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AIDS and Behavior
Published in: AIDS and Behavior 10/2016

01-10-2016 | Original Paper

Condom Use During Commercial Sex Among Male Clients of Female Sex Workers in Sichuan China: A Social Cognitive Theory Analysis

Authors: Yi Yang, Cui Yang, Carl A. Latkin, Rongsheng Luan, Kenrad E. Nelson

Published in: AIDS and Behavior | Issue 10/2016

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Abstract

There has been little theory-based research focusing on condom use among male clients of female sex workers (CFSW) in China. The current study applied social cognitive theory to condom use behaviors of CFSW in China. Face-to-face structured interviews were conducted among 584 CFSW recruited through snowball sampling. Bivariate and multivariate logistic regression models were applied to examine factors associated with consistent condom use. A minority (30.65 %) of respondents reported using condoms consistently with FSW, and 7 of 12 social cognitive dimensions/subdimensions were found to be significantly influential. The most significant factors were self-efficacy [adjusted prevalence ratio (APR) = 2.11, 95 %, CI = 1.74–2.43] and personal pleasure reduction (APR = 0.3, 95 % CI = 0.15–0.6). HIV-related knowledge, perceived HIV susceptibility, condom cost, condom efficacy, and embarrassment of carrying condoms were not associated with consistent condom uses with FSW. Findings from the current study suggest future prevention programs should target sex venues, and condom access should ensure both quantity and quality. Peer education should focus on knowledge education and peer norms, and knowledge education should include information on HIV infection severity and how to increase pleasure with condom use.
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Metadata
Title
Condom Use During Commercial Sex Among Male Clients of Female Sex Workers in Sichuan China: A Social Cognitive Theory Analysis
Authors
Yi Yang
Cui Yang
Carl A. Latkin
Rongsheng Luan
Kenrad E. Nelson
Publication date
01-10-2016
Publisher
Springer US
Published in
AIDS and Behavior / Issue 10/2016
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-015-1239-z

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