Table IV.
Condom negotiation and condom use practices of FSWs
| With native paying clients (n=80) | With foreign paying clients (n=38) | With non- paying regular partner (n=34) | |
|---|---|---|---|
| Condom negotiation | |||
| Type of condom use negotiation strategy typically employed first, n (%) | |||
| Did not negotiate or could not clearly describe how to negotiate | 12 (15.0) | 11 (29.0)** | 23 (67.6)** |
| Provided risk information | 35 (43.8) | 6 (15.8) | 9 (26.5) |
| Direct request | 15 (18.8) | 15 (39.5) | 2 (5.9) |
| Withholding sex | 13 (16.3) | 3 (7.9) | 0 (0) |
| Seduction | 2 (2.5) | 1 (2.6) | 0 (0) |
| Median times being refused for every 10 condom-request attempts | 2 | 2 | 7** |
| What participants typically did when first condom-use request was refused (percentages were calculated among those who negotiated condom use), n (%) | |||
| Accept, did not do anything else | 0 (0) | 1 (3.7) | 7 (63.6) |
| Tried a different negotiation strategy | 31 (45.6) | 12 (44.4) | 4 (36.4) |
| Withheld penetrative sex and/or offered non-penetrative sex (oral sex or hand job) | 26 (38.2) | 11 (40.7) | 0 (0) |
| Charged an additional fee for unprotected sex | 3 (4.4) | 5 (18.5) | 0 (0) |
| Used a second condom-use negotiation strategy (percentages were calculated among those who persuaded partners to use condoms), n (%) | 41 (60.3) | 14 (51.9) | 3 (27.3) |
| Condom use | |||
| In the past week before being taken into custody, numbers of times having vaginal sex, mean (SD) | 6.64 (6.2) | 1.24 (1.5) | 1.24 (1.7) |
| In the past week before being taken into custody, numbers of times having vaginal sex without a condom (among those who reported having vaginal sex), mean (SD) | .16 (.7) | .16 (.6) | .85 (1.8) |
| In the past week before being taken into custody, number of participants who had anal sex, n (%) | 7 (8.8) | 7 (18.4) | 3 (8.8) |
| In the past week before being taken into custody, numbers of participants who had anal sex without a condom (among those who reported having anal sex), n (%) | 3 (42.9) | 2 (28.6) | 1 (33.3) |
| Overall condom use (cumulative % of “quite often” and “always”) | (98.8) | (86.9)* | (26.5)** |
| “Quite often” | 11 (13.8) | 6 (15.8) | 5 (15.2) |
| “Always” | 68 (85.0) | 27 (71.1) | 4 (12.1) |
| Used a condom at last sex, n (%) | 71 (88.8) | 26 (68.4)* | 9 (26.5)** |
Notes:
*
p-values<.05;
**
p-values<.01; tests used: Wilcoxon matched-pair signed-rank tests; comparison group: “with native paying clients.”