APPLICATION OF CONDOMS ON MALE CLIENTS BY FEMALE SEX WORKERS IN YEREVAN, ARMENIA: PREVALENCE AND CORRELATES

2011 ◽  
Vol 43 (5) ◽  
pp. 575-585 ◽  
Author(s):  
NELLI DARBINYAN ◽  
DELIA L. LANG ◽  
RALPH J. DICLEMENTE ◽  
JESSE B. JOSEPH ◽  
KARINE MARKOSYAN
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Cross Sectional Study ◽  
Primary Outcome Measure ◽  
Consistent Condom ◽  
Cross Sectional ◽  
Female Sex ◽  
Male Clients ◽  
Modifiable Factors

SummaryThis study sought to assess the prevalence of consistent condom application on male clients by female sex workers (FSWs) in Armenia and its association with demographic, psychosocial and behavioural factors. In this cross-sectional study, 120 street-based FSWs aged 20–52 completed an interviewer-administered questionnaire. The primary outcome measure was consistent application of condoms by FSWs on their male clients. A total of 21.7% of participants reported consistently applying condoms on clients. Logistic regression analysis demonstrated that higher condom use self-efficacy (Adjusted Odds Ratio, AOR=1.1; p=0.01), lower perceived condom use barriers (AOR=0.9; p=0.04) and not using douching as a method to prevent STI/HIV (AOR=4.8; p=0.04) significantly predicted consistent condom application. Higher HIV/AIDS knowledge was a marginally significant predictor of condom application (AOR=1.3; p=0.05). Future interventions should address these modifiable factors to encourage FSWs to apply condoms on clients themselves, which may reduce condom failure and exposure to HIV transmission.

scholarly journals Association between treatment for gonorrhoea and chlamydia and lower condom use in a cross-sectional study of female sex workers in southern India

BMJ Open ◽  
2016 ◽  
Vol 6 (5) ◽  
pp. e009774
Author(s):  
Marianne Legendre-Dugal ◽  
Janet Bradley ◽  
Subramanian Potty Rajaram ◽  
Catherine M Lowndes ◽  
Banadakoppa M Ramesh ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Cross Sectional Study ◽  
Southern India ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Sex

scholarly journals HIV-1 and Syphilis Prevalence Among Local Chinese and Cross-Border Migrant Female Sex Workers in Sino-Vietnam Border Cities in Guangxi, China: A Nine-Year Consecutive Cross-Sectional Study

2021 ◽  
Author(s):  
Bingyu Liang ◽  
Fei Zhang ◽  
Dongmei Wei ◽  
Peidong Zhang ◽  
Guangwu Wei ◽  
...  
Keyword(s):  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Cross Sectional Study ◽  
Hcv Infection ◽  
Syphilis Infection ◽  
Cross Sectional ◽  
Female Sex ◽  
Male Clients ◽  
Hiv 1

Abstract Background To analyze the trends of HIV-1 and syphilis prevalence as well as associated factors among local Chinese female sex workers (LCFSWs) and cross-border migrant female sex workers (CMFSWs) in Sino-Vietnam border cities in Guangxi, China. Methods A consecutive cross-sectional study was conducted from 2010 to 2018 in three border cities in Guangxi. The survey was conducted through face-to-face interview with a structured questionnaire. HIV-1 and syphilis infections were tested simultaneously. Cochran-Armitage analysis was used to assess the trends of HIV-1, syphilis and HCV prevalence, as well as the trend of risk behaviors, HIV/AIDS knowledge and prevention services. Multivariate logistics regression analysis was used to identify factors associated with HIV-1 and syphilis infection.Results Totally, 19873 LCFSWs and 1723 CMFSWs were enrolled. The overall prevalence of HIV-1 and syphilis infection was 0.91% and 5.14%, respectively. The HIV-1 prevalence among CMFSWs was higher than that among LCFSWs, without a declined trend. However, a downward trend was observed among LCFSWs. Overall, the main associated factors of HIV-1 infection among CMFSWs shifted from age >35 years old, staying in current residence for >12 months, self-reporting of STIs in the last year during 2010-2015 to inconsistent condoms use in commercial sex in the past month, HCV infection, self-reporting of STIs in the last year during 2016-2018. The main correlated factors of syphilis infection among CMFSWs changed from staying in current residence for 6~12 months, self-reporting of STIs in the last year, HCV infection during 2010-2015 to low-tier working venues, self-reporting of STIs in the last year, sexing with commercial male clients who used aphrodisiac drugs during 2016-2018. For LCFSWs, the relative strong associated factors of HIV-1 infection shifted from primary school or illiterate education background, illicit drugs use during 2010-2015 to the marital status of unmarried/divorced/widowed, sexing with commercial male clients who use aphrodisiac drugs during 2016-2018, while the main factors of syphilis infection changed from self-reporting of STIs in the last year, illicit drug use during 2010-2015 to self-reporting of STIs in the last year, HCV infection during 2016-2018.Conclusions The relatively higher prevalence of HIV-1 infection and frequent risk behaviours among CMFSWs in border cities in Guangxi, indicating that CMFSWs is the high-risk population for HIV-1 infection and transmission in the region, and is the key population of HIV/AIDS prevention and control. Meanwhile, the change of HIV infection-associated risk factors over time suggests that HIV intervention strategies need to be changed accordingly.

scholarly journals HIV and AIDS risk perception among sex workers in semi-urban Blantyre, Malawi

2015 ◽  
Vol 17 (3) ◽  
Author(s):  
Adamson Muula ◽  
Donatien Twizelimana
Keyword(s):  
Risk Perception ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Unprotected Sex ◽  
Hiv And Aids ◽  
Consistent Condom ◽  
Cross Sectional ◽  
Female Sex ◽  
Male Clients ◽  
Study Participants

Background: Several health behaviour theories propose that risk perception affects the likelihood of behaviour intentions and practice. The perception of risk to HIV and AIDS among female sex workers in Malawi has not been well described. Yet knowledge of how this most at risk population perceives contagion could help in informing the design, implementation and monitoring of interventions.Methods: A cross sectional, qualitative study was conducted among female sex workers in Blantyre, Malawi between 2013 and 2014. Snowballing technique was used to recruit study participants. In depth interviews were done by six trained female research assistants among 45 female sex workers. Data were analysed using thematic content analysis.Results: There were mixed perceptions of risk to HIV infection among the sampled sex workers. While some of the study participants perceived themselves as at higher risk of acquiring infection, some considered themselves to be at no higher risk than the general population. Some study participants suggested that married women in stable relationship were at higher risk of infection than the female sex workers. Prayer and belief in God were reported to be protective from HIV acquisition while predestination or mere talking about HIV was perceived to result in vulnerability to infection. In terms of overall knowledge about HIV, this was assessed as high. Several barriers to consistent condom use were reported: non-availability at all times, high cost and unacceptable instructions of the female condom, offers of higher pay for unprotected sex by male clients and harassment and forced unprotected sex by police.Conclusions: We have reported expression of dissonance, fatalism and predestination among female sex workers in semi-urban Malawi is responses to the threat of HIV. There is need to develop context-specific safer sex programs among female sex worker in Malawi.

Sexual risk behaviors and practices of female sex workers in Rwanda in over a decade, 2006–2015

2018 ◽  
Vol 29 (13) ◽  
pp. 1316-1323 ◽  
Author(s):  
Mwumvaneza Mutagoma ◽  
Laetitia Nyirazinyoye ◽  
Dieudonné Sebuhoro ◽  
David J Riedel ◽  
Joseph Ntaganira
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Consistent Condom ◽  
Hiv Knowledge ◽  
Consistent Condom Use ◽  
Chi Square ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Female Sex

Female sex workers (FSWs) are at high risk for HIV. Cross-sectional surveys using a venue–day–time approach for recruitment were conducted among FSWs in Rwanda in 2006, 2010 and 2015. Chi square test for trends was computed to determine behavior changes. Logistic regression models were computed to determine risk factors associated with consistent condom use for the 2015 survey. There were 1041, 1338, and 1978 FSWs surveyed in 2006, 2010, and 2015, respectively. Condom use at the last sexual encounter with a client was similar in all surveys: 84.2%, 64.1%, and 83.3% (p = 1.0), respectively. Comprehensive HIV knowledge among FSWs was higher in 2015 than in 2006: 18.4%, 53.1%, and 71.1% (p = 0.00), respectively. Living in Kigali City and the Western province (aOR = 1.9 [95% CI: 1.3–2.8] and aOR = 2.0 [95% CI: 1.4–2.9], respectively) and higher level of education (OR = 2.0 [95% CI: 1.4–2.9]) were positively associated with consistent condom use with a client. Street-based FSWs (aOR = 0.7 [95% CI: 0.6–0.9]); FSWs with sex work as sole occupation (aOR = 0.6 [95% CI: 0.5–0.7]); FSWs who experienced sexually transmitted infections in the last year (aOR = 0.7 [95% CI: 0.5–0.8]) and HIV-positive FSWs (aOR = 0.8 [95% CI: 0.6–0.9]) were less likely to report consistent condom use. HIV prevention methods have evolved among FSWs in RWanda over the last decade, but HIV prevalence remains high. Condom use among many FSWs is inconsistent. New approaches for behavior change and income-generating activities are needed to reduce the vulnerability of FSWs in Rwanda.

scholarly journals Dynamics of the HIV epidemic in southern China: sexual and drug-using behaviours among female sex workers and male clients in Yunnan

2012 ◽  
Vol 23 (9) ◽  
pp. 670-675 ◽  
Author(s):  
J J Xu ◽  
M K Smith ◽  
J Chu ◽  
G W Ding ◽  
D F Chang ◽  
...  
Keyword(s):  
Drug Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Southern China ◽  
Cross Sectional Study ◽  
Risk Behaviours ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Female Sex ◽  
Male Clients

To examine the HIV/sexually transmitted infection (STI)-related risk behaviours among community-based female sex workers (FSWs) and their clients in Yunnan Province, China, we performed a cross-sectional study of 705 FSWs and 100 male clients. We found that HIV seroprevalence among FSWs was 13.0% and the most prevalent STI was herpes simplex virus type 2 (HSV-2) (71.1%), followed by Chlamydia trachomatis (18.1%) and syphilis (8.8%). The 20% of FSWs who reported injection drug use also reported needle-sharing behaviours in the last three months. Drug-using FSWs had substantially higher HIV and HSV-2 prevalence, serviced more clients and had a longer history of sex work than non-using FSWs. In total, 57.0% of male clients did not consistently use condoms with FSWs, 2.0% reported illicit drug use and 17.0% had STI symptoms in the last year. The dual risk behaviours of drug-using FSWs and clients place them at greater risk of HIV infection. Intervention programmes must adopt comprehensive methods.

scholarly journals Trust as a Determinant Factor for Condom Use among Female Sex Workers in Bali, Indonesia

2020 ◽  
Vol 5 (3) ◽  
pp. 131
Author(s):  
Pande Putu Januraga ◽  
Hailay Abrha Gesesew ◽  
Paul R. Ward
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Consistent Condom ◽  
Outcome Variable ◽  
Policy And Practice ◽  
Cross Sectional Survey ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Female Sex

Female sex workers (FSWs) decision to use or not to use condoms depends on several issues, including the decision to trust their client or not, a matter given little attention in previous research. This paper explores the role of trust in consistent condom use among FSWs. We used a cross-sectional survey among FSWs in Bali, Indonesia. The outcome variable for this study was condom use, and independent variables included sociodemographic characteristics, psychosocial factors, social capital dimensions and HIV prevention practices. In total, 406 FSWs participated in the study. Of these, 48% of FSWs used condoms consistently with paying clients over the last month. The following FSWs were less likely to consistently use condoms with clients: FSWs who did not trust that their peer FSWs will use condoms (AOR = 9.3, 95% CI, 3.3–26.2), FSWs who did not feel valued by the people at their location (AOR = 3.9, 95% CI, 1.4–11.6), FSWs who did not graduate from primary or never went to school (AOR = 2.4, 95% CI, 1.03–5.6), and FSWs who have worked more than five years as FSWs (AOR = 5.8, 95% CI, 1.2–29.2). Our results highlight higher rates of inconsistent condom use related to lower trust and feelings of being valued between FSWs, identifying areas for policy and practice attention.

Sign in / Sign up

Export Citation Format

Share Document