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Age Differences among Female Sex Workers in the Philippines: Sexual Risk Negotiations and Perceived Manager Advice
Lianne A Urada1, Robert M Malow, Nina C Santos
1Division of Global Public Health, Department of Medicine, University of California San Diego, School of Medicine, 9500 Gilman Drive, MC 0507, La Jolla, CA 92093-0507, USA.
AIDS Research and Treatment
|August 1, 2012
Summary
Consistent condom use is low among female sex workers (FSWs). Older FSWs negotiate condoms better, but adolescents receive more manager advice, with both age groups showing higher HIV/STI risks.
Area of Science:
- Public Health
- Epidemiology
- Social Science
Background:
- Consistent condom use is low among high-risk groups, including female sex workers (FSWs).
- Adolescent FSWs face heightened risks for HIV and sexually transmitted infections (STIs).
- Limited research compares sexual risk negotiation strategies across different age groups of FSWs and the impact of manager advice on condom use.
Purpose of the Study:
- To compare sexual risk negotiations among adolescent, emerging adult, and older FSWs.
- To examine the association between manager's advice on condom use and FSW age.
- To identify factors influencing condom negotiation and HIV/STI prevention.
Main Methods:
- Multivariable logistic regression analysis was used.
- Data from 791 FSWs (aged 14-48) who traded sex in the past 6 months were analyzed.
- Participants were female bar/spa workers surveyed in the southern Philippines.
Main Results:
- Older FSWs (36-48 years) were 3.3 times more likely to negotiate condom use than adolescent FSWs (14-17 years).
- Adolescent FSWs received more manager advice regarding condom negotiation or refusal compared to older FSWs.
- Both adolescent and the oldest FSWs exhibited higher rates of STIs and inconsistent condom use.
- Establishment condom rules were positively associated with condom negotiation.
Conclusions:
- Age, manager's advice, and establishment condom policies are crucial factors for HIV/STI prevention interventions among FSWs.
- Targeted interventions considering age-specific negotiation skills and support systems are needed.
- Addressing the unique risks faced by adolescent and older FSWs is essential for effective public health strategies.
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