Division of Prevention and Intervention, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, 155 Changbai Road, Changping District, Beijing, 102206, China.
Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
BMC Womens Health. 2019 Jun 14;19(1):77. doi: 10.1186/s12905-019-0773-7.
Low-fee female sex workers (FSW) lack power to effectively negotiate male condom use with clients. Female condoms (FCs) may provide an alternative strategy. This study was conducted to assess the acceptability of FC use among low-fee FSWs, and to identify appropriate candidates for future FC promotion.
A one-month follow-up study was conducted. At entry into the study, eligible participants completed a baseline questionnaire and were given 10 FCs. At the one-month follow up encounter, the number of used FC packages were counted and each participant completed a follow-up questionnaire. Logistic regression was used to identify variables associated with more frequent use of FCs (> 2 times).
A total of 312 low-fee FSWs were enrolled at baseline and all participants completed the follow-up evaluation. Among them, 123 (39.4%) participants had used more than two FCs. Participants who were illiterate or had completed at most primary school education (OR: 2.4, 95% CI: 1.4-7.2), charged ≤30 RMB per client (≤30 vs. 51-80 RMB, OR: 3.8, 95% CI: 1.9-7.6), or had consistently used condoms with regular clients in the past month (OR: 2.4, 95%CI: 1.4-4.2) were more likely to use FCs.
Low-fee FSWs charging ≤30 RMB per client, and those who are less educated may be appropriate initial candidates for FC promotion in China. Strategies to consider include teaching FSWs tactics for negotiation of FC use that can initially be applied with regular clients, and providing education to maximize ease-of use, and minimize discomfort with FC usage.
低费率性工作者（FSW）缺乏与客户有效协商使用男用避孕套的能力。女用避孕套（FC）可能提供另一种策略。本研究旨在评估低费率 FSW 使用 FC 的可接受性，并确定未来 FC 推广的合适人选。
进行了为期一个月的随访研究。在研究开始时，符合条件的参与者完成了基线问卷，并获得了 10 个 FC。在一个月的随访中，计算了使用的 FC 包装数量，每位参与者完成了一份随访问卷。使用逻辑回归来确定与更频繁使用 FC（>2 次）相关的变量。
共招募了 312 名低费率 FSW 作为基线，并对所有参与者进行了随访评估。其中，123 名（39.4%）参与者使用了超过两个 FC。文化程度较低或仅完成了小学教育（OR：2.4，95%CI：1.4-7.2）、每位客户收费≤30 元人民币（≤30 元人民币比 51-80 元人民币，OR：3.8，95%CI：1.9-7.6）或过去一个月一直与固定客户使用避孕套（OR：2.4，95%CI：1.4-4.2）的参与者更有可能使用 FC。
在中国，每位客户收费≤30 元人民币且教育程度较低的低费率 FSW 可能是 FC 推广的合适初始人选。可以考虑的策略包括教授 FSW 与固定客户协商使用 FC 的策略，最初可以应用于固定客户，并提供教育以最大程度地提高 FC 使用的易用性，并最大限度地减少对 FC 使用的不适。
