Predictors of Consistent Condom Use Among Chinese Female Sex Workers: An Application of the Protection Motivation Theory

Abstract

We utilized the Protection Motivation Theory (PMT) to assess predictors of intention and behavior of consistent condom use among Chinese female sex workers (FSWs). A self-administered questionnaire was used in a cross-sectional survey among 700 FSWs in Guangxi, China. Multivariate logistic regression analysis indicated that extrinsic and intrinsic rewards, self-efficacy and response costs predicted consistent condom use intention and behavior among FSWs. STI/HIV prevention programs need to reduce FSWs’ perceptions of positive extrinsic rewards and intrinsic rewards for engaging in consistent condom use, reduce FSWs’ perception of response costs for using a condom, and increase condom use self-efficacy among FSWs.

Self-Efficacy and Feeling of Security Associated with Risky Sexual Behavior among Commercial Sex Workers Living with HIV

“…The research result showed a relation between self-efficacy and risky sexual behavior. The result was consistent with the study of Zhang et al (2015), who found that the high self-efficacy of female CSWs has a significant relation with the consistency of condom usage with their regular partners. A study by Markosyan et al (2007) also revealed that the high frequency of condom usage by regular partners and irregular partners is related to the high self-efficacy of female CSWs.…”

“…The variable with the greatest effect on risky sexual behavior was self-efficacy. The research result was consistent with that of Zhang et al (2015), who found that in a multivariate analysis, self-efficacy is a critical predictor of consistency of condom usage with regular and irregular partners. Control over infection due to risky sexual behavior requires self-efficacy for honest communication with partners (Mcdonough, 2012).…”

“…CSWs who have high self-efficacy for condom usage maintain good communication with their partners and are able to control their emotions during sex. Moreover, CSWs can confidently persuade their partners (regular partners and customers) to wear condoms (Zhang et al, 2015).…”

Protection motivation theory in predicting intention to receive cervical cancer screening in rural Chinese women

“…PMT is a social cognitive model that prioritizes relevant cognitions in predicting protective behaviors. This theory has been used in investigating condom use for HIV prevention, 22,23 protective behavior for schistosomiasis prevention, 24 and tobacco smoking. 21 A meta-analytic review suggests that PMT may also be applicable to investigate screening motivation and subsequent uptake by considering social influence and previous health care experiences.…”

Determinants of physical activity to prevent falls in older people: an investigation based on the protection motivation theory

“…Previous studies have shown that PMT may be a good predictor of protective behaviors, like smoking/tobacco use [16,17], cancer preventive behaviors [18,19], cancer screening [20,21], and sexual behaviors [22,23] PA behavior [24]. Theory-based studies on PA behavior are important for designing effective intervention programs.…”