Does the use of HIV testing and counseling services influence condom use among low-paid female sex workers in Guangxi, China?
HIV testing and counseling (HTC) are increasingly used in China during routine medical care visits to health facilities. However, limited data are available regarding the association between the utilization of HTC services and condom use among low-paid female sex workers (FSWs) who are at high risk of HIV infection but are hard to reach. A cross-sectional study was conducted among 794 low-paid FSWs in a city of Guangxi Zhuang Autonomous Region in 2011. Results showed that 71.7% of low-paid FSWs had utilized HTC services in the previous year and 65.7% reported having used a condom during the last sexual intercourse with their clients. Multivariate logistic regression analysis showed that utilizing HTC services was significantly and positively associated with the condom use. It also indicated that low-paid FSWs who were older, married, had higher education, earned less money, had high number of clients, had a history of sexually transmitted diseases, or had little or no HIV knowledge were less likely to use a condom during the last sexual encounter. The study suggests that HTC services need to be scaled up and made more accessible for this vulnerable population.
a Department of Family Medicine and Public Health Sciences , Wayne State University School of Medicine , Detroit , MI 48201 , USA.
Liying
L
Zhang
b Department of Global Health and Population , Harvard T.H. Chan School of Public Health , Boston , MA , USA.
Iqbal H
IH
Shah
c Health Promotion, Education, and Behavior , South Carolina SmartState Center for HealthCare Quality (CHQ) , Columbia , SC , USA.
Xiaoming
X
Li
d Guangxi Center for Disease Control and Prevention , Nanning , People's Republic of China.
Yuejiao
Y
Zhou
e Vanderbilt Institute of Global Health, Vanderbilt University , Nashville , TN , USA.
Chen
C
Zhang
f Maternal and Child Health Hospital, and Key Laboratory of Fertility Regulation and Technology of National Health and Family Planning Commission , Jinan , People's Republic of China.
Lihong
L
Zhang
d Guangxi Center for Disease Control and Prevention , Nanning , People's Republic of China.
Xiaojuan
X
Zhang
d Guangxi Center for Disease Control and Prevention , Nanning , People's Republic of China.
Yan
Y
Cui
a Department of Family Medicine and Public Health Sciences , Wayne State University School of Medicine , Detroit , MI 48201 , USA.
Jinping
J
Xu
D000328:Adult; D002681:China; D017280:Condoms / Q000706:statistics & numerical data*; D003376:Counseling; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D006801:Humans; D010342:Patient Acceptance of Health Care; D060386:Sex Workers; D011795:Surveys and Questionnaires
China; HIV testing and counseling (HTC); condom use; female sex worker
AIDS Educ Prev. 2010 Feb;22(1):69-86
20166789
AIDS Educ Prev. 2001 Aug;13(4):329-42
11565592
PLoS One. 2015 Mar 27;10(3):e0120595
25815481
Public Health Nurs. 2013 Jul;30(4):382-4
23808864
Sex Transm Dis. 2004 Nov;31(11):695-700
15502679
AIDS Behav. 2008 May;12(3):363-73
18161018
AIDS Behav. 2009 Oct;13(5):892-901
18543095
Sex Transm Infect. 2007 Dec;83(7):534-40
17942575
AIDS Care. 2013;25(4):503-6
23062062
PeerJ. 2015 Aug 06;3:e1076
26290781