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Sex Transm Dis. 2008 Feb;35(2):141-6.

Client-perpetuated violence and condom failure among female sex workers in southwestern China.

Author information

1
Department of Sociology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong. choiyp@cuhk.edu.hk

Abstract

OBJECTIVES:

This research examined factors associated with condom failure, i.e., slippage or breakage, among female sex workers (FSWs) in China. Special attention was paid to the association between client-perpetuated violence and condom failure.

METHODS:

Two hundred FSWs were recruited for a community-based voluntary human immunodeficiency virus prevention project. Participants completed a face-to-face structured questionnaire that collected information on their sociodemographic characteristics, working conditions, experience of client-perpetuated violence, and sexual risk behavior.

RESULTS:

The prevalence of condom slippage and condom breakage in the 3 months before the survey was reported at 36.2% and 34%, respectively, of all sexual contact in which a condom was used. The prevalence of client-perpetuated violence in the previous year was 68.4%. Logistic regression analysis showed that after adjusting for other factors, condom failure was significantly associated with drug use [adjusted odds ratios (aOR = 4.01)], condom use of coworkers (aOR = 0.39), and client-perpetuated violence [aOR = 2.30 (low violence vs. high violence)].

CONCLUSION:

Condom failure is a common problem among FSWs, particularly drug-using sex workers and those who have experienced client-perpetuated violence. On the other hand, condom use of coworkers is negatively associated with condom failure.

PMID:
17921913
DOI:
10.1097/OLQ.0b013e31815407c3
[Indexed for MEDLINE]
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