title: Safer sex negotiation and its association with condom use among clients of female sex workers in Bangladesh.
abstract: This study examines safer sex negotiation and its association with condom use among clients of female sex workers (FSWs) in Bangladesh. Data were collected from 484 FSWs living in Dhaka city following a convenient sampling procedure. Overall, 47% of the clients were suggested to use condom during last sexual intercourse and 21% did so. Both bivariate and multivariable binary logistic regression analyses yielded significantly increased risk of negotiation for safer sex with clients among FSWs with higher education. The power bargaining significantly (P < .001) increased the risk of condom use by 2.15 times (95% confidence interval = 1.28-3.59). The odds of condom use were significantly higher among the FSWs with higher education, unmarried, hotel-based, and among those with higher level of HIV/AIDS-related knowledge. The Bangladeshi FSWs have little control over their profession. HIV prevention programs should aim to encourage FSWs through information, education, and communication program to insist on condom use among clients.
authors.affiliation: University of Malaya, Kuala Lumpur, Malaysia Islamic University, Kushtia, Bangladesh kamaliubd@yahoo.com.
authors.forename: S M Mostafa
authors.initials: SM
authors.lastname: Kamal
authors.affiliation: University of Malaya, Kuala Lumpur, Malaysia.
authors.forename: Che Hashim
authors.initials: CH
authors.lastname: Hassan
authors.affiliation: University of Malaya, Kuala Lumpur, Malaysia.
authors.forename: Roslan Hj
authors.initials: RH
authors.lastname: Salikon
mesh_terms: D000328:Adult; D001459:Bangladesh; D003142:Communication; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D006801:Humans; D008875:Middle Aged; D017008:Negotiating; D021841:Safe Sex; D060386:Sex Workers; D012747:Sexual Partners; D011795:Surveys and Questionnaires
keywords: Bangladesh; HIV/AIDS; female sex workers; male condom; power bargaining