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M94A3118.TXT
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Document 3118
DOCN M94A3118
TI Clients of female sex workers and unsafe sex.
DT 9412
AU Plumridge E; Chetwynd J; Dept Public Health, Christchurch School of
Medicine, New Zealand.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):15 (abstract no. 033D). Unique
Identifier : AIDSLINE ICA10/94369457
AB OBJECTIVES: To study the contexts and circumstances leading to unsafe
sex practices amongst clients of female sex workers in their commercial
and non-commercial sexual encounters. METHODS: This was a 2-stage
project involving both quantitative and qualitative research phases.
Clients were contacted and interviewed in the commercial sex districts
of three major urban centres. In the first stage of the study 30 men
were interviewed with a structured interview technique. Findings from
this phase led to in-depth interviews with a further 25 clients
focussing particularly on the context and meaning of condom use.
RESULTS: Condoms were used very commonly in commercial sex encounters,
but relatively rarely in non-commercial sex. Clients approached condom
use in a very passive manner, rarely carrying them nor initiating their
use. With sex workers clients expected condoms to be provided as part of
the service and this expectation carried over to their non-commercial
partners as well. The qualitative analysis explored the justifications
clients gave for their unsafe sex practices and the role of phantasy in
sustaining unsafe sex. DISCUSSION: Clients of female sex workers may be
at particular risk of transmitting HIV infection because of their
passivity in condom use combined with their frequent partner exchange.
Whilst their commercial partners may be protected by insistence on
condom use, their non-commercial partners, including wives and permanent
partners, may be at risk. CONCLUSIONS: Future health promotion efforts
will need to address clients' rationalisations for unsafe sex.
DE Adult Attitude Condoms/UTILIZATION Data Collection/METHODS Female
Human HIV Infections/TRANSMISSION Male *Prostitution Risk Factors
*Sex Behavior Sexual Partners Urban Population MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).