Infectious Diseases Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology
Background Relationship characteristics and day-to-day variation in affective state have been associated with HIV risk behaviour. However, no research has assessed the impact of these factors on event-level condom use among women engaging in transactional sex. Methods: Twenty-six women engaging in transactional sex were enrolled in a prospective study of their sexual health. They completed diaries about multi-level predictors of condom use during vaginal sex twice, daily. Results: Over 4 weeks, 18 participants reported 87 paid/traded vaginal intercourse events. Of these, 51.7% were condom protected. The majority of paid/traded events (81.5%) occurred with a non-romantic partner. After controlling for partner type, feeling in love on a given day was associated with higher odds of condom use during paid/traded sexual events, while having sex on the weekend and at night were associated with lower odds of condom use (all P0.05). There was a significant interaction between being in love and using condoms during transactional sex (P<0.01). In paid/traded sexual events with romantic partners, the frequency of condom use was 71.4% (5/7) when women did not report love and 40% (4/10) when love was reported. In sexual events with non-romantic partners, the frequency of condom use was 43.8% (14/32) when women did not report love and 59.5% (22/37) when love was reported. Conclusions: Women were less likely to report protected sex with romantic partners and more likely to report protected sex with non-romantic partners when they are in love. Interventions focusing on the link between day-to-day variation in affective state on condom use may help women with risk management across partner types.
Love moderates the relationship between partner type and condom use among women engaging in transactional vaginal sex
Creators
Alexis M. Roth - Drexel University
Joshua G. Rosenberger - Pennsylvania State University
Devon J. Hensel - Indiana University – Purdue University Indianapolis
Sarah E. Wiehe - Indiana University – Purdue University Indianapolis
J. Dennis Fortenberry - Indiana University – Purdue University Indianapolis
Karla D. Wagner - University of Nevada Reno
Publication Details
Sexual health, v 13(2), pp 170-176
Publisher
Csiro Publishing
Number of pages
7
Grant note
Center for Urban Health at Indiana University Purdue University of Indianapolis
K01DA031031 / NATIONAL INSTITUTE ON DRUG ABUSE; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA); European Commission
K23HD057130 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
T32DA023356; K01DA031031; K23HD057130-04 / NIDA; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA)
Resource Type
Journal article
Language
English
Academic Unit
Community Health and Prevention
Web of Science ID
WOS:000373990700009
Scopus ID
2-s2.0-84964318578
Other Identifier
991019169701804721
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