Document Detail


A multilevel analysis of gatekeeper characteristics and consistent condom use among establishment-based female sex workers in Guangxi, China.
MedLine Citation:
PMID:  20539262     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Multilevel analytical techniques are being applied in condom use research to ensure the validity of investigation on environmental/structural influences and clustered data from venue-based sampling. The literature contains reports of consistent associations between perceived gatekeeper support and condom use among entertainment establishment-based female sex workers (FSWs) in Guangxi, China. However, the clustering inherent in the data (FSWs being clustered within establishment) has not been accounted in most of the analyses. We used multilevel analyses to examine perceived features of gatekeepers and individual correlates of consistent condom use among FSWs and to validate the findings in the existing literature.
METHODS: We analyzed cross-sectional data from 318 FSWs from 29 entertainment establishments in Guangxi, China in 2004, with a minimum of 5 FSWs per establishment. The Hierarchical Linear Models program with Laplace estimation was used to estimate the parameters in models containing random effects and binary outcomes.
RESULTS: About 11.6% of women reported consistent condom use with clients. The intraclass correlation coefficient indicated 18.5% of the variance in condom use could be attributed to their similarity between FSWs within the same establishments. Women's perceived gatekeeper support and education remained positively associated with condom use (P < 0.05), after controlling for other individual characteristics and clustering.
CONCLUSIONS: After adjusting for data clustering, perceived gatekeeper support remains associated with consistent condom use with clients among FSWs in China. The results imply that combined interventions to intervene both gatekeepers and individual FSW may effectively promote consistent condom use.
Authors:
Qing Li; Xiaoming Li; Bonita Stanton; Xiaoyi Fang; Ran Zhao
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Sexually transmitted diseases     Volume:  37     ISSN:  1537-4521     ISO Abbreviation:  Sex Transm Dis     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-26     Completed Date:  2011-02-18     Revised Date:  2014-09-09    
Medline Journal Info:
Nlm Unique ID:  7705941     Medline TA:  Sex Transm Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  700-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
China
Condoms / utilization*
Female
HIV Infections / prevention & control
Health Knowledge, Attitudes, Practice
Humans
Logistic Models
Male
Prostitution*
Self Efficacy
Sexual Behavior
Sexual Partners
Sexually Transmitted Diseases / prevention & control
Workplace / standards
Young Adult
Grant Support
ID/Acronym/Agency:
R01 AA018090/AA/NIAAA NIH HHS; R01 AA018090-01/AA/NIAAA NIH HHS; R01AA018090/AA/NIAAA NIH HHS; R01MH064878-3S1/MH/NIMH NIH HHS
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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