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Inconsistent Condom Use and History of Trauma Among Vietnamese Female Sex Workers in a Chinese Border Region |
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| Authors: | Kathleen H. Reilly Junjie Wang Zhibin Zhu Shuanghe Li Tinghua Yang Guowei Ding Han-Zhu Qian Patricia Kissinger Ning Wang |
| Affiliation: | 1. National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, 155 Changbai Road, Changping District, Beijing, 102206, People’s Republic of China 2. Tulane University Health Sciences Center, School of Public Health and Tropical Medicine, 1440 Canal Street, New Orleans, LA, 70112, USA 3. Hekou Center for Disease Control and Prevention, Hekou, Yunnan, China 4. Vanderbilt Institute for Global Health, Vanderbilt University School of Medicine, 2525 West End Avenue, Suite 750, Nashville, TN, 37203, USA 5. Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, D-3100, Medical Center North, Nashville, TN, 37232, USA |
| Abstract: | Previous studies have indicated a potential association between trauma, such as physical violence, emotional violence and sexual violence, and high-risk sexual behavior. Female sex workers (FSWs) were interviewed to elicit history of traumatic events and sexual behaviors. Among 187 participants, 79 (42.2 %) inconsistently used condoms with clients in the past 30 days. Experiencing community violence (OR: 0.4; 95 % CI: 0.2, 0.8) was found to be significantly protective for inconsistent condom use. In this study, experiencing community violence was found to be protective for inconsistent condom use among FSWs, but none of the other trauma subgroups had significant associations with inconsistent condom use. Reasons for unprotected sex among FSW may be more related to economic or other contextual factors. |
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