ArticlePloS one2018
Socio-economic vulnerabilities and HIV: Drivers of transactional sex among female bar workers in Yaoundé, Cameroon.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Transactional sex among women in Sub-Saharan Africa: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Socio-demographic characteristics and risk factors for HIV transmission in female bar workers in sub-Saharan Africa: a systematic literature review.BMC public health · 2020Pooled it
- Factors Affecting Access to and Utilisation of HIV/AIDS Preventive Services Among Young Single Mothers Working in Alcohol Serving Establishments in Rwanda: An Exploratory Qualitative Study.AIDS and behavior · 2026Article
- HIV/AIDS risk factors among young single mothers working in alcohol-serving establishments in Rwanda.Discover public health · 2026Article
- A qualitative exploration of perceived risks, motivations, and risk management strategies among brothel-based female sex workers in Ibadan, Nigeria.BMC public health · 2025Article
- Transactional sex and associated factors among young women in a tertiary institution in Northern Ghana: evidence from a cross-sectional survey.BMC women's health · 2025Article
- The Association of Food Security Status with Transactional Sex Engagement Among Female Adolescents Aged 15-24: Evidence from Cameroon.Archives of sexual behavior · 2025Article
- Cost-effectiveness of health insurance among women engaged in transactional sex and impacts on HIV transmission in Cameroon: a mathematical model.BMJ global health · 2025Article
- Consequences of exposure to sexual harassment among women working in hospitality workplaces in Bahir Dar City, Ethiopia: a structural equation model.Archives of public health = Archives belges de sante publique · 2023Article
- Predictors of HIV Among 1 Million Clients in High-Risk Male Populations in Tanzania.AIDS and behavior · 2022Article
- Perception and experiences of sexual harassment among women working in hospitality workplaces of Bahir Dar city, Northwest Ethiopia: a qualitative study.BMC public health · 2021Article
- Transactional Sex, Alcohol Use and Intimate Partner Violence Against Women in the Rakai Region of Uganda.AIDS and behavior · 2021Article
- Leveraging Geospatial Approaches to Characterize the HIV Prevention and Treatment Needs of Out-of-School Adolescent Girls and Young Women in Ethiopia.AIDS and behavior · 2019Article
- Transactional sex among men who have sex with men participating in the CohMSM prospective cohort study in West Africa.PloS one · 2019Article
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe purpose of this study was to examine the relationship between socio-demographic characteristics, risky sexual behaviour, alcohol use and transactional sex among female bar workers in Yaounde, Cameroon. MATERIALS AND
methodsA cross-sectional survey was conducted among a representative sample of 410 female bar workers, recruited through a modified version of venue-based cluster sampling technique from May to June 2017. Transactional sex was defined as having received money/gifts in exchange for sex with any sexual partner in the past 12 months. Logistic regression models were performed to identify the factors associated with transactional sex. The level of statistical significance was set at p< = 0.05.
resultsAbout 14.9% (n = 61) of respondents reported to have engaged in transactional sex, 83.7% (n = 338) had multiple sexual partners at the time of the study, 14.4% (n = 55) had sex with one or more of their male customers in the past 6 months. Almost 73.4% (n = 301) reported alcohol use. Of these, 37.2% (n = 112) were frequent alcohol consumers. About 17.6% (n = 72) reported to have had unprotected sex under the influence of alcohol in the past 6 months. Multivariate logistic regression analysis showed that those who engaged in transactional sex were more likely to have had sex with a male customer in the past 6 months (aOR = 7.34; 95% CI, 3.63-16.98), had sex under the influence of alcohol in the past 6 months (aOR = 2.42; 95% CI, 1.18-4.96) and frequent alcohol consumers (aOR = 2.06; 95%CI, 1.04-4.10). Respondents who had their last sexual intercourse 4 weeks or more prior to the study (aOR = 0.26; 95% CI, 0.08-0.84) were less likely to have engaged in transactional sex.
conclusionsOur study concludes that female bar workers are exposed to male customers and engage in risky sexual practices including transaction sex. Most of them also consume alcohol which increases their risk of HIV and STI acquisition. They are a high-risk group that need to be targeted with HIV prevention interventions.
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