17 (0.49 to 2.79) | 0.468 |
| Used a water-based lubricant with last male non-paying partner (n=205) | 28.0 (35/125) | Ref | 42.9 (25/35) | 1.60 (0.85 to 4.39) | 57.8 (28/45) | 3.52 (1.83 to 6.75)*** | <0.001 |
| ‘Always’ used a condom with male non-paying partners in the past 30 days (n=205) | 35.2 (44/125) | Ref | 42.9 (15/35) | 1.38 (0.61 to 3.12) | 48.9 (22/45) | 1.76 (0.88 to 3.51) | 0.096 |
| Knowledge | |||||||
| Knows HIV can be transmitted via anal sex (n=442) | 67.3 (200/297) | Ref | 79.7 (47/59) | 1.90 (0.90 to 4.02) | 89.5 (77/86) | 4.15 (1.93 to 8.90)*** | <0.001 |
| Knows that only a water-based lubricant should be used with a latex condom (n=442) | 31.0 (92/297) | Ref | 54.2 (32/59) | 2.64 (1.35 to 5.17)** | 65.1 (56/86) | 4.16 (2.25 to 7.69)*** | <0.001 |
| Access to services | |||||||
| Has ever been counselled or tested for HIV (n=442) | 60.9 (181/297) | Ref | 72.9 (43/59) | 1.72 (0.93 to 3.19) | 87.2 (75/86) | 4.37 (2.04 to 9.36)*** | <0.001 |
| Attended drop-in centre (ICRH or KEMRI) in the past 12 months (n=442) | 18.9 (56/297) | Ref | 47.5 (28/59) | 3.89 (2.27 to 6.65)*** | 58.1 (50/86) | 5.98 (3.51 to 10.18)*** | <0.001 |
*p<0.05, **p<0.01, ***p<0.001.
AOR, adjusted odds ration; Ref, reference group; ICRH, International Centre for Reproductive Health; KEMRI, Kenya Medical Research Institute.