title: Factors associated with condom use negotiation by female sex workers in Bangladesh.
abstract: Negotiation for condom use by female sex workers with their male clients can enhance condom use. A cross-sectional study was conducted among 1395 female sex workers; 439 from two brothels, 442 from 30 hotels, and 514 from streets of two cities in Bangladesh to determine the predictors of condom use negotiation. Consistent condom use rates in the 7 days prior to interview were reported to be 16.2%, 21.7%, and 4.5% among the brothel, hotel, and street-based female sex workers, respectively. Overall, 28.1% of female sex workers negotiated for condom use with their clients. Participation in behaviour change communication (BCC) programmes (AOR, 1.5; 95% CI, 1.2-2.0) and self-perceived risk of human immunodeficiency virus infection (AOR, 1.8 95% CI, 1.6-2.1) were positive predictors for condom negotiation. Compared to the hotel-based female sex workers, street (AOR, 0.6; 95% CI, 0.4-0.9) and brothel-based female sex workers (AOR, 0.7; 95% CI, 0.5-0.9) were less likely to negotiate for condom use. Female sex workers in Bangladesh are at high risk for sexually transmitted infection / human immunodeficiency virus infection because of low overall negotiation for condom use. Participation in BCC programmes had positive effect on condom negotiation by female sex workers, and should be strengthened in commercial sex venues.
authors: Centre for Reproductive Health, International Centre for Diarrhoeal Diseases Research, Dhaka, Bangladesh.
authors: Nazmul
authors: N
authors: Alam
authors: Mahbub Elahi
authors: ME
authors: Chowdhury
authors: Malay K
authors: MK
authors: Mridha
authors: Anisuddin
authors: A
authors: Ahmed
authors: Laura J
authors: LJ
authors: Reichenbach
authors: Peter Kim
authors: PK
authors: Streatfield
authors: Tasnim
authors: T
authors: Azim
mesh_terms: D000293:Adolescent; D000328:Adult; D001459:Bangladesh; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006801:Humans; D016015:Logistic Models; D015999:Multivariate Analysis; D017008:Negotiating; D012307:Risk Factors; D021841:Safe Sex / Q000523:psychology / Q000706:statistics & numerical data*; D011477:Sex Work / Q000523:psychology / Q000706:statistics & numerical data*; D060386:Sex Workers / Q000523:psychology*; D012725:Sexual Behavior; D012747:Sexual Partners / Q000523:psychology*; D012931:Social Environment; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
keywords: AIDS; Bangladesh; Condom use negotiation; HIV; female sex workers; prevention; sexual behaviour; sexually transmitted infection
references: Am J Public Health. 2009 Apr;99(4):659-65
references: 19197086
references: Sex Transm Dis. 2005 Jan;32(1):13-9
references: 15614116
references: Trop Med Int Health. 2008 May;13(5):659-79
references: 18266784
references: AIDS. 1998;12 Suppl B:S101-8
references: 9679635
references: Aidscaptions. 1994 May;1(2):19-22
references: 12345902
references: AIDS Res Treat. 2012;2012:812635
references: 22848800
references: AIDS Educ Prev. 2002 Jun;14(3 Suppl A):97-106
references: 12092941
references: Sex Transm Dis. 2008 Feb;35(2):141-6
references: 17921913
references: J Clin Microbiol. 2000 Mar;38(3):1244-6
references: 10699032
references: AIDS. 1998 Oct 1;12(14):1889-98
references: 9792390
references: Sex Transm Dis. 2009 Mar;36(3):134-40
references: 19174727
references: Int J Infect Dis. 2009 Mar;13(2):162-9
references: 18718801
references: J Health Psychol. 2004 Mar;9(2):281-94
references: 15018728
references: PLoS One. 2012;7(3):e33282
references: 22448241
references: AIDS Care. 2010 May;22(5):606-13
references: 20401815
references: AIDS. 2003 Feb 14;17(3):415-23
references: 12556696
references: AIDS Care. 2008 Aug;20(7):782-90
references: 18728985
references: Sex Transm Dis. 2002 Nov;29(11):721-4
references: 12438911
references: Health Educ Res. 2008 Feb;23(1):137-45
references: 17363361
references: JAMA. 2010 Aug 4;304(5):573-4
references: 20682941
references: Sex Transm Infect. 2005 Jun;81(3):201-6
references: 15923285
references: Sex Transm Infect. 1999 Feb;75(1):30-5
references: 10448339
references: Cult Health Sex. 2007 Sep-Oct;9(5):489-503
references: 17687674
references: Sex Health. 2004;1(4):217-25
references: 16335753
references: J Health Popul Nutr. 2008 Sep;26(3):311-24
references: 18831227
references: AIDS Behav. 2006 Mar;10(2):159-67
references: 16477510