scholarly journals Perceptions of Determinants of Condom Use Behaviors Among Male Clients of Female Sex Workers in Indonesia: A Qualitative Inquiry

2018 ◽  
Vol 12 (4) ◽  
pp. 666-675 ◽  
Author(s):  
Nelsensius Klau Fauk ◽  
Christina Yeni Kustanti ◽  
Debora Shinta Liana ◽  
Nina Indriyawati ◽  
Rik Crutzen ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Condom Use ◽  
Sex Workers ◽  
Perceived Risk ◽  
Qualitative Inquiry ◽  
Sexual Pleasure ◽  
Framework Analysis ◽  
Inconsistent Condom ◽  
Male Clients ◽  
Hiv Aids

This study aimed to explore perceived determinants of condom use behaviors among male clients of female commercial sex workers (FCSWs) in Belu and Malaka districts, Indonesia. One-on-one in-depth interviews guided by the Health Belief Model (HBM) were used to collect the data from participants ( n = 42). The Framework analysis for qualitative data was employed to analyze the data. Results demonstrated several factors associated with lack of and inconsistent condom use among the participants. They included self-perceived risk of contracting HIV infection, knowledge of the severity of HIV illness and its impacts, and condom use: its benefits and its influencing factors. Additionally, factors including reduced sexual pleasure and the lack of knowledge of how and where to access condoms were important perceived barriers to condom use among participants. Having seen images of HIV-/AIDS-positive people, knowing friends and relatives suffering from HIV, and knowing FCSWs as a high-risk group for HIV infection were the cues to using condoms among several participants. Likewise, self-efficacy was also associated with condom use behaviors among the participants. The findings indicate the needs for HIV/AIDS interventions that include dissemination of HIV/AIDS knowledge, condom promotion, and improvement in the availability of condoms for both FCSWs and their clients.

scholarly journals Inconsistent condom use by male clients during anal intercourse with occasional and regular female sex workers (FSWs): survey findings from southern states of India

BMJ Open ◽  
2014 ◽  
Vol 4 (11) ◽  
pp. e005166 ◽  
Author(s):  
Shreena Ramanathan ◽  
Karikalan Nagarajan ◽  
Lakshmi Ramakrishnan ◽  
Mandar K Mainkar ◽  
Prabuddhagopal Goswami ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Anal Intercourse ◽  
Inconsistent Condom ◽  
Southern States ◽  
Female Sex ◽  
Male Clients ◽  
Inconsistent Condom Use

scholarly journals Declining Inconsistent Condom Use but Increasing HIV and Syphilis Prevalence Among Older Male Clients of Female Sex Workers

Medicine ◽  
2016 ◽  
Vol 95 (22) ◽  
pp. e3726 ◽  
Author(s):  
Yi Chen ◽  
Scottie Abraham Bussell ◽  
Zhiyong Shen ◽  
Zhenzhu Tang ◽  
Guanghua Lan ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Inconsistent Condom ◽  
Female Sex ◽  
Male Clients ◽  
Older Male Clients ◽  
Inconsistent Condom Use

HIV susceptibility among clients of female sex workers in Indonesia: a qualitative inquiry

Sexual Health ◽  
2018 ◽  
Vol 15 (3) ◽  
pp. 246 ◽  
Author(s):  
Lillian Mwanri ◽  
Nelsensius Klau Fauk ◽  
Christina Yeni Kustanti ◽  
Atik Ambarwati ◽  
Maria Silvia Merry
Keyword(s):  
Hiv Infection ◽  
Socioeconomic Factors ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Qualitative Inquiry ◽  
Hiv And Aids ◽  
Framework Analysis ◽  
Hiv Susceptibility ◽  
Female Sex ◽  
Study Results

Background The spread of HIV infection among men in Indonesia continues to increase every year. Clients of female sex workers (FSWs) are a group at higher risk of acquiring HIV infection due to their frequent engagement in sexual acts with sex workers. This study aimed to identify factors of susceptibility to HIV infection among clients of FSWs. Methods: A qualitative inquiry using one-on-one in-depth interviews was conducted in the Belu and Malaka districts of Indonesia from January to April 2017. The study participants (n =42) were the clients of FSWs recruited using the snowball sampling technique. The inclusion criteria were: being a client of FSWs and being aged 18 years or more. Data were analysed using a framework analysis. Results: Findings were grouped into two main emerging themes that included behavioural and socioeconomic factors. Behavioural factors that mediated HIV susceptibility among clients of FSWs were: frequent engagement in unsafe sex with multiple sex workers; low perceptions of the relevance of available HIV and AIDS services and limited access to these services; and HIV stigma or fear of being labelled as HIV positive. Socioeconomic factors included: participants’ economic situation; and individuals’ household responsibility and ability to afford FSWs services. Conclusions: The study results indicate the need to reformulate and improve HIV and AIDS-related services, including increasing the level of availability of HIV service points and the dissemination of knowledge and information about HIV and AIDS and condom use and making them accessible to both FSWs and their clients in Belu and Malaka districts.

scholarly journals A Systematic Review of Factors Influencing Condom Use among Female Sex Workers

2020 ◽  
Vol 8 (5) ◽  
Author(s):  
Caitlin McLachlan ◽  
Tinashe Dune
Keyword(s):  
Systematic Review ◽  
Condom Use ◽  
Sex Workers ◽  
Perceived Risk ◽  
Female Sex Workers ◽  
Future Research ◽  
High Risk Population ◽  
Sex Industry ◽  
Female Sex ◽  
Male Clients

A systematic review of research published in English was conducted across seven electronic databases in public health, social and psychological sciences. The aim was to ascertain the factors that influence condom use among female sex workers in the commercial sex industry globally. The perspectives and experiences of 29,112 female sex workers (FSWs) and 1,792 male clients of FSWs with regards to condom use are represented across the 47 studies included in this review. Key themes comprised of Perceived self-efficacy, Relationship Types, Condom use and Attitudes, Violence and Abuse, Location and Support, Knowledge and Perceived Risk, Perception and Perspectives of Male Clients, Drug and Alcohol use, Criminalisation and Price and Payment. Female sex workers are defined as a high-risk population for HIV/AIDS. Condoms were used less frequently in situations where structural and cultural determinants heavily impacted the experiences and decisions of FSWs. Cultural contextual factors also heavily impacted on the perspectives and perceptions of male clients and their attitudes towards condom use. Criminalization and anti-sex work legislation in many of the countries where these studies were conducted meant that FSWs were a socially marginalised and ostracized population. Recommendations are explored for theory, practice and education and future research.

Condom use, symptoms of suggestive sexually transmitted infections, and health care seeking among female sex workers in Bangladesh

2021 ◽  
pp. 095646242110213
Author(s):  
Nazmul Alam ◽  
Tasnuva Wahed ◽  
Anadil Alam ◽  
Passang Dema ◽  
Shafiqua N Oishi ◽  
...  
Keyword(s):  
Health Care ◽  
Condom Use ◽  
Sex Workers ◽  
Perceived Risk ◽  
Female Sex Workers ◽  
Care Seeking ◽  
Inconsistent Condom ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Depth Interviews

This article presents a mixed-method cross-sectional study reporting condom use, sexually transmitted infection (STI) symptoms, and care seeking of female sex workers (FSWs) in Dhaka, Bangladesh. A survey of 1228 FSWs, in-depth interviews ( n = 24), and key informants’ interviews ( n = 26) were used for data collection. Among the 1228 FSWs included in this study, 50% of them were illiterate and 39.3% were married, and their mean age was 27.1 years. The consistent use of condoms was reported by 75.6% of the FSWs, 88.7% reported having STI symptoms in the last 6 months, while 91.8% visited one of the drop-in centers for services. FSWs without formal education had lower odds of using condoms consistently (AOR: 0.72; 95% CI: 0.55–0.95), and those working elsewhere than in the streets showed higher odds (AOR: 1.63; 95% CI: 1.23–2.15) to use condoms. Stigma to access health care services, poor knowledge about STI/HIV, and low perceived risk were mentioned as causes of having STI symptoms in the survey as well as in qualitative in-depth interviews. Self-reported condom use, STI symptoms, and care-seeking practices were found to be high among the FSWs. Inconsistent condom use and a high number of sex partners could be the reasons for high levels of STI symptoms. Innovative objectively verifiable approaches should be tested to collect condom use data.

scholarly journals Characteristics of female sex workers and their HIV/AIDS/STI knowledge, attitudes and behaviour in semi-urban areas in South Africa

Curationis ◽  
2004 ◽  
Vol 27 (1) ◽  
Author(s):  
K. Peltzer ◽  
P. Seoka ◽  
S. Raphala
Keyword(s):  
South Africa ◽  
Condom Use ◽  
Sex Workers ◽  
Urban Areas ◽  
Female Sex Workers ◽  
Limpopo Province ◽  
Inconsistent Condom ◽  
Hiv Interventions ◽  
Female Sex ◽  
Hiv Aids

The aim of this study was to investigate characteristics of female sex workers and their HIV/AIDS/STI knowledge, attitudes and behaviour in semi-urban areas in South Africa. The sample included 70 female sex workers from the Tzaneen and Phalaborwa area in the Limpopo Province. A modified form of snowball sampling known as “targeted” sampling was used for identifying female sex workers. Results showed an inadequate knowledge of HIV prevention methods and some incorrect beliefs about AIDS transmission. Most sex workers reported condom use with their last sex client, inconsistent condom use with paying partners, and had poor condom use with regular partners. One third were drinking alcohol daily, one quarter had had voluntary HIV tests, and three quarters had been exposed to HIV interventions. Findings are discussed and implications for HIV interventions outlined.

Condom use among brothel-based sex workers and clients in Bali, Indonesia

Sexual Health ◽  
2005 ◽  
Vol 2 (2) ◽  
pp. 89 ◽  
Author(s):  
Kathleen Ford ◽  
Dewa Nyoman Wirawan
Keyword(s):  
Hiv Infection ◽  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Educational Interventions ◽  
Media Campaigns ◽  
Sexually Transmitted ◽  
Female Sex ◽  
Male Clients ◽  
The Media

Background: The objective of this paper is to describe the situation among Indonesian sex workers and clients in Bali, Indonesia, through a series of studies conducted during the 1990s. Methods: Five surveys of sex workers and clients were conducted from 1992 through to 1999. Results: The proportion of female sex workers who have heard about AIDS and condom use has increased tremendously in this area. In 1992–93, 51% of women reported ever hearing of AIDS and this had increased to 97% by 1999 (P < 0.01). Reported condom use with clients increased from 19% in 1992–93 to 78% in 1999 (P < 0.01). However, condom use is still far from 100% and perceived susceptibility towards HIV infection among female sex workers and their male clients remains low. Ineffective preventive strategies such as medication use remain common. HIV infection was very low in this population, although the prevalence of other sexually transmitted infections such as gonorrhea and chlamydia was very high. Conclusions: Educational interventions have been conducted with the sex workers, but the main source of education for clients has been through the media. Future programs need to develop more focused efforts to reach clients. These interventions may include worksite interventions, mass media campaigns, youth programs or other models.

scholarly journals Protected Sex with Paid Sexual Partner among Married Men in Indonesia

2019 ◽  
Vol 3 (2) ◽  
pp. 45
Author(s):  
I Gusti Ngurah Edi Putra
Keyword(s):  
Hiv Prevention ◽  
Hiv Infection ◽  
Condom Use ◽  
Sex Workers ◽  
Sexual Partner ◽  
Binary Logistic Regression ◽  
Population Based ◽  
Male Clients ◽  
Spousal Communication ◽  
Married Men

Background: Married men who are male clients of sex workers play an important role as “bridge population” of HIV infection from the concentrated epidemic population to the general population. This study aimed to investigate the protected sex with last paid sexual partner among currently married men in Indonesia.  Method: A nationally representative population-based survey, 2012 Indonesia Demographic and Health Survey (IDHS) which covered 33 provinces in Indonesia was applied in this study. Out of 9,306 currently married men, 510 records of married men who reported for ever paying someone for having sex were eligible for this study. A dependent variable was protected sex (i.e. condom use) at last sex with a paid sexual partner whilst independent variables consisted of socio-demographic factors, spousal communication on HIV prevention, knowledge of HIV prevention, and attitude of condom use. Binary logistic regression was applied for bivariate and multivariate analysis.Results: Prevalence of condom use with a paid sexual partner at last sex among currently married men was 27.86% [95%CI=23.89-32.20]. Based on multivariate analysis, married men were less likely to use a condom with a paid sexual partner if they aged ≥ 40 years old (OR=0.48; 95%CI=0.30-0.76) versus those aged < 40 years old and worked in some sectors: clerical (OR=0.22; 95%CI=0.08-0.61), sales (OR=0.40; 95%CI=0.17-0.95), agricultural/self-employed (0.32; 95%CI=0.13-0.75), skilled manual (OR=0.38; 95%CI=0.18-0.79) compared to those working in professional/technical/engineering sectors. However, those who were from poorer (OR=2.28; 95%CI=1.08-4.82) and richest household (OR=3.08; 95%CI=1.32-7.20) were more likely to perform protected sex compared to the poorest ones. In addition, the likelihood of protected sex also increased when married men had spousal communication on HIV prevention (OR=1.84;95%CI=1.17-2.90), knew that using condoms can reduce HIV infection (OR=2.15; 95%CI=1.14-4.08) and had a positive attitude of using condoms can protect against diseases (OR=3.05; 95%CI=1.14-8.16). Conclusion: Interventional approaches for increasing protected sex among married men as clients of sex workers should be integrated with existing HIV program among other key affected populations (e.g., FSWs) at sex workers’ workplaces setting through providing HIV-related information, ensuring uninterrupted stocks of condoms, and enforcing condom use regulation.

scholarly journals Analysis of HIV Transmission of Commercial Sex Wokers and Their Clients with Condom Use Treatment

2019 ◽  
Vol 125 ◽  
pp. 05003 ◽  
Author(s):  
Sutimin ◽  
Siti Khabibah ◽  
Dita Anies Munawwaroh ◽  
R. Heri Soelistyo U
Keyword(s):  
Condom Use ◽  
Global Stability ◽  
Sex Workers ◽  
Hiv Transmission ◽  
Equilibrium States ◽  
Endemic Equilibrium ◽  
Reproduction Ratio ◽  
Aids Epidemic ◽  
The Impact ◽  
Hiv Aids

A model of the HIV/AIDS epidemic among sex workers and their clients is discussed to study the effects of condom use in the prevention of HIV transmission. The model is addressed to determine the existence of equilibrium states, and then analyze the global stability of disease free and endemic equilibrium states. The global stability of equilibria depends on the vales of the basic reproduction ratio derived from the next generation matrix of the model. The endemic equilibrium state is globally stable when the ratio exceeds unity. The simulation results are presented to discuss the effect of condom use treatment in preventing the spread of HIV/AIDS among sex workers and their clients. The results show that the effectiveness level in using condoms in sexual intercourse corresponds to the decreasing level of the spread of HIV/AIDS. We use Maple and Matlab software to simulate the impact of condom use.

Sign in / Sign up

Export Citation Format

Share Document