Factors associated to inconsistent condom use among sex workers

Magalhães, Rosilane de Lima Brito; Sousa, Laelson Rochelle Milanês; Gir, Elucir; Galvão, Marli Teresinha Gimeniz; Oliveira, Vanessa Moura Carvalho de; Reis, Renata Karina

doi:10.1590/1518-8345.2951.3226

Cited by 8 publications

(10 citation statements)

References 32 publications

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“…For younger men in studied countries, the ever-dominant masculinity role orientation in many SSA societies might force them not to consistently wear condoms even for paid sex, despite the associated risk because of their preference for ''flesh to flesh" sex [45]. Similar to previous research [31,[46][47][48][49][50], wealth quintile and level of education showed the highest odds of consistent condom use among men in the richest wealth quintile and those with secondary level of education paying for sex, compared to their counterparts in the middle wealth quintile as well as those with less and/ or no level of education. Wealth is a common marker of economic status, which is also partly explained by one's educational status.…”

Section: Plos Onesupporting

confidence: 69%

Consistent condom use among men who pay for sex in sub-Saharan Africa: Empirical evidence from Demographic and Health Surveys

et al. 2020

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Background Paying for sex has often been associated with risky sexual behavior among heterosexual men, and men who pay for sex are considered as a bridging population for sexually transmitted infections. Consistent condom use during paid sex is essential for reducing sexually transmitted infections, including HIV/AIDS. In this study, we assessed the prevalence and predictors of consistent condom use among men who pay for sex in sub-Saharan Africa. Materials and methods We pooled data from 29 sub-Saharan African countries' Demographic and Health Surveys. A total of 3,353 men in sub-Saharan Africa who had paid for sex in the last 12 months preceding the surveys and had complete information on all the variables of interest were used in this study. The outcome variable for the study was consistent condom use for every paid sex in the last 12 months. Both bivariate and multivariable logistic regression analyses were carried out. Results were presented as adjusted odds ratios with their corresponding 95% confidence intervals. Statistical significance was declared at p< 0.05.

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Section: Plos Onesupporting

confidence: 69%

Consistent condom use among men who pay for sex in sub-Saharan Africa: Empirical evidence from Demographic and Health Surveys

et al. 2020

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“…This finding was similar to a qualitative study in Indonesia suggested that clients refuse to use condoms because most of them cannot enjoy sexual intercourse, as condoms feel slippery and cold (22). This finding was inconsistent with a study in Brazil in 2019, a low education level is the main factor of clients why they refuse to use condom (23). A study in Uganda showed that low sexual control by FSWs increases inconsistent use by regular clients (24).…”

Section: Discussioncontrasting

confidence: 42%

Sexual Behavior of Female Sex Workers in Makassar, Indonesia

Alwi

Hamzah

Mahfudah

2021

Int J Sci Healthcare Res

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Introduction: Sexual workers have been considered a core group for HIV and Sexual Transmission Diseases (STDs). Their risk is higher than women in the general population. As a developing country, Indonesia is no exception, where sexual transmission has become the main driver for the development of the epidemic in recent years. The survey result of Makassar's AIDS Eradication Commission in 2014 showed that the number of FSWs in Makassar increased. The high number of FSWs in Makassar affect the number of HIV/AIDS cases apparently. Method: This study used data from a rapid survey conducted by Makassar AIDS Eradication Commission in 2013. The survey was carried out to gain information about the sexual behaviour of FSWs in Makassar. The number of sample was 240 in which sampling was carried out using the C-Survey program system. A systematic questionnaire was used to gather data from FSWs, and data was analyzed by using STATA program. Result: Most of the FSWs in this study are aged between 36-40 years old (27.9%). For the last sexual intercourse, most of the FSWs offered a condom to their clients (85.0%). However, the number of clients who used a condom for intercourse was lower that is 77.5%. The main reason why clients refuse to use a condom is that they are uncomfortable. Conclusion: The awareness of FSWs to offer a condom is higher than the willingness of clients to use a condom consistently. Keywords: Sexual Behaviour; Condom Use; Female Sexual Workers; Makassar.

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“…Several studies have concluded that inconsistent condom use can contribute to the spread of STIs [5][6][7]. A systematic review and meta-analysis performed among female sex workers (FSW) globally reported 19.1% (95% CI: 1.7 to 36.4) engaged in unprotected vaginal sex and 46.4% (95% CI: 9.1 to 83.6) engaged in unprotected anal sex [8].…”

Section: Introductionmentioning

confidence: 99%

Sexual risk and STI testing behaviour among Dutch female and male self-employed sex workers; a cross-sectional study using an Internet based survey

Kampman¹,

Peters

Koedijk³

et al. 2022

BMC Public Health

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Background Sex workers are men, women or transgender people who have sex in exchange for money or goods. Self-employed sex workers solicit clients independently from a third-party. Self-employed sex workers are at risk of acquiring sexually transmitted infections (STIs) through their work. We performed a cross-sectional study, using an Internet survey conducted in 2019–2020 aiming to establish sexual risk behaviour and STI testing behaviour among female and male self-employed sex workers. Results A total of 76 female self-employed sex workers (FSW) and 79 male self-employed sex workers (MSW) completed the survey. Both FSW and MSW more often had sex with partners of the opposite sex during work (65.8% FSW, 61.6% MSW) and in their private life (63.3% FSW; 64.5% MSW). During vaginal sex 35.7% of FSW and 29.6% of MSW did not always use a condom. Inconsistent condom use was observed in 35.7% of FSW and 29.6% of MSW during vaginal sex, 46.2% of FSW and 35.7% of MSW did not always use a condom during receptive anal sex. The majority of both FSW and MSW tested for STIs in the past year (67.1% FSW; 67.7% MSW) and 67.5% were aware of the possibility of low-threshold testing at an STI clinic. In the past year, 11.6% of FSW and 8.1% of MSW had an STI. Conclusion The reported STI positivity rate among self-employed sex workers was not very high. However, STI prevention efforts remain important considering the low compliance with condom use during sex work. Moreover, not testing for STIs in the past year was substantial with one-third of both FSW and MSW and one-third of both FSW and MSW being unaware of the possibility of low-threshold testing at an STI clinic, warranting efforts to increase testing uptake in this population.

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Factors associated to inconsistent condom use among sex workers

Cited by 8 publications

References 32 publications

Consistent condom use among men who pay for sex in sub-Saharan Africa: Empirical evidence from Demographic and Health Surveys

Consistent condom use among men who pay for sex in sub-Saharan Africa: Empirical evidence from Demographic and Health Surveys

Sexual Behavior of Female Sex Workers in Makassar, Indonesia

Sexual risk and STI testing behaviour among Dutch female and male self-employed sex workers; a cross-sectional study using an Internet based survey

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