Associations between Social Support and Condom Use among Commercial Sex Workers in China: A Cross-Sectional Study

Abstract

ObjectiveThe aim of this study was to investigate the association between social support and AIDS high-risk behaviors in commercial sex workers (CSWs) in China.MethodsA cross-sectional study was performed based on a convenience sample. Data were collected through questionnaire interviews including information about social demographic characteristics, the Social Support Rating Scale (SSRS) and AIDS knowledge. Multiple logistic regression was performed to evaluate the association between social support and AIDS high-risk behaviors, specifically condom use during commercial sex.ResultsA total of 581 commercial sex workers from 4 counties in East China participated in the study. The majority of the participants were 15 to 30 years old (79.7%). Sources of individual and family support were mainly provided by their parents (50.3%), relatives and friends (46.3%), spouses (18.4%), respectively. Univariate analysis revealed that marital status, hobbies, smoking habit, individual monthly income and family monthly income were all significantly correlated with current levels of social support being received (P = 0.04, P = 0.00, P = 0.01, P = 0.01, P = 0.01, respectively). Furthermore, Multiple logistic regression analysis indicated that after adjusting for confounding factors, high levels of social support were significantly correlated with increased condom use at the last sexual encounter (P = 0.02, OR = 1.86, 95%CI: 1.10–3.16); and consistently in the past month with clients (P = 0.03, OR = 2.10, 95%CI: 1.09–4.04).ConclusionCSWs with high levels of social support are more likely to use condoms during commercial sex. This suggests that increasing social support can potentially reduce AIDS-related high-risk behaviors and accordingly play an important role in AIDS prevention.

Can Burt’s Theory of Structural Holes be Applied to Study Social Support Among Mid-Age Female Sex Workers? A Multi-Site Egocentric Network Study in China

“…In addition, between 29–59% of mid-age FSWs were widowed or divorced and had to seek social support from other alters, for example, immediate family members or peers who were not FSWs. A similar finding was reported among FSWs in China (54) and in Tijuana (53). Relationships between mid-age FSWs and their clients are typically a one-time business transaction, and therefore, FSWs seldom seek social support from them.…”

Identifying Barriers to Condom Use Among Female Sex Workers: a Systematic Review and Meta-analysis

“…Educational attainment were the strongest predictors of consistent condom use with (OR = 19.6, CI = 7.0-54.6) [21]. [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][39][40][41][42][43][44][45][46] . Moreover, 24 studies assessed association of age and the condom use among FSWs.…”

“…Budhwani,2017 [24] Dominican Republic Chen,2014 [27] China 24.6 Crosssectional female Odds ratio Crude 581 7…”

Korelasi Pengetahuan, Kepuasan, Motivasi Dengan Konsistensi Pemakaian Kondom Pada Pelanggan WPS Di Sunan Kuning

“…Hal ini merupakan tindakan untuk menjaga kesehatan reproduksi pelaku maupun pasangannya.. Beberapa penelitian mendukung yaitu Penelitian Chen et al (2014) menunjukkan PSK dengan tingkat dukungan sosial dan motivasi yanggi lebih cenderung menggunakan kondom saat berhubungan seks komersial. Hal ini menunjukkan bahwa peningkatan dukungan sosial dapat berpotensi mengurangi perilaku berisiko tinggi terkait AIDS dan sesuai memainkan peran penting dalam pencegahan AIDS pada WPS dan pelanggannya.…”