Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

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

TitleCommunity Savings Groups, Financial Security, and HIV Risk Among Female Sex Workers in Iringa, Tanzania
Publication TypeJournal Article
Year of Publication2018
AuthorsMantsios, A, Galai, N, Mbwambo, J, Likindikoki, S, Shembilu, C, Mwampashi, A, Beckham, SW, Leddy, A, Davis, W, Sherman, S, Kennedy, C, Kerrigan, D
JournalAIDS Behav
Date PublishedNov
ISBN Number1090-7165
Accession Number29478147
Keywords*Risk Reduction Behavior, Adolescent, Adult, Community savings groups, Condoms/statistics & numerical data/*utilization, Cross-Sectional Studies, Economic strengthening interventions, Female, Female sex workers, Financial security, HIV, HIV Infections/*prevention & control/transmission, Humans, Income, Logistic Models, Middle Aged, Safe Sex/statistics & numerical data, Sex Work/*psychology, Sex Workers/statistics & numerical data, sexual behavior, Surveys and Questionnaires, tanzania, Young Adult

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.