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Sex Transm Infect. Aug 2004; 80(4): 310–314.
PMCID: PMC1744856

Determinants of inconsistent condom use with female sex workers among men attending the STD clinic in Singapore

Abstract

Background/objectives: Female sex workers and their male clients have been identified as risk groups for the transmission of STDs and HIV. Behavioural interventions targeting clients need to address inconsistent condom use among them. The aim of the study is to assess the sociodemographic, behavioural, and psychological factors associated with inconsistent condom use among clients of sex workers.

Methods: 229 male patients attending the STD clinic in Singapore who reported paying for sex in the previous 6 months were interviewed. Response rate was 91%.

Results: Overall, 45% used condoms inconsistently; these clients were more likely to have poor STD knowledge, visit sex workers five or more times in the past 6 months, have lower self efficacy, less favourable social norms for condom use, and more likely to forget condom use when intoxicated (alcohol impaired decision making).

Conclusions: Behavioural interventions for clients need to improve STD/HIV transmission knowledge and focus on improving client's self efficacy in using condoms.

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Selected References

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  • Heng BH, Lee HP, Kok LP, Ong YW, Ho ML. A survey of sexual behaviour of Singaporeans. Ann Acad Med Singapore. 1992 Nov;21(6):723–729. [PubMed]
  • Lowndes CM, Alary M, Meda H, Gnintoungbé CAB, Mukenge-Tshibaka L, Adjovi C, Buvé A, Morison L, Laourou M, Kanhonou L, et al. Role of core and bridging groups in the transmission dynamics of HIV and STIs in Cotonou, Benin, West Africa. Sex Transm Infect. 2002 Apr;78 (Suppl 1):i69–i77. [PMC free article] [PubMed]
  • Thomas DB, Ray RM, Kuypers J, Kiviat N, Koetsawang A, Ashley RL, Qin Q, Koetsawang S. Human papillomaviruses and cervical cancer in Bangkok. III. The role of husbands and commercial sex workers. Am J Epidemiol. 2001 Apr 15;153(8):740–748. [PubMed]
  • Wong KH, Lee SS, Lo YC, Lo KK. Condom use among female commercial sex workers and male clients in Hong Kong. Int J STD AIDS. 1994 Jul-Aug;5(4):287–289. [PubMed]
  • Thuy NT, Lindan CP, Phong TH, Van Dat, Nhung VT, Barclay J, Khiem HB. Predictors of visits to commercial sex workers by male attendees at sexually transmitted disease clinics in southern Vietnam. AIDS. 1999 Apr 16;13(6):719–725. [PubMed]
  • Coughlan E, Mindel A, Estcourt CS. Male clients of female commercial sex workers: HIV, STDs and risk behaviour. Int J STD AIDS. 2001 Oct;12(10):665–669. [PubMed]
  • Marín BV, Gómez CA, Tschann JM, Gregorich SE. Condom use in unmarried Latino men: a test of cultural constructs. Health Psychol. 1997 Sep;16(5):458–467. [PubMed]
  • Ford Kathleen, Wirawan Dewa Nyoman, Muliawan Partha. Social influence, AIDS/STD knowledge, and condom use among male clients of female sex workers in Bali. AIDS Educ Prev. 2002 Dec;14(6):496–504. [PubMed]
  • Maticka-Tyndale E, Elkins D, Haswell-Elkins M, Rujkarakorn D, Kuyyakanond T, Stam K. Contexts and patterns of men's commercial sexual partnerships in northeastern Thailand: implications for AIDS prevention. Soc Sci Med. 1997 Jan;44(2):199–213. [PubMed]
  • VanLandingham MJ, Suprasert S, Grandjean N, Sittitrai W. Two views of risky sexual practices among northern Thai males: the Health Belief Model and the Theory of Reasoned Action. J Health Soc Behav. 1995 Jun;36(2):195–212. [PubMed]
  • Vanlandingham M, Knodel J, Saengtienchai C, Pramualratana A. In the company of friends: peer influence on Thai male extramarital sex. Soc Sci Med. 1998 Dec;47(12):1993–2011. [PubMed]
  • Sedyaningsih-Mamahit ER. Clients and brothel managers in Kramat Tunggak, Jakarta, Indonesia: interweaving qualitative with quantitative studies for planning STD/AIDS prevention programs. Southeast Asian J Trop Med Public Health. 1997 Sep;28(3):513–524. [PubMed]
  • Sneed CD, Morisky DE. Applying the Theory of Reasoned Action to condom use among sex workers. Soc Behav Pers. 1998;26(4):317–327. [PubMed]
  • Leigh Barbara C. Alcohol and condom use: a meta-analysis of event-level studies. Sex Transm Dis. 2002 Aug;29(8):476–482. [PubMed]
  • Ford K, Wirawan DN, Fajans P, Thorpe L. AIDS knowledge, risk behaviors, and factors related to condom use among male commercial sex workers and male tourist clients in Bali, Indonesia. AIDS. 1995 Jul;9(7):751–759. [PubMed]

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