title: Condom negotiation and use among female sex workers in Phnom Penh, Cambodia.
abstract: We examined condom-use negotiation strategies and condom use among 81 female sex workers (FSWs) in Phnom Penh, Cambodia. Percentages of FSWs who did not negotiate condom use or could not describe a negotiation strategy with native clients, foreign clients, and non-paying partners were 15.0, 29.0 and 67.6 %, respectively. The most common negotiation strategy used was "provision of risk information" for native clients (43.8 %) and non-paying partners (26.5 %), and "direct request" for foreign clients (39.5 %). About half could not describe more than one negotiation strategy. Consistent condom use was high with native clients (98.8 %), yet comparatively lower with foreign clients (86.9 %) and non-paying partners (26.5 %). FSWs who did not negotiate or did not know how to negotiate condom use were less likely to report condom use with non-paying regular partners. Future interventions should enhance condom negotiation strategies between FSWs and all partner types.
authors.affiliation: Division of Health Promotion and Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, 77030, USA. thanh.c.bui@uth.tmc.edu
authors.forename: Thanh Cong
authors.initials: TC
authors.lastname: Bui
authors.forename: Christine M
authors.initials: CM
authors.lastname: Markham
authors.forename: Ly T H
authors.initials: LT
authors.lastname: Tran
authors.forename: R Palmer
authors.initials: RP
authors.lastname: Beasley
authors.forename: Michael W
authors.initials: MW
authors.lastname: Ross
mesh_terms: D000328:Adult; D002160:Cambodia / Q000453:epidemiology; D017280:Condoms / Q000706:statistics & numerical data; D004522:Educational Status; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology*; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D017008:Negotiating; D011209:Power, Psychological; D012307:Risk Factors; D060386:Sex Workers / Q000523:psychology* / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D012747:Sexual Partners / Q000523:psychology