Negotiation and Determinants of Condom Use among Female Sex Workers in Denpasar

2016 ◽  
pp. 3
Author(s):  
P. Sukma Megaputri ◽  
A.A.S. Sawitri ◽  
D.N. Wirawan
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Biological Behavior ◽  
Bivariate Analysis ◽  
Negotiation Strategies ◽  
Factors Associated ◽  
Condom Negotiation ◽  
Female Sex ◽  
Significant Factors

Background and purpose: Integrated Biological Behavior Survey (IBBS) in 2011 showed that use of condoms among clients of female sex workers (FSW) was low. This was likely associated with tha lack of negotiations by FSWs. This study aims to determine negotiation strategies and determinants of condom use among FSWs in Denpasar.Methods: Cross-sectional survey was conducted among 100 brothel FSWs selected by cluster random sampling in some locations in Denpasar. Data was collected through interviews using questionnaires on: socio-demographic characteristics, internal and external factors, condom negotiations and condom use. Questionnaire about condom negotiation was a modification of Condom Influence Strategy Questionnaire (CISQ) developed by Noar. Bivariate analysis was conducted using chi square test and multivariate analysis by logistic regression.Results: About 87% FSWs reported use condoms during the last sexual intercourse with their clients and 63% reported always used condom in the last week. About 37% of clients carried condoms when they visit FSWs and 58% of FSWs reported that they negotiated condom to their clients. Among 63% of clients who did not carry condoms 92.1% of them eventually wear condoms after negotiated by FSWs. Negotiating strategy used by FSWs were direct request, conseptualizing relationships, risk information and deception. Significant factors associated with condom use were age of FSWs (AOR=4.1; 95%CI: 1.32-12.4), the availability of condoms (AOR=8.8; 95%CI: 2.8-27.7) and negotiations (AOR=3.9; 95%CI: 1.4-10.8).Conclusion: Most frequent negotiation strategy used was direct request to their clients. Significant factors associated with condom use were age of FSWs, availability of condom and condom negotiation.

Factors associated with condom use among brothel-based female sex workers in Thailand

AIDS Care ◽  
2005 ◽  
Vol 17 (5) ◽  
pp. 640-647 ◽  
Author(s):  
R. W. Buckingham ◽  
J. Moraros ◽  
Y. Bird ◽  
E. Meister ◽  
N. C. Webb
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Factors Associated ◽  
Female Sex

scholarly journals Using Brothel Leadership to Improve Condom Use among Brothel-based Female Sex Workers in Abuja, Nigeria: Results of a Cluster Randomized Pilot Study

2017 ◽  
Vol 9 (12) ◽  
pp. 144
Author(s):  
Uchenna O. Okafor ◽  
Rik Crutzen ◽  
Adebajo Sylvia ◽  
Okekearu Ifeanyi ◽  
Bart Van den Borne
Keyword(s):  
Hiv Prevention ◽  
Condom Use ◽  
Sex Workers ◽  
Self Efficacy ◽  
Female Sex Workers ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Condom Negotiation ◽  
Female Sex ◽  
Cluster Randomized

Support by brothel leaders and the promotion of a conducive environment for HIV prevention programs within brothel establishments are important to promote a safe working environment for Brothel-Based Female Sex Workers (BB FSWs). This study assesses the effects of a cluster randomized pilot trial examining the use of brothel leaders to improve consistent condom use by FSWs residing in brothels and also assessed the feasibility of implementing a similar intervention on a broader scale. Ten brothels in Abuja, Nigeria were randomized and exposed to the experimental (n=5) and control (n=5) arms of the intervention. The feasibility of the intervention and consistent condom use outcomes by FSWs with different partner types as well as condom negotiation self-efficacy were measured. Condom use outcomes and condom negotiation self-efficacy outcomes were analysed using multi-level mixed regression models. A total of 243 FSWs were recruited into the study (control n=66 and experimental n=177) and 107 of them (44%) were available at 16 weeks follow-up. The intervention demonstrated feasibility and positive outcomes for consistent condom use with boyfriends, casual partners and clients of FSWs were obtained. The interaction effect between condition and time indicated increased consistent condom use with boyfriends in the experimental condition (p=0.02). Adherence to the intervention by the FSWs was moderate with the mean sessions attended at 4.4(SD=2.0). The attrition rate during the intervention was high due to mobility of the FSWs. The intervention showed feasibility and effect outcomes indicate promise in enhancing condom use with steady partners of BB FSWs. The design of HIV prevention interventions may benefit from the inclusion of gatekeepers in the promotion of condom use within the brothel, but an adequately powered phase III trial is needed to inform large-scale implementation of this approach.

scholarly journals Factors associated with condom use negotiation by female sex workers in Bangladesh

2013 ◽  
Vol 24 (10) ◽  
pp. 813-821 ◽  
Author(s):  
Nazmul Alam ◽  
Mahbub Elahi Chowdhury ◽  
Malay K Mridha ◽  
Anisuddin Ahmed ◽  
Laura J Reichenbach ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Factors Associated ◽  
Female Sex

scholarly journals Factors associated with inconsistent condom use with clients among female sex workers in Podgorica, Montenegro

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.

Factors Associated with HIV Testing, Condom Use, and Sexually Transmitted Infections Among Female Sex Workers in Nha Trang, Vietnam

2005 ◽  
Vol 9 (1) ◽  
pp. 41-51 ◽  
Author(s):  
Jesse H. Grayman ◽  
Do Thi Nhan ◽  
Pham Thi Huong ◽  
Richard A. Jenkins ◽  
James W. Carey ◽  
...  
Keyword(s):  
Condom Use ◽  
Hiv Testing ◽  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Sexually Transmitted ◽  
Factors Associated ◽  
Female Sex

scholarly journals Factors associated with Chlamydia trachomatis and Neisseria gonorrhoeae infection among female sex workers in Nagaland, India

2017 ◽  
Vol 4 (4) ◽  
pp. 1199
Author(s):  
Gajendra K. Medhi ◽  
Jagadish Mahanta ◽  
Sanjib K. Phukan ◽  
Ramesh S. Paranjape ◽  
Michelle Kermode ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Neisseria Gonorrhoeae ◽  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Prevalence ◽  
Consistent Condom ◽  
Sex Trade ◽  
Factors Associated ◽  
Female Sex

Background: There is limited knowledge on the prevalence and correlates of sexually transmitted infections (STI) among women practicing sex work in the high HIV prevalence settings of northeast India, especially in Nagaland. We assessed the prevalence and risk factors of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) among female sex workers (FSW) in Dimapur, Nagaland.Methods: 417 FSWs were recruited into this cross–sectional study using Respondent Driven Sampling (RDS) in 2009. Information on socio-demographic characteristics, sexual risk behaviours and exposure to prevention interventions were collected from them and urine samples were tested for NG and CT. Multivariate logistic regression analysis was performed to assess the factors associated with NG and CT.Results: The RDS-adjusted prevalence of HIV, NG and CT was 11.4%, 6.6% and 19.5% respectively. The reported condom use with clients and regular sex partners were only 29.1% and 9.6% respectively. Being in the sex trade within the last 2 years was independently associated with greater risk for NG and CT. Having more than 5 clients was independently associated with greater likelihood for CT and seropositivity for HIV was independently associated with NG.Conclusions: High prevalence of NG/CT was documented among FSWs with relatively new entrants into sex trade having the highest risk. The combination of high STI prevalence and low consistent condom use is likely to contribute to an escalating HIV epidemic in this already high HIV prevalence setting. There is need to strengthen public health measures for screening and management of NG and CT among FSWs.

scholarly journals Factors associated to inconsistent condom use among sex workers

2019 ◽  
Vol 27 ◽  
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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