M L Wong1, R K Chan, D Koh, S Wee. 1. Department of Community, Occupational, and Family Medicine, National University of Singapore, Singapore. cofwml@leonis.nus.edu.sg
Abstract
BACKGROUND: Concerns about the effectiveness of condoms in preventing sexually transmitted diseases have been raised. Data are lacking on condom failure and its associated factors among sex workers in Southeast Asia. GOAL: To assess factors associated with condom breakage and slippage. STUDY DESIGN: A prospective study on condom breakage and slippage over a 1-day period was conducted among 219 female brothel-based sex workers in Singapore in 1997. RESULTS: Condom breakage and slippage rates among 1,885 episodes of condom use were 1.2% (95% CI, 0.7-1.8) and 2.1% (95% CI, 1.2-3.0), respectively. After adjusting for intracluster effects and confounders, condom breakage and slippage were significantly associated with duration of sex work and spontaneity of clients to use condoms. CONCLUSION: Condom use among sex workers should be promoted in view of the low failure rates. Strategies to reduce condom breakage and slippage should be directed at sex workers with increased risk of condom failure.
BACKGROUND: Concerns about the effectiveness of condoms in preventing sexually transmitted diseases have been raised. Data are lacking on condom failure and its associated factors among sex workers in Southeast Asia. GOAL: To assess factors associated with condom breakage and slippage. STUDY DESIGN: A prospective study on condom breakage and slippage over a 1-day period was conducted among 219 female brothel-based sex workers in Singapore in 1997. RESULTS: Condom breakage and slippage rates among 1,885 episodes of condom use were 1.2% (95% CI, 0.7-1.8) and 2.1% (95% CI, 1.2-3.0), respectively. After adjusting for intracluster effects and confounders, condom breakage and slippage were significantly associated with duration of sex work and spontaneity of clients to use condoms. CONCLUSION: Condom use among sex workers should be promoted in view of the low failure rates. Strategies to reduce condom breakage and slippage should be directed at sex workers with increased risk of condom failure.
Entities:
Keywords:
Asia; Barrier Methods--determinants; Behavior; Condom Failure--determinants; Condom--determinants; Contraception; Contraceptive Methods--determinants; Developing Countries; Family Planning; Prospective Studies; Prostitutes; Research Methodology; Research Report; Sex Behavior; Singapore; Southeastern Asia; Studies
Authors: Tsitsi B Masvawure; Joanne E Mantell; Jack Ume Tocco; Peter Gichangi; Arjee Restar; Sophie Vusha Chabeda; Yves Lafort; Theo G M Sandfort Journal: AIDS Behav Date: 2018-02