scholarly journals Inconsistent use of condom: risky sexual behaviour among the street based sex workers in Kathmandu Valley

2018 ◽  
Vol 18 (17) ◽  
pp. 65-72
Author(s):  
Rita Karki

The nature of profession of sex trade is multi partnered which leads the sex partners to unprotected sex. This study aims to explore the knowledge and experiences of STIs, practice and use of condom, reasons of not using it regularly and addiction situations among the street based female sex workers (SFSWs) in Kathmandu Valley. This study is a non-experimental research based on cross-sectional design. Mixed method was used to collect information with 110 SFSWs selected by using snow ball sampling techniques and presented descriptively after arranging in different themes. Among the SFSWs, 64.5 percent experienced STIs and 69 percent of them were unable to use condoms regularly. Most of the sex workers agree to unprotected sex when they are offered extra money and forced for sex by clients without condom, and another reason was lack of skill on SFSWs in using it properly. Knowingly or unknowingly SFSWs, clients and their life-partners are being victimized from practicing of risky sexual behaviour. The study suggests that touchy and broad awareness programs and compulsory rule to use male condom from clients’ side within safer indoor work space could be effective in helping to assure satisfying and safe sex.

Author(s):  
Nita Anggerina Putri Hi Setiawan ◽  
Dwi Sutiningsih ◽  
Bagoes Widjanarko

Background: The number of HIV/AIDS cases in Ternate is increasing, until now there are 472 cases reported and in 2019 there were 46 new cases. FSW is one of the key population at risk of HIV.Methods: The purpose of this study was to identify the correlation between knowledge and number of sexual partner with HIV risk among female sex workers (FSW) in Ternate. This study used a cross sectional design. The number of respondents was 92 respondents. The instrument used in this study was a questionnaire. Data analysis was univariate, and bivariate with chi-square.Result: There were correlation between knowledge (p= 0,013; PR 1,363; 95% CI 1,069-1,704), and the number of sexual partners (p= 0.030; PR 1,497; 95% CI 0,961-2,331) with HIV risk among FSW in Ternate.Conclusion : FSW who had poor knowledge and had ≥3 clients, was correlated with HIV risk.


2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Khodabakhsh Ahmadi ◽  
Majid Rezazade ◽  
Mohammad Nafarie ◽  
Babak Moazen ◽  
Mosaieb Yarmohmmadi Vasel ◽  
...  

Purpose. To assess the prevalence and associated factors of unprotected sex with injecting drug users (IDUs) among a sample of female sex workers (FSWs) in Iran.Methods. This cross-sectional study included 144 FSWs who were interviewed as a part of Unhide HIV Risk Study, a national behavioral survey focusing on various high-risk populations, including IDUs, FSWs, and Men who have Sex with Men (MSMs) in 2009. The survey was conducted in eight provinces in Iran using respondent-driven sampling. Participants’ sociodemographic status, HIV knowledge, and HIV attitude were analyzed via logistic regression to determine the predictors of unprotected sex with IDU(s) during the past month.Results. Nineteen percent of FSWs reported at least one occasion of unprotected sex with IDU(s) in the month preceding the study. Higher educational level (OR=−0.653, 95%CI=-1.192to −0.115), perceived HIV risk (OR=−1.047, 95%CI=-2.076to −0.019), and perceived family intimacy during childhood (OR=−1.104, 95%CI=-1.957to −0.251) were all independently associated with lower odds of having unprotected sex with IDU(s) in the month preceding the study. Age, marital status, living condition, HIV knowledge, and perceived behavioral control did not affect the odds of FSWs having sex with IDUs.Conclusion. Perceived HIV risk, which is a modifiable factor, seems to be a promising target for harm reduction interventions amongst Iranian female sex workers. Data presented here may aid in reducing or eliminating the role of sex workers as a bridge for HIV transmission from IDUs to the general population in Iran.


2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Juan Liu ◽  
Liviana Calzavara ◽  
Joshua B Mendelsohn ◽  
Ann O’Leary ◽  
Laiyi Kang ◽  
...  

2015 ◽  
Vol 17 (3) ◽  
Author(s):  
Adamson Muula ◽  
Donatien Twizelimana

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.


2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Karine Markosyan ◽  
Delia L. Lang ◽  
Ralph J. DiClemente

This cross-sectional study assessed the prevalence and correlates of inconsistent refusal of unprotected sex among female sex workers (FSWs) in Armenia. One hundred and eighteen street-based FSWs between the ages of 20 and 52 completed a questionnaire assessing FSWs’ demographic, psychosocial, and behavioral characteristics. A total of 52.5% (n=62) of FSWs reported inconsistent refusal of unprotected sex with clients in the past 3 months. Logistic regression analysis controlling for participants’ age and education revealed that perceiving more barriers toward condom use (AOR = 1.1;P<0.01), reporting more types of abuse (AOR = 2.1;P<0.01), and setting lower fees for service (AOR = 0.9;P=0.02) significantly predicted inconsistent refusal of unprotected sex. HIV-risk-reduction behavioral interventions tailored to FSWs working in Yerevan Armenia should address the factors identified in this study toward the goal of enhancing refusal of unprotected sex and ultimately preventing acquisition of sexually transmitted infections (STIs) including HIV.


2021 ◽  
pp. 100012
Author(s):  
Rachel Jewkes ◽  
Kennedy Otwombe ◽  
Kristin Dunkle ◽  
Minja Milovanovic ◽  
Khuthadzo Hlongwane ◽  
...  

BMJ Open ◽  
2016 ◽  
Vol 6 (5) ◽  
pp. e009774
Author(s):  
Marianne Legendre-Dugal ◽  
Janet Bradley ◽  
Subramanian Potty Rajaram ◽  
Catherine M Lowndes ◽  
Banadakoppa M Ramesh ◽  
...  

2007 ◽  
Vol 50 (3) ◽  
pp. 29-49 ◽  
Author(s):  
Chimaraoke O. Izugbara

Abstract:This article reports findings of a qualitative inquiry on representations of unsafe sexual conduct among female sex workers in Aba, Nigeria. Participating sex workers viewed their work as a form of business, a survival imperative in the face of poverty, and they generally considered it both risky and disgraceful. However, they frequently framed unsafe sexual behavior in terms of poorly remunerated unprotected sex with clients. Sex workers in the study were not only generally willing to grant, but also confirmed regularly granting, unprotected sex to clients offering to pay a premium for it. Receiving “good money” for unprotected sex made higher degrees of risk acceptable to these women and was considered an effective way to avoid clients assumed to be carriers of infections. In their struggle for sexual health, sex workers in Nigeria are hindered by poverty, powerlessness, and marginality. Future programs must aim, inter alia, at supporting sex workers' willingness to insist on condoms no matter what clients offer them to do otherwise.


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