Condom Use in Commercial Sex Workers and Clients Among Incarcerated Sexworkers and STD Clinic Attendees in Jinan, Shandong Province

摘要

Background: Commercial sex workers and clients are important core populations in the transmission of sexually transmitted diseases (STDs) and human im-munodeficiency virus (HIV) infection. Research on the frequency and determinants of condom use in com-mercial sex workers and their clients is important in increasing condom use and reduction of the STD/HIV.Burden. Objectives: To establish the frequency of and fac-tors related to intention to use condoms and actual condom use in commercial sex contacts and to deter-mine the differences in condom use between sex work-ers and clients.Methods: Incarcerated commercial sex workers (ICSW) and male STD clinic attendees were recruited into a cross-sectional study to obtain data on the fre-quency and factors associated with intention to use condoms and condom use in commercial sexual con-tacts with an interviewer-administered questionnaire.Consistent condom use in ICSWs and never using condoms in male STD clinic attendees were analyzed using univariate and multivariate logistic regression models.Results: The frequency of reported consistent in-tention to use condoms and reported actual condom use was 62% and 50.6%, respectively among 158 ICSWs. For male STD clinic attendees, the propor-tion of reported consistent intention to use condoms and reported actual condom use was 10% and 20.7%,respectively. The factors positively influencing the consistent intention to use condoms were pregnancy preventing measures and the belief of condom efficacy in the prevention of STD/HIV, whereas the factor as-sociated with actually consistent condom use was preg-nancy-preventing measure in ICSWs. Factors associ-ated with no intention to use condoms were low income,low STD/HIV knowledge level and the frequency of visiting CSW. The latter factor was also associated with never using condoms in male STD clinic attendees. Conclusions: Consistent condom use during com-mercial sex contacts was low, especially in clients.Greater effort is needed in condom promotion program in order to raise the level of condom use in commer-cial sex contacts.