Condom negotiation across different relationship types by young women engaged in sex work in Phnom Penh, Cambodia

Maher, Lisa; Mooney-Somers, Julie; Phlong, Pisith; Couture, Marie-Claude; Kien, Serey Phal; Stein, Ellen; Bates, Anna; Sansothy, Neth; Page, Kimberly; Collaborative, on behalf of the Young Women's Health Study

doi:10.1080/17441692.2013.767930

Cited by 23 publications

(36 citation statements)

References 31 publications

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“…As well, women may be dependent on non-paying sex partners for food, shelter, money or other goods (Richter et al, 2002). Condom use is often seen as inappropriate in these non-paying partnerships (Maher et al, 2013; Richter et al, 2002). In entertainment and sex work contexts, condom use, or the suggestion of condom use has been associated with increased violence from clients (Stockman et al, 2012), in addition to intimate partners (Argento et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

The impact of violence on sex risk and drug use behaviors among women engaged in sex work in Phnom Penh, Cambodia

Moret

Evans²,

Stein³

et al. 2016

Drug and Alcohol Dependence

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Background Violence, substance use, and HIV disproportionately impact female entertainment and sex workers (FESW), but causal pathways remain unclear. Methods We examined data from an observational cohort of FESW age 15-29 in Phnom Penh, Cambodia for associations between violence exposure and sexual risk and drug use. Validated measures of physical and sexual violence were assessed at baseline. Self-reported outcomes measured quarterly over the next 12-months included past month sexual partners, consistent condom use by partner type, sex while high, and amphetamine type stimulant (ATS) use. Biomarkers measured quarterly included prostate specific antigen (PSA) and urine toxicology. Generalized estimating equations were fit adjusting for age, education, marital status and sex work venue. Results Of 220 women, 48% reported physical or sexual violence in the preceding 12-months. Physical violence was associated with increased number of sex partners (adjusted incidence rate ratio [aIRR] 1.33; 95% CI: 1.04-1.71), greater odds of sex while high (adjusted odds ratio [aOR] 2.42; 95% CI: 1.10-5.33), increased days of ATS use (aIRR 2.74; 95% CI: 1.29-5.84) and increased odds of an ATS+ urine screen (aOR 2.80, 95%CI: 1.38-5.66). Sexual violence predicted decreased odds of consistent condom use with non-paying partners (aOR 0.24; 95% CI: 0.10-0.59) and greater odds of a PSA+ vaginal swabs (aOR 1.83; 95% CI: 1.13-2.93). Conclusions Physical and sexual violence are prevalent among Cambodian FESW and associated with subsequent sexual risk and drug use behaviors. Clinical research examining interventions targeting structural and interpersonal factors impacting violence is needed to optimize HIV/AIDS prevention among FESW.

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Section: Discussionmentioning

confidence: 99%

The impact of violence on sex risk and drug use behaviors among women engaged in sex work in Phnom Penh, Cambodia

Moret

Evans²,

Stein³

et al. 2016

Drug and Alcohol Dependence

Self Cite

View full text Add to dashboard Cite

show abstract

“…1516 Little is known about whether peer norms related to condom use differ between FSWs who initiated sex work early and those who did not.…”

Section: Introductionmentioning

confidence: 99%

Early sex work initiation and condom use among alcohol-using female sex workers in Mombasa, Kenya: a cross-sectional analysis

et al. 2016

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Objectives Early initiation of sex work is prevalent among female sex workers (FSWs) worldwide. The objectives of this study were to investigate if early initiation of sex work was associated with: (1) consistent condom use, (2) condom negotiation self-efficacy or (3) condom use norms among alcohol-using FSWs in Mombasa, Kenya. Methods In-person interviews were conducted with 816 FSWs in Mombasa, Kenya. Sample participants were: recruited from HIV prevention drop-in centres, 18 years or older and moderate risk drinkers. Early initiation was defined as first engaging in sex work at 17 years or younger. Logistic regression modelled outcomes as a function of early initiation, adjusting for drop-in centre, years in sex work, supporting others and HIV status. Results FSWs who initiated sex work early were significantly less likely to report consistent condom use with paying sex partners compared with those who initiated sex work in adulthood. There was no significant difference between groups in consistent condom use with non-paying sex partners. FSWs who initiated sex work early endorsed less condom negotiation self-efficacy with paying sex partners compared with FSWs who did not initiate sex work early. Conclusions Findings highlight a need for early intervention for at-risk youth and adolescent FSWs, particularly in relation to HIV sexual risk behaviours. Evidence-based interventions for adolescent FSWs or adult FSWs who began sex work in adolescence should be developed, implemented and evaluated.

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“…[17–19, 21] For these reasons, rates of condom use with romantic partners are low compared to condom use with other transctional partners. [21–23]…”

Section: Introductionmentioning

confidence: 99%

Love moderates the relationship between partner type and condom use among women engaging in transactional vaginal sex

et al. 2016

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Background Relationship characteristics and day-to-day variation in affective state have been associated with HIV risk behavior. However, no research has assessed the impact of these factors on event-level condom use among women engaging in transactional sex. Methods We enrolled twenty-six women engaging in transactional sex in a prospective study and collected information about their paid/traded sexual experiences twice daily on cell phones. Results Over 4-weeks, 18 participants reported 87 paid/traded vaginal intercourse events. Of these, 51.7% were condom protected. The majority of paid/traded events (81.5%) occurred with a non-romantic partner. After controlling for partner type, feeling in love on a given day was associated with higher odds of condom use during paid/traded sexual events, while having sex and on the weekend were associated with lower odds of condom use (all p=<.05). There was a significant interaction between being in love and using condoms during transactional sex (p<0.01). In paid/traded sexual events with romantic partners, the frequency of condom use was 71.4% (5/7) when women did not report love and 40% (4/10) when love was reported. In sexual events with non-romantic partners, the frequency of condom use was 43.8% (14/32) when women did not report love and 59.5% (22/37) when love was reported. Conclusions Women were less likely to reported protected sex with romantic partners and more likely to report protected sex with non-romantic partners when they are in love. Interventions focusing on the link between day-to-day variation in affective state on condom use may help women with risk management across partner types.

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Condom negotiation across different relationship types by young women engaged in sex work in Phnom Penh, Cambodia

Cited by 23 publications

References 31 publications

The impact of violence on sex risk and drug use behaviors among women engaged in sex work in Phnom Penh, Cambodia

The impact of violence on sex risk and drug use behaviors among women engaged in sex work in Phnom Penh, Cambodia

Early sex work initiation and condom use among alcohol-using female sex workers in Mombasa, Kenya: a cross-sectional analysis

Love moderates the relationship between partner type and condom use among women engaging in transactional vaginal sex

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