Unprotected sex with their clients among low-paying female sex workers in Southwest China
Methods: A total of 720 low-paying FSWs from 130 commercial sex venues/locations in southwest China were included in the data analysis. Multivariate regression models were employed to examine the associations of unprotected sex with a number of exploratory variables among the study sample.
Results: About 33.9% and 61.5% of low-paying FSWs reported unprotected sex with clients in the last sex act and in the last month, respectively. After controlling for confounders, women's HIV knowledge, risk perception, experience of police arrest, and venue types were significantly associated with unprotected sex among low-paying FSWs.
Discussion: Low-paying FSWs are at an alarmingly high risk of HIV infection. HIV prevention programs are urgently needed to address risk factors posit in both individual and contextual levels among this most-at-risk population in order to curb the HIV epidemic in China.
Social and behavioral sciences
Describe characteristics and HIV risks among a group of low-paying FSW in southwest China; Identify factors associated with unprotected sex among low-paying FSW in China; Discuss tailored and culturally appropriate HIV prevention programs among this most-at-risk population in China.
Keyword(s): Sexual Risk Behavior, Sex Workers
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Any relevant financial relationships? No
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