CHARME-India Project, IT Park 5 floor, #1-4 Rajajinagar Industrial Area, Behind KSSIDC Admin Office, Rajajinagar, Bangalore 560 044, India.
Sex Transm Infect. 2012 Apr;88(3):163-70. doi: 10.1136/sextrans-2011-050283. Epub 2012 Jan 27.
The purpose of the study was to obtain a better understanding of the relative importance of personal factors, male partner factors and situational factors, in determining condom breakage in a population of female sex workers (FSWs) in Bangalore.
The authors conducted a cross-sectional study that included a face-to-face interview and condom application test, with 291 randomly selected FSWs in Bangalore, India, in early 2011.
Ninety-seven per cent of respondents noted condom use at last sex; 34% reported a condom breakage in the last month. Combining individual, situational and partner aspects of condom breakage into one logistic regression model and also controlling for client load, the authors found that partner and situational factors were dominant since the only significant predictors of condom breakage included being a paying client (adjusted odds ratio 4.61, 95% CI 1.20 to 17.58, p=0.025), the condom being too small for the penis (adjusted odds ratio 2.29, 95% CI 0.97 to 5.40, p=0.056) or too big for the penis (adjusted odds ratio 4.29, 95% CI 1.43 to 12.80, p=0.009) and rough sex (adjusted odds ratio 6.39 CI 3.55 to 11.52, p<0.001).
Condom use among Bangalore FSWs is now very high. However, condom breakage is still a not uncommon event and puts women and their clients at unnecessary risk of infection. It may be difficult to eliminate the problem completely, but every effort should be made to discuss with sex workers the findings of this survey that point to possible personal markers of risk seen in the univariate analysis and to highlight the importance of avoiding rough sex and of ensuring the condom fits the client.
本研究旨在更好地了解个人因素、男性伴侣因素和情境因素在班加罗尔的女性性工作者（FSW）群体中确定避孕套破裂的相对重要性。
作者于 2011 年初在印度班加罗尔进行了一项横断面研究，包括面对面访谈和避孕套应用测试，共纳入 291 名随机选择的 FSW。
97%的受访者指出上次性行为中使用了避孕套；34%的受访者报告在上个月避孕套破裂。将个人、情境和伴侣方面的避孕套破裂情况合并到一个逻辑回归模型中，并控制客户负载，作者发现伴侣和情境因素占主导地位，因为避孕套破裂的唯一显著预测因素包括是付费客户（调整后的优势比 4.61，95%置信区间 1.20 至 17.58，p=0.025）、避孕套对于阴茎来说太小（调整后的优势比 2.29，95%置信区间 0.97 至 5.40，p=0.056）或太大（调整后的优势比 4.29，95%置信区间 1.43 至 12.80，p=0.009）以及粗暴性行为（调整后的优势比 6.39，95%置信区间 3.55 至 11.52，p<0.001）。
班加罗尔 FSW 的避孕套使用率现在非常高。然而，避孕套破裂仍然是一个不常见的事件，使妇女及其客户面临不必要的感染风险。虽然可能难以完全消除这个问题，但应尽一切努力与性工作者讨论本调查的结果，这些结果指出了在单变量分析中看到的可能的个人风险标记，并强调避免粗暴性行为和确保避孕套适合客户的重要性。
