Sex with sweethearts: Exploring factors associated with inconsistent condom use among unmarried female entertainment workers in Cambodia

BMC Infectious Diseases

Research Article

Carinne Brody¹  Kolab Chhim²  Chanrith Ngin³  Pheak Chhoun³  Sovannary Tuot³  Khuondyla Pal³  Siyan Yi⁴ 

[1] Center for Global Health Research, Public Health Program, Touro University California, Vallejo, USA;HIV/AIDS Flagship Project, KHANA, Phnom Penh, Cambodia;KHANA Center for Population Health Research, No. 33, Street 71, Tonle Bassac, Chamkar Mon, Phnom Penh, Cambodia;KHANA Center for Population Health Research, No. 33, Street 71, Tonle Bassac, Chamkar Mon, Phnom Penh, Cambodia;Center for Global Health Research, Public Health Program, Touro University California, Vallejo, USA;

关键词: Condom use;    Female entertainment workers (FEWs);    Sexual and reproductive health;    Sweetheart;    Cambodia;   

DOI  :  10.1186/s12879-016-2101-2

 received in 2015-10-22, accepted in 2016-12-08,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundDespite 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).MethodsIn 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.ResultsOf 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).ConclusionsThe 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.

【 授权许可】

CC BY   
© The Author(s). 2017