Journal
AIDS AND BEHAVIOR
Volume 18, Issue -, Pages S181-S191Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-013-0434-z
Keywords
Injection drug user; Female sex worker; Social environment; Condom; China; HIV/STI
Funding
- NIAID NIH HHS [P30 AI50410, P30 AI050410] Funding Source: Medline
- NICHD NIH HHS [R24 HD056670] Funding Source: Medline
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In order to understand the social environmental forces faced by females involved in both injection drug use and sex work, and their associations with condom use during commercial sex, 200 participants were recruited using snowball sampling methods in Liuzhou, China. Of the participants, 41.0 % used condoms consistently during commercial sex in the last 6 months. Adjusting for significant background variables, factors significantly associated with consistent condom use included: monthly income, soliciting venue, pattern of sex-work organization, experience of violence, social support, others' support of condom use, and utilization of HIV/STI-related services. In the final multivariate model, history of violence (OR = 0.39, 95 % CI = 0.12-0.44), service utilization (OR = 2.18, 95 % CI = 1.05-5.20), clients' willingness to use condoms (OR = 2.63, 95 % CI = 1.06-6.54) and social support (OR = 0.39, 95 % CI = 0.12-0.44) were significant. Service gaps for FSW-IDU exist, and expansion of social services and integration of psychosocial interventions are necessary.
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