title: Acceptability of circumcision among clients of female sex worker in Hong Kong.
abstract: Clients of female sex workers (CFSW) are at high risk of HIV transmission. Circumcision reduces the risk of heterosexual transmission of HIV. A total of 353 CFSW were interviewed using a combined interviewer-computer-assisted method. Amongst the participants, 28.0% were circumcised, whilst 63.8% of the uncircumcised participants were willing to take up circumcision (conditioned on being briefed about a 50% potential risk reduction effect). In a stepwise logistic regression model, frequency of patronizing female sex workers and factors related to the Health Belief Model were significantly associated with conditional willingness. Amongst uncircumcised participants, 20.9% anticipated risk compensation (i.e. would use condoms less frequently after being circumcised). Adjusting for background variables, inconsistent condom use during commercial sex and self-reported STD history in the last 6 months were significantly associated with anticipated risk compensation. It is feasible to promote circumcision among CFSW but such programs also need to promote condom use.
authors.affiliation: Division of Health Improvement, School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
authors.forename: Zixin
authors.initials: Z
authors.lastname: Wang
authors.forename: Joseph T F
authors.initials: JT
authors.lastname: Lau
authors.forename: Jing
authors.initials: J
authors.lastname: Gu
mesh_terms: D000293:Adolescent; D000328:Adult; D044466:Asian People / Q000523:psychology / Q000706:statistics & numerical data; D001294:Attitude to Health; D002944:Circumcision, Male / Q000523:psychology* / Q000706:statistics & numerical data; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology / Q000635:transmission; D006306:Health Surveys; D006723:Hong Kong / Q000453:epidemiology; D006801:Humans; D033182:Intention; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D040242:Risk Reduction Behavior; D060386:Sex Workers; D012725:Sexual Behavior / Q000523:psychology; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult