Short-term acceptability of female condom use among low-fee female sex workers in China: a follow-up study.

Background: Low-fee female sex workers (FSW) lack power to effectively negotiate male condom use with clients. Female condoms (FCs) may provide an alternative strategy. This study was conducted to assess the acceptability of FC use among low-fee FSWs, and to identify appropriate candidates for futur...

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Publicado en:BMC Women's Health Vol. 19; no. 1
Autores principales: Zhou, Chu, Hsieh, Evelyn, Rou, Keming, Tillman, Jonas, Dong, Wei, Feng, Xian-xiang, Yang, Yan-zhen, Yang, Yu-jun, Sun, Xian-guo, Zang, Hai-jian, Wu, Ying-zhen, Wu, Zunyou
Formato: research Journal Article
Publicado: BioMed Central 6/14/2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 6/14/2019
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        10.1186/s12905-019-0773-7
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        atl: Short-term acceptability of female condom use among low-fee female sex workers in China: a follow-up study.
      aug:
        au:
          Zhou, Chu
          Hsieh, Evelyn
          Rou, Keming
          Tillman, Jonas
          Dong, Wei
          Feng, Xian-xiang
          Yang, Yan-zhen
          Yang, Yu-jun
          Sun, Xian-guo
          Zang, Hai-jian
          Wu, Ying-zhen
          Wu, Zunyou
        affil: Division of Prevention and Intervention, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, 155 Changbai Road, Changping District, 102206, Beijing, China
      sug:
        subj:
          Unsafe Sex
          Named Groups Psychosocial Factors
          HIV Infections Prevention and Control
          Female Condoms Statistics and Numerical Data
          HIV Infections Psychosocial Factors
          Prospective Studies
          China
          Adult
          Female
          Human
          Cross Sectional Studies
          Safe Sex
          Negotiation
          Unsafe Sex Prevention and Control
          Named Groups Statistics and Numerical Data
          Young Adult
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Short Portable Mental Status Questionnaire
          Adult: 19-44 years
          Female
      ab: Background: Low-fee female sex workers (FSW) lack power to effectively negotiate male condom use with clients. Female condoms (FCs) may provide an alternative strategy. This study was conducted to assess the acceptability of FC use among low-fee FSWs, and to identify appropriate candidates for future FC promotion.Methods: A one-month follow-up study was conducted. At entry into the study, eligible participants completed a baseline questionnaire and were given 10 FCs. At the one-month follow up encounter, the number of used FC packages were counted and each participant completed a follow-up questionnaire. Logistic regression was used to identify variables associated with more frequent use of FCs (> 2 times).Results: A total of 312 low-fee FSWs were enrolled at baseline and all participants completed the follow-up evaluation. Among them, 123 (39.4%) participants had used more than two FCs. Participants who were illiterate or had completed at most primary school education (OR: 2.4, 95% CI: 1.4-7.2), charged ≤30 RMB per client (≤30 vs. 51-80 RMB, OR: 3.8, 95% CI: 1.9-7.6), or had consistently used condoms with regular clients in the past month (OR: 2.4, 95%CI: 1.4-4.2) were more likely to use FCs.Conclusion: Low-fee FSWs charging ≤30 RMB per client, and those who are less educated may be appropriate initial candidates for FC promotion in China. Strategies to consider include teaching FSWs tactics for negotiation of FC use that can initially be applied with regular clients, and providing education to maximize ease-of use, and minimize discomfort with FC usage.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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