Division of Health Promotion and Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston, 77030, USA.
AIDS Behav. 2013 Feb;17(2):612-22. doi: 10.1007/s10461-012-0369-9.
We examined condom-use negotiation strategies and condom use among 81 female sex workers (FSWs) in Phnom Penh, Cambodia. Percentages of FSWs who did not negotiate condom use or could not describe a negotiation strategy with native clients, foreign clients, and non-paying partners were 15.0, 29.0 and 67.6 %, respectively. The most common negotiation strategy used was "provision of risk information" for native clients (43.8 %) and non-paying partners (26.5 %), and "direct request" for foreign clients (39.5 %). About half could not describe more than one negotiation strategy. Consistent condom use was high with native clients (98.8 %), yet comparatively lower with foreign clients (86.9 %) and non-paying partners (26.5 %). FSWs who did not negotiate or did not know how to negotiate condom use were less likely to report condom use with non-paying regular partners. Future interventions should enhance condom negotiation strategies between FSWs and all partner types.
我们研究了柬埔寨金边 81 名性工作者（FSWs）的 condom 使用协商策略和 condom 使用情况。与本地客户、外国客户和非付费伴侣进行 condom 使用协商或无法描述协商策略的 FSW 比例分别为 15.0%、29.0%和 67.6%。最常见的协商策略是向本地客户（43.8%）和非付费伴侣（26.5%）提供风险信息，以及向外国客户（39.5%）直接要求使用 condom。大约一半的人无法描述超过一种协商策略。与本地客户（98.8%）相比，与外国客户（86.9%）和非付费伴侣（26.5%）使用 condom 的一致性更高。那些不协商或不知道如何协商 condom 使用的 FSW 更不可能报告与非付费固定伴侣使用 condom。未来的干预措施应该增强 FSW 与所有类型的伴侣之间 condom 协商策略。
