Dangerous Subtlety: Relationship-Related Determinants of Consistency of Condom Use Among Female Sex Workers and Their Regular, Non-Commercial Partners in Hai Phong, Viet Nam

Hoffman, Leah; Nguyen, Ha Thi Thu; Kershaw, Trace; Niccolai, Linda M.

doi:10.1007/s10461-010-9819-4

Cited by 18 publications

(9 citation statements)

References 24 publications

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“…Many drug-using couples forgo condom use with regular partners (Rhodes, Donoghoe, et al 1993; Donoghoe, Stimson, and Dolan 1989), suggesting the importance of considering the social context and meaning of sexual relationships (Rhodes, Stimson, and Quirk 1996). Moreover, the international literature consistently finds that sex workers are less likely to use condoms with intimate partners than with clients (Hoffman et al 2011; Wang et al 2007). Taken together with our finding that virtually no sex worker couples use condoms, this evidence suggests a need to reconsider sexual risk reduction strategies in contexts of sex work and drug use.…”

Section: Discussionmentioning

confidence: 99%

‘Where sex ends and emotions begin’: love and HIV risk among female sex workers and their intimate, non-commercial partners along the Mexico-US border

Syvertsen

Robertson

Palinkas

et al. 2013

Culture, Health & Sexuality

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This study explores the affective dimensions of female sex workers’ relationships with their intimate, non-commercial partners and assesses how emotions shape each partner’s sexual and drug-related risk within their relationship. We draw on qualitative data from a study of HIV, sexually transmitted infections, and high risk behaviours among female sex workers and their non-commercial partners in Tijuana and Ciudad Juárez, Mexico, to illustrate that these couples share relationships based on love, trust, respect, and emotional and material support. These relationships ranged in emotional intensity, which shaped partners’ decisions not to use condoms with each other. Drugs were important in most couples’ relationships. Among injectors, syringe sharing was common and represented both a sign of care and a pragmatic reaction to conditions of material scarcity. Our findings suggest that couple-based HIV interventions to address dual sexual and drug-related risks should be tailored to the emotional dynamics of sex workers’ intimate relationships.

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Section: Discussionmentioning

confidence: 99%

‘Where sex ends and emotions begin’: love and HIV risk among female sex workers and their intimate, non-commercial partners along the Mexico-US border

Syvertsen

Robertson

Palinkas

et al. 2013

Culture, Health & Sexuality

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“…Also consistency of condom use was reduced by 18% per year of increase in the duration of the non-paying partner relationship [30]. A study conducted among sex workers and their non-paying partners in Vietnam pointed out that couples who were comfortable in speaking to each other about HIV risk were also more likely to report more consistent condom use within such relationships, hence emphasizing the need to strengthen communication skills among FSWs in non-paying partner relationships [31]. …”

Section: Discussionmentioning

confidence: 99%

Non-paying partnerships and its association with HIV risk behavior, program exposure and service utilization among female sex workers in India

et al. 2014

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BackgroundIn India, HIV prevention programs have focused on female sex workers’ (FSWs’) sexual practices vis-à-vis commercial partners leading to important gains in HIV prevention. However, it has become apparent that further progress is contingent on a better understanding of FSWs’ sexual risks in the context of their relationships with non-paying partners. In this paper, we explored the association between FSWs’ non-paying partner status, including cohabitation and HIV risk behaviors, program exposure and utilization of program services.MethodsWe used data from the cross-sectional Integrated Behavioral and Biological Assessment (IBBA) survey (2009–2010) conducted among 8,107 FSWs in three high priority states of India- Maharashtra, Andhra Pradesh and Tamil Nadu. Multiple logistic regression was used to examine the association between non-paying partner and cohabitation status of FSWs with HIV risk behaviors, program exposure and utilization of program services.ResultsFSWs reporting a non-paying partner were more likely to be exposed to and utilize HIV prevention resources than those who did not have a non-paying partner. Analyses revealed that FSWs reporting a non-cohabiting non-paying partner were more likely to be exposed to HIV prevention programs (adjusted OR: 1.7, 95% CI: 1.3 – 2.1), attend meetings (adjusted OR: 1.5, 95% CI: 1.2 – 1.8), and visit a sexually transmitted infections clinic at least twice in the last six months (adjusted OR: 1.6, 95% CI: 1.3 – 1.9) as compared to those reporting no non-paying partner. That said, FSWs with a non-paying partner rarely used condoms consistently and were more vulnerable to HIV infection because of being street-based (p < 0.001) and in debt (p < 0.001).ConclusionFSWs with cohabiting partners were more likely to be exposed to HIV prevention program and utilize services, suggesting that this program was successful in reaching vulnerable groups. However, this subgroup was unlikely to use condoms consistently with their non-paying partners and was more vulnerable, being street based and in debt. The next generation of HIV prevention interventions in India should focus on addressing relationship factors like risk communication and condom negotiation, including specific vulnerabilities like indebtedness and street based solicitation among women in sex work.

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“…This genre of research has focused on individual-level factors for HIV transmission, such as condom-use patterns and communication about safer sexual practices (Rosenthal 2006, Hoffman et al 2011). Behavioural studies have also measured women’s self-efficacy and assessed the relation of self-efficacy to women’s ability to negotiate sexual activity and condom use (Do and Fu 2011).…”

Section: Background: Hiv/aids In a Changing Vietnammentioning

confidence: 99%

Social science research on HIV in Vietnam: A critical review and future directions

Dao

Hirsch

Giang

et al. 2013

Global Public Health

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Social science research, with theoretical and methodological tools that are well suited to capture the complexities of Vietnam’s rapidly changing social and political context, could contribute important insights that would enhance the response to Vietnam’s growing HIV epidemic. The present paper reviews the published, peer-reviewed English-language social science literature on HIV in Vietnam in order to identify critical theoretical and substantive gaps and lay the groundwork for future research. We found four broad foci for work on the social context of HIV and AIDS in Vietnam: the cultural meanings and social relationships that shape Vietnam’s HIV epidemic; stigma and discrimination; social inequality and structural violence as contributors to HIV risk; and, finally, how broader global and social systems shape Vietnam’s HIV epidemic. We signal the particular need for additional research on the effects of the media on attitudes toward HIV and AIDS, on social movements, and on health systems, as well as on a number of other key areas. Work along these lines, in addition to more effective communication of policy-relevant findings to those responsible for the development and implementation of policies and programmes, will strengthen Vietnam’s response to HIV and AIDS.

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Dangerous Subtlety: Relationship-Related Determinants of Consistency of Condom Use Among Female Sex Workers and Their Regular, Non-Commercial Partners in Hai Phong, Viet Nam

Cited by 18 publications

References 24 publications

‘Where sex ends and emotions begin’: love and HIV risk among female sex workers and their intimate, non-commercial partners along the Mexico-US border

‘Where sex ends and emotions begin’: love and HIV risk among female sex workers and their intimate, non-commercial partners along the Mexico-US border

Non-paying partnerships and its association with HIV risk behavior, program exposure and service utilization among female sex workers in India

Social science research on HIV in Vietnam: A critical review and future directions

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