A Adeyemi

O Adesola

O Busari

O Fakunle

Retrovirology

English

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POSTER PRESENTATION Open AccessFemale sex workers and condom use: lessons forfuture HIV vaccine trial in NigeriaO Fakunle1*, A Adeyemi2, O Busari3, O Adesola4From AIDS Vaccine 2012Boston, MA, USA. 9-12 September 2012BackgroundCondom remains one of the most effective means of HIVprevention in the absence of proven, safe and effective vac-cine. Nigeria has a surveillance system that monitors HIVtrend among most-at-risk populations. Female sex workers(FSW) have the highest HIV prevalence compared toother groups. Since the ultimate goal is to prevent newinfection, there is a need to evaluate condom use amongFSW and the lessons will be vital for future HIV vaccinetrial.MethodsSecondary data analysis of 2010 Integrated Bio-BehavioralSurveillance Survey was done with 4559 brothel and non-brothel FSWs in 9 Nigerian states. The survey involvedHIV testing. Administered questionnaires had informationon socio-demographic, HIV, sexual/reproductive healthvariables. Predictors of consistent condom use were evalu-ated using multiple logistic regression models.ResultsThe median age was 26years (15-49years); median age atfirst sex was 17years (11-22years); average clients/day was4; 38% had ever been married with 8.1% currently marriedand 3.7% living with their spouse; 74.6% used condomconsistently; 47.4% completed at least secondary educa-tion; 53.6% had been away from home for more than1 month; 60.2% tested and received HIV result within thelast 12months; and 91.2% knew that condom could protectagainst HIV. Significant predictors of consistent condomuse include testing and knowing result for HIV OR=1.995%CI:1.4-2.5; being away from home for ≥1monthOR=1.4 95%CI:1.1-1.9; engaged in sex trade for 24monthsor less OR=2.7 95%CI:2.0-3.7; those that had 4 or moreclients per day OR=1.7 95%CI:1.3-2.3) and those aged25years and above OR=1.4 95%CI:1.1-2.1.ConclusionOlder FSW with shorter duration in sex trade, havingmore clients, aged above 25years and away from homeare more likely to use condom consistently. Lessonsfrom condom uptake among FSW may lead to targetingFSW with these features for inclusion criteria for HIVvaccine trial in Nigeria.Author details1University College Hospital, Ibadan, Nigeria. 2MEASURE, Abuja, Nigeria.3Federal Medical Center, Ido-Ekiti, Nigeria. 4Mainland Hospital, Lagos, Nigeria.Published: 13 September 2012doi:10.1186/1742-4690-9-S2-P224Cite this article as: Fakunle et al.: Female sex workers and condom use:lessons for future HIV vaccine trial in Nigeria. Retrovirology 20129(Suppl 2):P224.Submit your next manuscript to BioMed Centraland take full advantage of: • Convenient online submission• Thorough peer review• No space constraints or color figure charges• Immediate publication on acceptance• Inclusion in PubMed, CAS, Scopus and Google Scholar• Research which is freely available for redistributionSubmit your manuscript at www.biomedcentral.com/submit1University College Hospital, Ibadan, NigeriaFull list of author information is available at the end of the articleFakunle et al. Retrovirology 2012, 9(Suppl 2):P224http://www.retrovirology.com/content/9/S2/P224© 2012 Fakunle et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction inany medium, provided the original work is properly cited.

Female sex workers and condom use: lessons for future HIV vaccine trial in Nigeria

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Female sex workers and condom use: lessons for future HIV vaccine trial in Nigeria

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