title: Factors associated with condom use for oral sex among female brothel-based sex workers in Singapore.
abstract: OBJECTIVE
  The prevalence of oral sex increased from 27.1% in 1992 to 81.1% in 1997, with a concomitant increase in pharyngeal gonorrhea, among female sex workers in Singapore. The extent of condom use for oral sex among them is unknown.
  
  
  OBJECTIVE
  To determine the prevalence of and factors associated with consistent condom use during oral sex.
  
  
  METHODS
  A cross-sectional study of 225 women randomly selected from the surveillance scheme register of female brothel-based sex workers with a history of oral sex documented in their medical records.
  
  
  RESULTS
  Slightly more than half (56.9%) consistently used condoms for oral sex compared to 97% for vaginal sex. Condom use was significantly higher among middle than high class sex workers (adjusted rate ratio: 1.52, 95% CI: 1.01-2.29) and those with negotiation skills (adjusted rate ratio: 1.95, 95% CI: 1.32-2.07).
  
  
  CONCLUSIONS
  Sex workers should be taught skills to negotiate condom use for oral sex.
authors.affiliation: Department of Community, Occupational and Family Medicine, Faculty of Medicine, National University of Singapore, Singapore. cofwml@leonis.nus.edu.sg
authors.forename: M L
authors.initials: ML
authors.lastname: Wong
authors.forename: R K
authors.initials: RK
authors.lastname: Chan
authors.forename: D
authors.initials: D
authors.lastname: Koh
authors.forename: S
authors.initials: S
authors.lastname: Wee
mesh_terms: D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006069:Gonorrhea / Q000453:epidemiology / Q000517:prevention & control*; D006801:Humans; D008499:Medical Records; D008875:Middle Aged; D010612:Pharyngitis / Q000453:epidemiology / Q000517:prevention & control; D015995:Prevalence; D011477:Sex Work / Q000706:statistics & numerical data*; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000517:prevention & control*; D012846:Singapore / Q000453:epidemiology; D011795:Surveys and Questionnaires