Prevalence and associated factors of condom use during commercial sex by female sex workers who were or were not injecting drug users in China

Objectives We compared the prevalence of inconsistent condom use during commercial sex between female sex workers (FSWs) who did or did not inject drugs (FSW-IDUs and FSW-NIDUs) and investigated factors associated with this inconsistent use within these two groups. Methods: Some 158 FSW-NIDUs recruited from sex work venues and 218 FSW-IDUs recruited via the snowball sampling method were interviewed anonymously. Results: Only 16.5% of the FSW-IDUs and 51.3% of the FSW-NIDUs had used condoms consistently during commercial sex in the last month (odds ratio (OR) = 0.19). Factors significantly associated with inconsistent condom use in both groups included: behavioural intention for condom use (adjusted odds ratio (AOR) = 0.05 and 0.13), condom unavailability (AOR = 4.77 and 5.33), a perceived need to engage in unprotected sex if the client paid more (AOR = 8.74 and 10.84) or insisted on demanding unprotected sex (AOR = 19.78 and 7.59), and submissive gender power (AOR = 11.65 and 2.58). One factor, perceived susceptibility (AOR = 2.64), was significant only among FSW-NIDUs, whereas perceived efficacy of condom use in preventing HIV transmission (AOR = 0.08), perceptions that peer FSWs would not use condoms with clients (AOR = 2.23), self-hatred (AOR = 2.25) and lack of social support (AOR = 2.93) were significant only among FSW-IDUs. Injecting with used syringes was also associated with inconsistent condom use among FSW-IDUs (AOR = 4.64). Conclusions: FSW-IDUs were more likely than FSW-NIDUs to possess the cognitive and psychosocial conditions associated with unprotected commercial sex. Interventions need to take these differences into account.

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Factors associated to inconsistent condom use among sex workers

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.2951.3226 ◽

2019 ◽

Vol 27 ◽

Cited By ~ 1

Author(s):

Rosilane de Lima Brito Magalhães ◽

Laelson Rochelle Milanês Sousa ◽

Elucir Gir ◽

Marli Teresinha Gimeniz Galvão ◽

Vanessa Moura Carvalho de Oliveira ◽

...

Keyword(s):

Alcohol Use ◽

Condom Use ◽

Sex Workers ◽

Odds Ratio ◽

Female Sex Workers ◽

High Alcohol ◽

Inconsistent Condom ◽

Factors Associated ◽

Female Sex ◽

Inconsistent Condom Use

Objective: to analyze the factors associated to the inconsistent condom use among sex workers. Method: a transversal study, carried out in prostitution area, using the Respondent Drive Sampling. The sample was calculated based on the information by the Sex Workers Association: 600 female sex workers. The study selected seven women with different characteristics regarding color, age, and place of work, who were called seeds. After the participation, they received three coupons to recruit other participants in order to obtain a representative sample. The definition of inconsistent condom use was determined as occasional use or never using it. Univariate analyses and a multivariate logistic regression were performed. Results: 416 female sex workers participated in the study. The associated factors were having studied for less than eight years (Odds Ratio = 27.28), not having a permanent partner (Odds Ratio = 2.79), high alcohol use (Odds Ratio = 5.07), and being black (Odds Ratio = 2.21). Conclusion: the factors associated to inconsistent condom use were: lower education levels, not having a permanent partner, high alcohol use, and being black.

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A survey of condom use among female sex workers in Northern Sydney; declining condom use for fellatio

International Journal of STD & AIDS ◽

10.1177/09564624211040951 ◽

2021 ◽

pp. 095646242110409

Author(s):

Casey Lee ◽

Hamish McManus ◽

Rosalind Foster ◽

Stephen C Davies

Keyword(s):

Condom Use ◽

Sex Workers ◽

Female Sex Workers ◽

Unprotected Sex ◽

Inconsistent Condom ◽

Logistic Regression Models ◽

Female Sex ◽

Vaginal Sex ◽

Adjusted Association ◽

Inconsistent Condom Use

Condom use among female sex workers (FSWs) is dynamic. We conducted a survey, by anonymous questionnaire, of condom use among FSWs routinely attending our clinical service in Northern Sydney. Logistic regression models determined associations with inconsistent condom use. All 201 women approached completed a questionnaire. Chinese-born women comprised 67% of participants. The median age was 35 years. Clients requesting unprotected fellatio was reported by 95% of participants, and approximately two-thirds felt pressure to have unprotected fellatio and vaginal sex (VSI). Inconsistent condom use at work was reported by 74% for fellatio and by 24% for VSI. The strongest adjusted association with inconsistent condom use for fellatio was monetary inducement by clients (aOR = 40.7, 95% CI 4.87–340, p = 0.001). The only other significant adjusted association was age ≥ 30 years ( p = 0.02). The strongest adjusted association with inconsistent condom use for VSI was also monetary inducement by clients (aOR = 56.1, 95% CI 9.26–340, p < 0.001). Other significant adjusted associations were Chinese-speaking participants ( p = 0.03) and clients requesting unprotected VSI ( p = 0.02). We report high levels of inconsistent condom use. Health promotion should assist FSWs, particularly those of Chinese ethnicity, develop skills in dealing with pressure for unprotected sex, particularly fellatio.

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