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Published in: AIDS and Behavior 2/2013

01-02-2013 | Original Paper

Social and Structural Factors Associated with Consistent Condom Use Among Female Entertainment Workers Trading Sex in the Philippines

Authors: Lianne A. Urada, Donald E. Morisky, Laufred I. Hernandez, Steffanie A. Strathdee

Published in: AIDS and Behavior | Issue 2/2013

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Abstract

This paper examined socio-structural factors of consistent condom use among female entertainment workers at high risk for acquiring HIV in Metro Manila, Quezon City, Philippines. Entertainers, aged 18 and over, from 25 establishments (spa/saunas, night clubs, karaoke bars), who traded sex during the previous 6 months, underwent cross-sectional surveys. The 143 entertainers (42% not always using condoms, 58% always using condoms) had median age (23), duration in sex work (7 months), education (9 years), and 29% were married/had live-in boyfriends. In a logistic multiple regression model, social-structural vs. individual factors were associated with inconsistent condom use: being forced/deceived into sex work, less manager contact, less STI/HIV prevention knowledge acquired from medical personnel/professionals, not following a co-workers’ condom use advice, and an interaction between establishment type and alcohol use with establishment guests. Interventions should consider the effects of physical (force/deception into work), social (peer, manager influence), and policy (STI/HIV prevention knowledge acquired from medical personnel/professionals) environments on consistent condom use.
Literature
3.
go back to reference Program for Appropriate Technology in Health (PATH). Best practices in HIV and AIDS prevention education: the AIDS Surveillance and Education Project experience in the Philippines, 2003. Program for Appropriate Technology in Health (PATH). Best practices in HIV and AIDS prevention education: the AIDS Surveillance and Education Project experience in the Philippines, 2003.
4.
go back to reference Trinidad A. Child pornography in the Philippines. UP Center for Integrative and Development Studies and UNICEF Manila: Psychosocial Trauma and Human Rights Program; 2005. p. 14. Trinidad A. Child pornography in the Philippines. UP Center for Integrative and Development Studies and UNICEF Manila: Psychosocial Trauma and Human Rights Program; 2005. p. 14.
7.
go back to reference Beyrer C. Shan women and girls and the sex industry in Southeast Asia: political causes and human rights implications. Soc Sci Med. 2001;53:543–50.PubMedCrossRef Beyrer C. Shan women and girls and the sex industry in Southeast Asia: political causes and human rights implications. Soc Sci Med. 2001;53:543–50.PubMedCrossRef
8.
go back to reference Rhodes T. Risk environments and drug harms: a social science for harm reduction approach. Int J Drug Policy. 2009;20:193–201.PubMedCrossRef Rhodes T. Risk environments and drug harms: a social science for harm reduction approach. Int J Drug Policy. 2009;20:193–201.PubMedCrossRef
9.
go back to reference Rhodes T, Simic M. Transition and the HIV risk environment. Br Med J. 2005;331:220–3.CrossRef Rhodes T, Simic M. Transition and the HIV risk environment. Br Med J. 2005;331:220–3.CrossRef
10.
go back to reference Des Jarlais DC. Structural interventions to reduce HIV transmission among injecting drug users. AIDS. 2000;14:S41–6.PubMedCrossRef Des Jarlais DC. Structural interventions to reduce HIV transmission among injecting drug users. AIDS. 2000;14:S41–6.PubMedCrossRef
11.
go back to reference Latkin CA, Knowlton AR. Micro-social structural approaches to HIV prevention: a social ecological perspective. AIDS Care. 2005;17(Suppl 1):S102–13.PubMedCrossRef Latkin CA, Knowlton AR. Micro-social structural approaches to HIV prevention: a social ecological perspective. AIDS Care. 2005;17(Suppl 1):S102–13.PubMedCrossRef
12.
go back to reference Sumartojo E. Structural factors in HIV prevention: concepts, examples, and implications for research. AIDS. 2000;14(Suppl 1):S3–10.PubMedCrossRef Sumartojo E. Structural factors in HIV prevention: concepts, examples, and implications for research. AIDS. 2000;14(Suppl 1):S3–10.PubMedCrossRef
13.
go back to reference Gupta GR, Parkhurst JO, Ogden JA, Aggleton P, Mahal A. Structural approaches to HIV prevention. Lancet. 2008;30:764–75.CrossRef Gupta GR, Parkhurst JO, Ogden JA, Aggleton P, Mahal A. Structural approaches to HIV prevention. Lancet. 2008;30:764–75.CrossRef
14.
go back to reference Morisky DE, Stein J, Chiao C, Ksobiech K, Malow R. Impact of a social influence intervention on condom use and sexually transmitted infections among establishment-based female sex workers in the Philippines: a multilevel analysis. Health Psychol. 2006;25:595–603.PubMedCrossRef Morisky DE, Stein J, Chiao C, Ksobiech K, Malow R. Impact of a social influence intervention on condom use and sexually transmitted infections among establishment-based female sex workers in the Philippines: a multilevel analysis. Health Psychol. 2006;25:595–603.PubMedCrossRef
15.
go back to reference Kerrigan D, Moreno L, Rosario S, et al. Environmental-structural interventions to reduce HIV/STI risk among female sex workers in the Dominican Republic. Am J Public Health. 2006;96:120–5.PubMedCrossRef Kerrigan D, Moreno L, Rosario S, et al. Environmental-structural interventions to reduce HIV/STI risk among female sex workers in the Dominican Republic. Am J Public Health. 2006;96:120–5.PubMedCrossRef
16.
go back to reference Strathdee SA, Lozada R, Martinez G, et al. Social and structural factors associated with HIV infection among female sex workers who inject drugs in the Mexico–US border region. PLoS One. 2011;6:1–8.CrossRef Strathdee SA, Lozada R, Martinez G, et al. Social and structural factors associated with HIV infection among female sex workers who inject drugs in the Mexico–US border region. PLoS One. 2011;6:1–8.CrossRef
17.
go back to reference Dandona R, Dandona L, Gutierrez JP, et al. High risk of HIV in non-brothel based female sex workers in India. BMC Public Health. 2005;20:5–87. Dandona R, Dandona L, Gutierrez JP, et al. High risk of HIV in non-brothel based female sex workers in India. BMC Public Health. 2005;20:5–87.
18.
go back to reference Nishimura YH, Ono-Kihara M, Mohith JC, et al. Sexual behaviors and their correlates among young people in Mauritius: a cross-sectional study. BMC Int Health Hum Rights. 2007;7(8):1–11. Nishimura YH, Ono-Kihara M, Mohith JC, et al. Sexual behaviors and their correlates among young people in Mauritius: a cross-sectional study. BMC Int Health Hum Rights. 2007;7(8):1–11.
26.
go back to reference Morisky DE, Lyu S, Urada L. The role of non-formal education in combating the HIV epidemic in the Philippines and Taiwan. Prospects. 2010;3(4):335–57. Morisky DE, Lyu S, Urada L. The role of non-formal education in combating the HIV epidemic in the Philippines and Taiwan. Prospects. 2010;3(4):335–57.
27.
go back to reference Morisky DE, Ang A, Sneed C. Validating the effects of social desirability on self reported condom use. AIDS Educ Prev. 2002;14:351–60.PubMedCrossRef Morisky DE, Ang A, Sneed C. Validating the effects of social desirability on self reported condom use. AIDS Educ Prev. 2002;14:351–60.PubMedCrossRef
28.
go back to reference Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401.CrossRef Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401.CrossRef
29.
go back to reference Golub ET, Latka M, Hagan H, et al. Screening for depressive symptoms among HCV-infected injection drug users: examination of the utility of the CES-D and the Beck depression inventory. J Urban Health. 2004;81:278–90.PubMedCrossRef Golub ET, Latka M, Hagan H, et al. Screening for depressive symptoms among HCV-infected injection drug users: examination of the utility of the CES-D and the Beck depression inventory. J Urban Health. 2004;81:278–90.PubMedCrossRef
30.
go back to reference Morisky DE, Peña M, Tiglao TV, Liu KY. The impact of the work environment on condom use among female bar workers in the Philippines. Health Educ Behav. 2002;29:461–72.PubMedCrossRef Morisky DE, Peña M, Tiglao TV, Liu KY. The impact of the work environment on condom use among female bar workers in the Philippines. Health Educ Behav. 2002;29:461–72.PubMedCrossRef
31.
go back to reference Norbeck JS, Lindsey AM, Carrieri VL. The development of an instrument to measure social support. Nurs Res. 1981;30:264–9.PubMed Norbeck JS, Lindsey AM, Carrieri VL. The development of an instrument to measure social support. Nurs Res. 1981;30:264–9.PubMed
32.
go back to reference Norbeck JS, Lindsey AM, Carrieri VL. Further development of the Norbeck social support questionnaire: normative data and validity testing. Nurs Res. 1983;32:4–9.PubMedCrossRef Norbeck JS, Lindsey AM, Carrieri VL. Further development of the Norbeck social support questionnaire: normative data and validity testing. Nurs Res. 1983;32:4–9.PubMedCrossRef
33.
go back to reference Decker MR, McCauley HL, Phuengsamran D, Janyam S, Silverman JG. Sex trafficking, sexual risk, sexually transmitted infection and reproductive health among female sex workers in Thailand. J Epidemiol Community Health. 2011;65:334–9.PubMedCrossRef Decker MR, McCauley HL, Phuengsamran D, Janyam S, Silverman JG. Sex trafficking, sexual risk, sexually transmitted infection and reproductive health among female sex workers in Thailand. J Epidemiol Community Health. 2011;65:334–9.PubMedCrossRef
34.
go back to reference Sarkar K, Bal B, Mukherjee R, et al. Sex-trafficking, violence, negotiating skill, and HIV infection in brothel-based sex workers of Eastern India, adjoining Nepal, Bhutan, and Bangladesh. J Health Popul Nutr. 2008;26:223–31.PubMed Sarkar K, Bal B, Mukherjee R, et al. Sex-trafficking, violence, negotiating skill, and HIV infection in brothel-based sex workers of Eastern India, adjoining Nepal, Bhutan, and Bangladesh. J Health Popul Nutr. 2008;26:223–31.PubMed
35.
go back to reference Shannon K, Strathdee SA, Shoveller J, Rusch M, Kerr T, Tyndall MW. Structural and environmental barriers to condom use negotiation with clients among female sex workers: implications for HIV-prevention strategies and policy. Am J Public Health. 2009;99:659–65.PubMedCrossRef Shannon K, Strathdee SA, Shoveller J, Rusch M, Kerr T, Tyndall MW. Structural and environmental barriers to condom use negotiation with clients among female sex workers: implications for HIV-prevention strategies and policy. Am J Public Health. 2009;99:659–65.PubMedCrossRef
36.
go back to reference Krishnan AK, Hendriksen E, Vallabhaneni S, Johnson SL, Raminani S, Kumarasamy N, et al. Sexual behaviors of individuals with HIV living in South India: a qualitative study. AIDS Educ Prev. 2007;19:334–45.CrossRef Krishnan AK, Hendriksen E, Vallabhaneni S, Johnson SL, Raminani S, Kumarasamy N, et al. Sexual behaviors of individuals with HIV living in South India: a qualitative study. AIDS Educ Prev. 2007;19:334–45.CrossRef
37.
go back to reference United Nations Treaty Collection. Penal matters, chapter 12a. Protocol to prevent, suppress and punish trafficking in persons, especially women and children, supplementing the United Nations convention against transnational organized crime. New York: United Nations; 2000. United Nations Treaty Collection. Penal matters, chapter 12a. Protocol to prevent, suppress and punish trafficking in persons, especially women and children, supplementing the United Nations convention against transnational organized crime. New York: United Nations; 2000.
38.
go back to reference Yang X, Xia G, Li X, Latkin C, Celentano D. Social influence and individual risk factors of HIV unsafe sex among female entertainment workers in China. AIDS Educ Prev. 2010;22:69–86.PubMedCrossRef Yang X, Xia G, Li X, Latkin C, Celentano D. Social influence and individual risk factors of HIV unsafe sex among female entertainment workers in China. AIDS Educ Prev. 2010;22:69–86.PubMedCrossRef
39.
go back to reference Swendeman D, Basu I, Das S, Jana S, Rotheram-Borus MJ. Empowering sex workers in India to reduce vulnerability to HIV and sexually transmitted diseases. Soc Sci Med. 2009;69:1157–66.PubMedCrossRef Swendeman D, Basu I, Das S, Jana S, Rotheram-Borus MJ. Empowering sex workers in India to reduce vulnerability to HIV and sexually transmitted diseases. Soc Sci Med. 2009;69:1157–66.PubMedCrossRef
40.
go back to reference Hong Y, Fang X, Li X, Liu Y, Li M. Environmental support and HIV prevention behaviors among female sex workers in China. Sex Transm Dis. 2008;35:662–7.PubMedCrossRef Hong Y, Fang X, Li X, Liu Y, Li M. Environmental support and HIV prevention behaviors among female sex workers in China. Sex Transm Dis. 2008;35:662–7.PubMedCrossRef
41.
go back to reference Morisky DE, Tiglao TV. Educational and structural interventions and their impact on condom use and STI/HIV prevention for Filipina women and male customers. Asia Pac J Public Health. 2010;22(Suppl 3):151S–8S.PubMedCrossRef Morisky DE, Tiglao TV. Educational and structural interventions and their impact on condom use and STI/HIV prevention for Filipina women and male customers. Asia Pac J Public Health. 2010;22(Suppl 3):151S–8S.PubMedCrossRef
42.
go back to reference Morisky DE, Chiao C, Stein JA, Malow R. Impact of social and structural influence interventions on condom use and sexually transmitted infections among establishment-based female bar workers in the Philippines. J Psychol Human Sex. 2005;17:45–63.PubMedCrossRef Morisky DE, Chiao C, Stein JA, Malow R. Impact of social and structural influence interventions on condom use and sexually transmitted infections among establishment-based female bar workers in the Philippines. J Psychol Human Sex. 2005;17:45–63.PubMedCrossRef
43.
go back to reference Morisky D, Urada L. Organizational policy recommendations for control of STI/HIV among female sex workers in China: regular examination of workers in social hygiene clinics. AIDS Care. 2011;23(Suppl 1):83–95.PubMedCrossRef Morisky D, Urada L. Organizational policy recommendations for control of STI/HIV among female sex workers in China: regular examination of workers in social hygiene clinics. AIDS Care. 2011;23(Suppl 1):83–95.PubMedCrossRef
45.
go back to reference Tran TT, Le CL, Nguyen TL. Factors associated with inconsistent condom use among female sex workers in Nha Trang, Vietnam. Asia Pac J Public Health. 2008;20:370–8.PubMedCrossRef Tran TT, Le CL, Nguyen TL. Factors associated with inconsistent condom use among female sex workers in Nha Trang, Vietnam. Asia Pac J Public Health. 2008;20:370–8.PubMedCrossRef
46.
go back to reference Pickering H, Okongo M, Nnalusiba B, Bwanika K, Whitworth J. Sexual networks in Uganda: casual and commercial sex in a trading town. AIDS Care. 1997;9:199–207.PubMedCrossRef Pickering H, Okongo M, Nnalusiba B, Bwanika K, Whitworth J. Sexual networks in Uganda: casual and commercial sex in a trading town. AIDS Care. 1997;9:199–207.PubMedCrossRef
47.
go back to reference Miller GA, Mendoza W, Krone MR, Meza R, Caceres CF, Coates TJ, Klausner JD. Clients of female sex workers in Lima, Peru: a bridge population for sexually transmitted disease/HIV transmission? Sex Transm Dis. 2004;31:337–42.PubMedCrossRef Miller GA, Mendoza W, Krone MR, Meza R, Caceres CF, Coates TJ, Klausner JD. Clients of female sex workers in Lima, Peru: a bridge population for sexually transmitted disease/HIV transmission? Sex Transm Dis. 2004;31:337–42.PubMedCrossRef
48.
go back to reference Chiao C, Morisky DE, Rosenberg R, Ksobiech K, Malow R. The relationship between HIV/sexually transmitted infection risk and alcohol use during commercial sex episodes: results from the study of female commercial sex workers in the Philippines. Subst Use Misuse. 2006;41:1509–33.PubMedCrossRef Chiao C, Morisky DE, Rosenberg R, Ksobiech K, Malow R. The relationship between HIV/sexually transmitted infection risk and alcohol use during commercial sex episodes: results from the study of female commercial sex workers in the Philippines. Subst Use Misuse. 2006;41:1509–33.PubMedCrossRef
49.
go back to reference Witte SS, Batsukh A, Chang M. Sexual risk behaviors, alcohol abuse, and intimate partner violence among sex workers in Mongolia: implications for HIV prevention intervention development. J Prev Interv Community. 2010;38:89–103.PubMedCrossRef Witte SS, Batsukh A, Chang M. Sexual risk behaviors, alcohol abuse, and intimate partner violence among sex workers in Mongolia: implications for HIV prevention intervention development. J Prev Interv Community. 2010;38:89–103.PubMedCrossRef
50.
go back to reference Larios SE, Lozada R, Strathdee SA, et al. An exploration of contextual factors that influence HIV risk in female sex workers in Mexico: the social ecological model applied to HIV risk behaviors. AIDS Care. 2009;21:1335–42.PubMedCrossRef Larios SE, Lozada R, Strathdee SA, et al. An exploration of contextual factors that influence HIV risk in female sex workers in Mexico: the social ecological model applied to HIV risk behaviors. AIDS Care. 2009;21:1335–42.PubMedCrossRef
51.
go back to reference Ko NY, Lee HC, Hung CC, et al. Effects of structural intervention on increasing condom availability and reducing risky sexual behaviours in gay bathhouse attendees. AIDS Care. 2009;21:1499–507.PubMedCrossRef Ko NY, Lee HC, Hung CC, et al. Effects of structural intervention on increasing condom availability and reducing risky sexual behaviours in gay bathhouse attendees. AIDS Care. 2009;21:1499–507.PubMedCrossRef
53.
go back to reference Morrison-Beedy D, Carey MP, Tu X. Accuracy of audio computer-assisted self-interviewing (ACASI) and self-administered questionnaires for the assessment of sexual behavior. AIDS Behav. 2006;10:541–52.PubMedCrossRef Morrison-Beedy D, Carey MP, Tu X. Accuracy of audio computer-assisted self-interviewing (ACASI) and self-administered questionnaires for the assessment of sexual behavior. AIDS Behav. 2006;10:541–52.PubMedCrossRef
54.
go back to reference Macalino E, Celentano DD, Latkin C, Strathdee SA, Vlahov D. Risk behaviors by audio computer-assisted self-interviews among HIV-seropositive and HIV-seronegative injection drug users. AIDS Educ Prev. 2002;14:367–78.PubMedCrossRef Macalino E, Celentano DD, Latkin C, Strathdee SA, Vlahov D. Risk behaviors by audio computer-assisted self-interviews among HIV-seropositive and HIV-seronegative injection drug users. AIDS Educ Prev. 2002;14:367–78.PubMedCrossRef
55.
go back to reference Wechsberg WM, Luseno WK, Lam WK, Parry CD, Morojele NK. Substance use, sexual risk, and violence: HIV prevention intervention with sex workers in Pretoria. AIDS Behav. 2006;10:131–7.PubMedCrossRef Wechsberg WM, Luseno WK, Lam WK, Parry CD, Morojele NK. Substance use, sexual risk, and violence: HIV prevention intervention with sex workers in Pretoria. AIDS Behav. 2006;10:131–7.PubMedCrossRef
Metadata
Title
Social and Structural Factors Associated with Consistent Condom Use Among Female Entertainment Workers Trading Sex in the Philippines
Authors
Lianne A. Urada
Donald E. Morisky
Laufred I. Hernandez
Steffanie A. Strathdee
Publication date
01-02-2013
Publisher
Springer US
Published in
AIDS and Behavior / Issue 2/2013
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-0113-x

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