Resum
This cross-sectional study examines the relationship between social cohesion with consistent condom use (CCU) and
sexually transmitted infections (STIs) among the Abriendo Puertas (Opening Doors) cohort of female sex workers (FSWs)
living with human immunodeficiency virus (HIV) in the Dominican Republic (n¼228). Using data from the follow-up survey of the cohort, we conducted multivariate logistic regression to explore these dynamics. Social cohesion was significantly associated with CCU between FSWs living with HIV and their clients in the last month (adjusted odds ratio [AOR]¼1.65, 95% confidence interval [CI]: 1.11–2.45) and STI prevalence among FSWs (AOR: 3.76, CI: 1.159–12.162). Social cohesion
was not associated with CCU between FSWs living with HIV and their steady partners. However, both illicit drug use in the
past six months (AOR¼0.11, CI: 0.023–0.57) and pregnancy intentions (AOR¼0.11; CI: 0.02–0.42) were significantly
associated with CCU with steady partners. Findings highlight the differential role of social cohesion on condom use
outcomes between FSWs living with HIV and their paying clients versus steady partners. Research on the pathways via
which cohesion influences condom use among sex workers and their clients is merited, as is research regarding the role of
drug use and pregnancy intentions on condom use with steady partners.