Acceptance of Treatment of Sexually Transmitted Infections for Stable Sexual Partners by Female Sex Workers in Kampala, Uganda

• Published in: PloS one Vol. 11; no. 5; p. e0155383
• Main Authors: Mayanja, Yunia, Mukose, Aggrey David, Nakubulwa, Susan, Omosa-Manyonyi, Gloria, Kamali, Anatoli, Guwatudde, David
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 12.05.2016; Public Library of Science (PLoS)
• Subjects: Acceptance tests; Acquired immune deficiency syndrome; Adult; AIDS; Biology and Life Sciences; Care and treatment; Chlamydia; Condoms; Demography; Diagnosis; Empowerment; Female; Health aspects; HIV; Human immunodeficiency virus; Humans; Identification methods; Infections; Medical diagnosis; Medicine and Health Sciences; Models, Biological; Multivariate Analysis; Patient Acceptance of Health Care; People and Places; Poisson density functions; Prostitution; Regression analysis; Risk factors; Sex; Sex oriented businesses; Sex Workers; Sexual Behavior; Sexual Partners; Sexually transmitted diseases; Sexually Transmitted Diseases - drug therapy; Social Sciences; Statistical analysis; STD; Syphilis; Uganda; Workers; Uganda; Sub-Saharan Africa; Kenya; Kampala Uganda; Africa
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0155383

The prevalence of sexually transmitted infections (STIs) among female sex workers (FSWs) in sub-Saharan Africa remains high. Providing treatment to the affected FSWs is a challenge, and more so to their stable sexual partners. There is scanty research information on acceptance of STI treatment for stable sexual partners by FSWs. We conducted a study to assess acceptance of STI treatment for stable sexual partners by FSWs, and to identify factors associated with acceptance. We enrolled 241 FSWs in a cross sectional study; they were aged ≥ 18 years, had a stable sexual partner and a diagnosis of STI. Factors associated with acceptance of STI treatment for stable sexual partners were analysed in STATA (12) using Poisson regression. Mantel-Haenszel tests for interaction were performed. Acceptance of partner treatment was 50.6%. Majority (83.8%) of partners at the last sexual act were stable partners, and 32.4% of participants had asymptomatic STIs. Factors independently associated with acceptance were: earning ≤ $4 USD per sexual act (aPR 0.68; 95% CI: 0.49-0.94) and a clinical STI diagnosis (aPR 1.95; 95% CI: 1.30-2.92). The effect of low income on acceptance of partner treatment was seen in those with less education. Acceptance of STI treatment for stable sexual partners was lower than that seen in other studies. Interventions to improve economic empowerment among FSWs may increase acceptance of partner treatment.