Condom negotiation and use among female sex workers in Phnom Penh, Cambodia
Bui, T.C.; Markham, C.M.; Tran, L.T.H.; Beasley, R.P.; Ross, M.W.
Aids and Behavior 17(2): 612-622
2013
ISSN/ISBN: 1573-3254 PMID: 23196858 DOI: 10.1007/s10461-012-0369-9Document Number: 275398
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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