Community Savings Groups, Financial Security, and HIV Risk Among Female Sex Workers in Iringa, Tanzania

Andrea Mantsios; Noya Galai; Jessie Mbwambo; Samuel Likindikoki; Catherine Shembilu; Ard Mwampashi; S. W. Beckham; Anna Leddy; Wendy Davis; Susan Sherman; Caitlin Kennedy; Deanna Kerrigan

doi:10.1007/s10461-018-2065-x

Community Savings Groups, Financial Security, and HIV Risk Among Female Sex Workers in Iringa, Tanzania

Andrea Mantsios, Noya Galai, Jessie Mbwambo, Samuel Likindikoki, Catherine Shembilu, Ard Mwampashi, S. W. Beckham, Anna Leddy, Wendy Davis, Susan Sherman, Caitlin Kennedy, Deanna Kerrigan

Research output: Contribution to journal › Article › peer-review

22 Scopus citations

Abstract

This study assessed the association between community savings group participation and consistent condom use (CCU) among female sex workers (FSW) in Iringa, Tanzania. Using cross-sectional data from a survey of venue-based FSW (n = 496), logistic regression was used to examine the associations between financial indicators including community savings group participation and CCU. Over one-third (35%) of the women participated in a savings group. Multivariable regression results indicated that participating in a savings group was significantly associated with nearly two times greater odds of CCU with new clients in the last 30 days (aOR = 1.77, 95% CI 1.10–2.86). Exploratory mediation analysis indicated that the relationship between savings group participation and CCU was partially mediated by financial security, as measured by monthly income. Findings indicate that community savings groups may play an important role in reducing sexual risk behaviors of FSW and hold promise as part of comprehensive, community-led HIV prevention strategies among FSW.

Original language	English
Pages (from-to)	3742-3750
Number of pages	9
Journal	AIDS and Behavior
Volume	22
Issue number	11
DOIs	https://doi.org/10.1007/s10461-018-2065-x
State	Published - 1 Nov 2018
Externally published	Yes

Keywords

Community savings groups
Economic strengthening interventions
Female sex workers
Financial security
HIV
Tanzania

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-018-2065-x

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title = "Community Savings Groups, Financial Security, and HIV Risk Among Female Sex Workers in Iringa, Tanzania",

abstract = "This study assessed the association between community savings group participation and consistent condom use (CCU) among female sex workers (FSW) in Iringa, Tanzania. Using cross-sectional data from a survey of venue-based FSW (n = 496), logistic regression was used to examine the associations between financial indicators including community savings group participation and CCU. Over one-third (35%) of the women participated in a savings group. Multivariable regression results indicated that participating in a savings group was significantly associated with nearly two times greater odds of CCU with new clients in the last 30 days (aOR = 1.77, 95% CI 1.10–2.86). Exploratory mediation analysis indicated that the relationship between savings group participation and CCU was partially mediated by financial security, as measured by monthly income. Findings indicate that community savings groups may play an important role in reducing sexual risk behaviors of FSW and hold promise as part of comprehensive, community-led HIV prevention strategies among FSW.",

keywords = "Community savings groups, Economic strengthening interventions, Female sex workers, Financial security, HIV, Tanzania",

author = "Andrea Mantsios and Noya Galai and Jessie Mbwambo and Samuel Likindikoki and Catherine Shembilu and Ard Mwampashi and Beckham, {S. W.} and Anna Leddy and Wendy Davis and Susan Sherman and Caitlin Kennedy and Deanna Kerrigan",

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doi = "10.1007/s10461-018-2065-x",

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T1 - Community Savings Groups, Financial Security, and HIV Risk Among Female Sex Workers in Iringa, Tanzania

AU - Mantsios, Andrea

AU - Galai, Noya

AU - Mbwambo, Jessie

AU - Likindikoki, Samuel

AU - Shembilu, Catherine

AU - Mwampashi, Ard

AU - Beckham, S. W.

AU - Leddy, Anna

AU - Davis, Wendy

AU - Sherman, Susan

AU - Kennedy, Caitlin

AU - Kerrigan, Deanna

PY - 2018/11/1

Y1 - 2018/11/1

N2 - This study assessed the association between community savings group participation and consistent condom use (CCU) among female sex workers (FSW) in Iringa, Tanzania. Using cross-sectional data from a survey of venue-based FSW (n = 496), logistic regression was used to examine the associations between financial indicators including community savings group participation and CCU. Over one-third (35%) of the women participated in a savings group. Multivariable regression results indicated that participating in a savings group was significantly associated with nearly two times greater odds of CCU with new clients in the last 30 days (aOR = 1.77, 95% CI 1.10–2.86). Exploratory mediation analysis indicated that the relationship between savings group participation and CCU was partially mediated by financial security, as measured by monthly income. Findings indicate that community savings groups may play an important role in reducing sexual risk behaviors of FSW and hold promise as part of comprehensive, community-led HIV prevention strategies among FSW.

AB - This study assessed the association between community savings group participation and consistent condom use (CCU) among female sex workers (FSW) in Iringa, Tanzania. Using cross-sectional data from a survey of venue-based FSW (n = 496), logistic regression was used to examine the associations between financial indicators including community savings group participation and CCU. Over one-third (35%) of the women participated in a savings group. Multivariable regression results indicated that participating in a savings group was significantly associated with nearly two times greater odds of CCU with new clients in the last 30 days (aOR = 1.77, 95% CI 1.10–2.86). Exploratory mediation analysis indicated that the relationship between savings group participation and CCU was partially mediated by financial security, as measured by monthly income. Findings indicate that community savings groups may play an important role in reducing sexual risk behaviors of FSW and hold promise as part of comprehensive, community-led HIV prevention strategies among FSW.

KW - Community savings groups

KW - Economic strengthening interventions

KW - Female sex workers

KW - Financial security

KW - HIV

KW - Tanzania

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ER -

Community Savings Groups, Financial Security, and HIV Risk Among Female Sex Workers in Iringa, Tanzania

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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