Citation

Kamal SM, Hassan CH, Salikon RH. Asia Pac. J. Public Health 2013; 27(2): NP2410-22.

Affiliation

1University of Malaya, Kuala Lumpur, Malaysia.

Copyright

(Copyright © 2013, Asia-Pacific Academic Consortium for Public Health, Publisher SAGE Publishing)

DOI

10.1177/1010539513510554

PMID

24345848

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.

Language: en