title: Sex with sweethearts: Exploring factors associated with inconsistent condom use among unmarried female entertainment workers in Cambodia.
abstract: Despite the success in promoting condom use in commercial relationships, condom use with regular, noncommercial partners remains low among key populations in Cambodia. This study explores factors associated inconsistent condom use with sweethearts among unmarried sexually active female entertainment workers (FEWs).
  
  
  
  In 2014, the probability proportional to size sampling method was used to randomly select 204 FEWs from entertainment venues in Phnom Penh and Siem Reap for face-to-face interviews. Multivariate logistic regression analysis was conducted to examine independent determinants of inconsistent condom use.
  
  
  
  Of total, 31.4% of the respondents reported consistent condom use with sweethearts in the past three months. After adjustment, respondents who reported inconsistent condom use with sweethearts remained significantly less likely to report having received any form of sexual and reproductive health education (AOR = 0.49, 95% CI = 0.22-0.99), but more likely to report having been tested for HIV in the past six months (AOR = 2.19, 95% CI = 1.03-4.65). They were significantly more likely to report having used higher amount of alcohol in the past three months (AOR = 1.29, 95% CI = 1.01-1.99) and currently using a contraceptive method other than condoms such as pills (AOR = 4.46, 95% CI = 1.34-10.52) or other methods (AOR = 9.75, 95% CI = 2.07-9.86).
  
  
  
  The rate of consistent condom use in romantic relationships among unmarried FEWs in this study is considerably low. The importance of consistent condom use with regular, non-commercial partners should be emphasized in the education sessions and materials, particularly for FEWs who use non-barrier contraceptive methods.
authors.affiliation: KHANA Center for Population Health Research, No. 33, Street 71, Tonle Bassac, Chamkar Mon, Phnom Penh, Cambodia. siyan@doctor.com.|Center for Global Health Research, Public Health Program, Touro University California, Vallejo, USA. siyan@doctor.com.
authors.forename: Siyan
authors.initials: S
authors.lastname: Yi
authors.affiliation: KHANA Center for Population Health Research, No. 33, Street 71, Tonle Bassac, Chamkar Mon, Phnom Penh, Cambodia.
authors.forename: Sovannary
authors.initials: S
authors.lastname: Tuot
authors.affiliation: KHANA Center for Population Health Research, No. 33, Street 71, Tonle Bassac, Chamkar Mon, Phnom Penh, Cambodia.
authors.forename: Pheak
authors.initials: P
authors.lastname: Chhoun
authors.affiliation: KHANA Center for Population Health Research, No. 33, Street 71, Tonle Bassac, Chamkar Mon, Phnom Penh, Cambodia.
authors.forename: Khuondyla
authors.initials: K
authors.lastname: Pal
authors.affiliation: KHANA Center for Population Health Research, No. 33, Street 71, Tonle Bassac, Chamkar Mon, Phnom Penh, Cambodia.
authors.forename: Chanrith
authors.initials: C
authors.lastname: Ngin
authors.affiliation: HIV/AIDS Flagship Project, KHANA, Phnom Penh, Cambodia.
authors.forename: Kolab
authors.initials: K
authors.lastname: Chhim
authors.affiliation: Center for Global Health Research, Public Health Program, Touro University California, Vallejo, USA.
authors.forename: Carinne
authors.initials: C
authors.lastname: Brody
mesh_terms: D000328:Adult; D002160:Cambodia; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D006801:Humans; D016015:Logistic Models; D060386:Sex Workers / Q000523:psychology*; D012725:Sexual Behavior / Q000523:psychology; D012747:Sexual Partners; D012847:Single Person; D055815:Young Adult
keywords: Cambodia; Condom use; Female entertainment workers (FEWs); Sexual and reproductive health; Sweetheart