Factors associated to inconsistent condom use among sex workers

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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Factors Associated With Inconsistent Condom Use Among Female Sex Workers in Nha Trang, Vietnam

Asia Pacific Journal of Public Health ◽

10.1177/1010539508322485 ◽

2008 ◽

Vol 20 (4) ◽

pp. 370-378 ◽

Cited By ~ 25

Author(s):

Tran Thi Tuyet Mai ◽

Le Cu Linh ◽

Nguyen Thanh Long

Keyword(s):

Condom Use ◽

Sex Workers ◽

Female Sex Workers ◽

Inconsistent Condom ◽

Factors Associated ◽

Female Sex ◽

Inconsistent Condom Use

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

Sexual Health ◽

10.1071/sh11108 ◽

2012 ◽

Vol 9 (4) ◽

pp. 368 ◽

Cited By ~ 18

Author(s):

Joseph T. F. Lau ◽

Jing Gu ◽

Hi Yi Tsui ◽

Hongyao Chen ◽

Eleanor Holroyd ◽

...

Keyword(s):

Condom Use ◽

Sex Workers ◽

Odds Ratio ◽

Female Sex Workers ◽

Unprotected Sex ◽

Commercial Sex ◽

Inconsistent Condom ◽

Female Sex ◽

Psychosocial Conditions ◽

Inconsistent Condom Use

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 with inconsistent condom use with clients among female sex workers in Podgorica, Montenegro

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1608424l ◽

2016 ◽

Vol 144 (7-8) ◽

pp. 424-430

Author(s):

Dragan Lausevic ◽

Senad Begic ◽

Natasa Terzic ◽

Zoran Vratnica ◽

Alma Cicic ◽

...

Keyword(s):

Condom Use ◽

Sex Workers ◽

Female Sex Workers ◽

Snowball Sampling ◽

Inconsistent Condom ◽

Cross Sectional ◽

Factors Associated ◽

Female Sex ◽

Increased Risk ◽

Inconsistent Condom Use

Introduction. Female sex workers (FSWs) are a group at increased risk for human immunodeficiency virus (HIV) infection, and inconsistent condom use with clients is a known risk factor for infection in this group. Objective. The aim of the study was to determine factors associated with inconsistent condom use with clients among female sex workers in Podgorica, Montenegro. Methods. We conducted an HIV bio-behavioral cross-sectional study in a sample of female sex workers recruited by snowball sampling. Results. A total of 142 FSWs were recruited. Eighty-one (57.0%) of them used condoms consistently with clients. HIV prevalence was 0.0%. In the multivariate analysis inconsistent condom use with clients in the previous month was associated with clients? negative personal attitude [age-adjusted odds ratio (AOR) = 22.7, 95% confidence interval (CI) = 2.3-228.0] or client?s indifference (AOR = 13.0, 95% CI = 1.4-118.9) towards using condom during sex with sexual workers, decision making by clients or by mutual agreement with client about using a condom (AOR = 10.2, 95% CI = 3.7-28.0), and early age of first sex (AOR = 5.4, 95% CI = 1.6-18.5). Conclusion. Our results suggest not only the need for further promotion of condom use, information and education for FSW but also the need to strengthen negotiation skills of FSWs with clients on regular use of condoms, as well as the need to extend prevention programs to clients of FSWs.

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