Wong Mee-Lian, Chan Roy K W, Koh David
Department of Community, Occupational and Family Medicine, Yong Loo Lin School of Medicine, Faculty of Medicine, National University of Singapore.
Sex Transm Dis. 2007 Apr;34(4):237-44. doi: 10.1097/01.olq.0000233644.66090.05.
We investigated factors associated with condom use among men patronizing female sex workers abroad and locally.
We conducted a survey on 372 local men attending the only public sexually transmitted infections clinic in Singapore between 2001 and 2003.
Condom use was higher among clients patronizing sex workers in Singapore than those patronizing sex workers abroad (87.5% vs. 54.4%, P<0.001). Condom use in both groups was associated with initiation of condom use by the sex workers (adjusted prevalence ratios: 1.67, 95% confidence interval: 1.11-2.49; 1.87, 1.21-2.90) but was not associated with clients' knowledge of disease, self-perceived risk, confidence in condom use, and dislike of condoms. Less sex workers abroad than in Singapore (32.7% vs. 75.6%, P<0.001) initiated condom use.
Lower condom use among Singaporean travelers abroad was determined by extrinsic factors, whereby sex workers abroad were less likely to initiate condom use rather than by clients' factors.
我们调查了在国外和本地光顾女性性工作者的男性中与使用避孕套相关的因素。
我们对2001年至2003年间前往新加坡唯一一家公共性传播感染诊所就诊的372名本地男性进行了一项调查。
在新加坡光顾性工作者的嫖客中，避孕套的使用率高于在国外光顾性工作者的嫖客（87.5%对54.4%，P<0.001）。两组中避孕套的使用都与性工作者开始使用避孕套有关（调整后的患病率比：1.67，95%置信区间：1.11 - 2.49；1.87，1.21 - 2.90），但与嫖客对疾病的了解、自我感知的风险、使用避孕套的信心以及对避孕套的厌恶无关。在国外开始使用避孕套的性工作者比在新加坡的少（32.7%对75.6%，P<0.001）。
新加坡出国旅行者中避孕套使用率较低是由外部因素决定的，即国外的性工作者开始使用避孕套的可能性较小，而非嫖客因素。
