267978 HIV/AIDS and Nigerian female sex workers : Rural- urban differentials in HIV testing behavior and condom use

Tuesday, October 30, 2012

Olabode Ayodele, MPH , PhD , Walden University, Minneapolis, MN
Background: Female sex workers (FSWs) have played a critical role in facilitating heterosexual transmission of HIV and remain an important high-risk population. This exploratory study examined differences in HIV testing behavior and condom use among brothel-based FSWs in rural and urban communities in Nigeria.

Methods: A cross sectional study was conducted among a sample of 137 FSWs from two sites in March 2011. A short questionnaire with demographic, HIV testing, and condom-use variables was administered to the participants via a person-to-person interview. All analyses used the Statistical Package for Social Sciences (SPSS) for windows version 19 and Chi-square tests were used to examine differences between the two groups.

Results: Significantly higher percentages of urban FSWs reported they have been tested for HIV (84.3% vs. 62.6%; p=0.014), and have consistently used condom with their clients during sex (81.4% vs. 59.7%; p<0.001). However, there were no significant differences between urban and rural FSWs in their awareness of HIV/AIDS disease and perception of being at risk for HIV infection. All participants reported they were aware of HIV/AIDS disease and 88.5 percent of urban FSWs perceived they were at risk of HIV infection compared with 86.5 percent of rural FSWs.

Conclusion: There were significant rural-urban differences in HIV testing behavior and consistent use of condom among the FSWs. The findings suggest there is greater need in rural areas for specific interventions that focus on promoting HIV testing and improving condom self-efficacy in FSWs. Programs targeting FSWs to make objective assessment of their risk for HIV infection should be reinforced.

Learning Areas:
Public health or related research

Learning Objectives:
To identify urban-rural differences in HIV testing behavior and condom use among brothel-based female sex workers in Nigeria.

Keywords: HIV/AIDS, Sex Workers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I teach epidemiology courses and part of my research works focus on HIV prevention among vulnerable populations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.