scholarly journals Condom-use negotiation, alcohol consumption, and HIV-risk sexual behavior among female sex workers in Kupang, East Nusa Tenggara, Indonesia: A cross-sectional study

2021 ◽  
Vol 10 (s1) ◽  
Author(s):  
Khumaidi Khumaidi ◽  
Sri Yona ◽  
Agung Waluyo

Background: Female sex workers play a crucial part in HIV transmission. Having unprotective condom during sexual activity can lead to HIV infection. Having lower power in condom negotiation with clients can lead  FSW not to using condoms during sexual activity. Alcohol consumption was also mediated HIV risk behavior among FSW. This study aimed to evaluate the relationship between condom use-negotiation, alcohol consumption and HIV-risk sexual behavior among female sex workers (FSW) in Kupang.Design and Methods: A cross-sectional study was conducted with 125 FSWs aged 18 to 60 years recruited from Yayasan Tanpa Batas Kupang with consecutive sampling. The data were analyzed using univariate and the Chi-square test.Results: The majority of FSWs (61.6%) reported had low negotiation condom use with their clients, about 77.6% reported high levels of alcohol consumption and 64.8% had high-risk sexual behavior. Condom-use negotiation (p-value: 0.003) and alcohol consumption (p-value: 0.037) were found to be significantly associated with HIV-risk sexual behavior.Conclusions: Future interventions on HIV prevention should focus on empowering young FSWs with condom negotiation skills in order to increase condom use. It is also recommended to include information about alcohol consumption and its relationship with HIV-risk behavior in order to have better health outcomes for FSW.

2019 ◽  
Vol 81 (1) ◽  
pp. 63-71 ◽  
Author(s):  
Jean Olivier Twahirwa Rwema ◽  
Carrie E. Lyons ◽  
Sosthenes Ketende ◽  
Anna L. Bowring ◽  
Amrita Rao ◽  
...  

2008 ◽  
Vol 35 (5) ◽  
pp. 489-494 ◽  
Author(s):  
Sarah E. Hanck ◽  
Kim M. Blankenship ◽  
Kevin S. Irwin ◽  
Brooke S. West ◽  
Trace Kershaw

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zahra Jorjoran Shushtari ◽  
Yahya Salimi ◽  
Seyed Ali Hosseini ◽  
Homeira Sajjadi ◽  
Tom A. B. Snijders

Abstract Background Despite the steady growth of sexual transmission of HIV, there is little evidence about safe sexual behavior of FSWs, and social network effects on this behavior, in Iran. Our aim in this study was to determine the effect of social network characteristics on condom use among FSWs, considering individual characteristics of the FSWs and of their sexual partners, characteristics of their relationship, and the FSW’s personal network. Methods A cross-sectional ego-centric network survey of 170 FSWs was carried out in Tehran between January and June 2017. A multilevel ordered logistic regression analysis was conducted to examine the effects of individual and relational characteristics simultaneously. Results Condom use in sexual relationships of the FSWs on average was rather low. Important determinants of safe sexual behavior were found both at the level of the individual FSW and at the level of the sexual partner. The main determinants at the level of the individual FSW were FSWs’ age and HIV knowledge. At the level of the sexual partner, age and education of sexual partners, as well as intimacy, duration of tie, frequency of contacts with a given partner, frequency of contact, perceived social support, and perceived safe sex norms were significantly associated with condom use. Conclusions The findings highlighted that considering only the individual characteristics of female sex workers is not sufficient for effectively promoting condom use. Factors at the network and dyadic level should also be considered, especially the role of sexual partners. Network-based interventions may be useful which modify social relationships to create a social environment that can facilitate changes in sexual behavior.


2018 ◽  
Vol 10 (1) ◽  
pp. 32-39
Author(s):  
Yuli Fitriasih ◽  
Yuli Fitriasih ◽  
Nurhalim Shahib ◽  
Farid Husin

Abstract Sexually transmitted infections are infections that can be spread through vaginal, anal or oral. Female sex workers particularly at risk for sexually transmitted infections. Preliminary studies in Cilacap district STI clinic in 2011 showed that the incidence of sexually transmitted infections is still quite high (60.81%). Complex causal factors cause the difficulty of breaking the chain of IMS. This study aims to analyze the relationship between demographic factors and high-risk sexual behavior of high risk on the incidence of sexually transmitted infections and the risk factors on the incidence of sexually transmitted infections in female sex workers. Analytic survey research through case-control study (case-control) with a total sampling on 70 female sex workers in brothels Slarang conducted during the month of November 2013. Questionnaire as a means of collecting research data. Univariate analysis to determine the frequency distribution of incidence of STIs. Bivariate analysis using contingency coefficient test. Multivariate analysis using logistic regression. The results showed that there is a significant association between the incidence of STIs in high- risk demographic factors with r value (0.239) and p-value (0.040), there is a significant association between the incidence of STIs in high- risk sexual behavior factors with values ​​of r (0.307; 0.230) and the p-value ( 0.007; 0.048) respectively. Multivariate analysis showed that condom use is not routine is that most risk factors on the incidence of sexually transmitted infections in female sex workers with OR value 5.835. Conclusions of the study: female sex workers who do not regularly use condoms have 5.835 times greater risk for sexually transmitted infections. A total of 65% the proportion of female sex workers suffer preventable sexually transmitted infection, if condom use. Keywords : female sex workers, demographic factors, sexual behavior factors, sexually transmitted infections


2013 ◽  
Vol 1 (2) ◽  
pp. 73-78 ◽  
Author(s):  
Reshu Agrawal Sagtani ◽  
Sailesh Bhattarai ◽  
Baikuntha Raj Adhikari ◽  
Dharanidhar Baral ◽  
Deepak Kumar Yadav ◽  
...  

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