Journal
AIDS AND BEHAVIOR
Volume 17, Issue 2, Pages 612-622Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-012-0369-9
Keywords
Sex workers; Condom use; Negotiation; Cambodia; Foreign clients
Funding
- FIC NIH HHS [D43 TW007669, D43TW007669] Funding Source: Medline
- NIAID NIH HHS [P30 AI036211] Funding Source: Medline
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We examined condom-use negotiation strategies and condom use among 81 female sex workers (FSWs) in Phnom Penh, Cambodia. Percentages of FSWs who did not negotiate condom use or could not describe a negotiation strategy with native clients, foreign clients, and non-paying partners were 15.0, 29.0 and 67.6 %, respectively. The most common negotiation strategy used was provision of risk information for native clients (43.8 %) and non-paying partners (26.5 %), and direct request for foreign clients (39.5 %). About half could not describe more than one negotiation strategy. Consistent condom use was high with native clients (98.8 %), yet comparatively lower with foreign clients (86.9 %) and non-paying partners (26.5 %). FSWs who did not negotiate or did not know how to negotiate condom use were less likely to report condom use with non-paying regular partners. Future interventions should enhance condom negotiation strategies between FSWs and all partner types.
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