title: Client-perpetuated violence and condom failure among female sex workers in southwestern China.
abstract: OBJECTIVE
  This research examined factors associated with condom failure, i.e., slippage or breakage, among female sex workers (FSWs) in China. Special attention was paid to the association between client-perpetuated violence and condom failure.
  
  
  METHODS
  Two hundred FSWs were recruited for a community-based voluntary human immunodeficiency virus prevention project. Participants completed a face-to-face structured questionnaire that collected information on their sociodemographic characteristics, working conditions, experience of client-perpetuated violence, and sexual risk behavior.
  
  
  RESULTS
  The prevalence of condom slippage and condom breakage in the 3 months before the survey was reported at 36.2% and 34%, respectively, of all sexual contact in which a condom was used. The prevalence of client-perpetuated violence in the previous year was 68.4%. Logistic regression analysis showed that after adjusting for other factors, condom failure was significantly associated with drug use [adjusted odds ratios (aOR = 4.01)], condom use of coworkers (aOR = 0.39), and client-perpetuated violence [aOR = 2.30 (low violence vs. high violence)].
  
  
  CONCLUSIONS
  Condom failure is a common problem among FSWs, particularly drug-using sex workers and those who have experienced client-perpetuated violence. On the other hand, condom use of coworkers is negatively associated with condom failure.
authors.affiliation: Department of Sociology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong. choiyp@cuhk.edu.hk
authors.forename: Susanne Y P
authors.initials: SY
authors.lastname: Choi
authors.forename: K L
authors.initials: KL
authors.lastname: Chen
authors.forename: Z Q
authors.initials: ZQ
authors.lastname: Jiang
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China; D017280:Condoms; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D015999:Multivariate Analysis; D012309:Risk-Taking; D011477:Sex Work; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D014754:Violence; D017132:Workplace