Socioecological differences in factors associated with inconsistent condom use with female sex workers and casual partners: an observational study of heterosexual men attending an anonymous HIV testing clinic in Singapore
K. Takashima A , G. W. J. Yeoh A , H. E. Chua A , P. L. M. Ting A , J. Y. Chong A , R. K. J. Tan B F , N. Kaur C , L. H. Mohdar D , S. Banerjee D , R. K. W. Chan E , M. I. Chen B C and C. S. Wong CA Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block, Level 11, Singapore 119228, Singapore.
B Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-01, Singapore 117549, Singapore.
C National Centre for Infectious Diseases, 16 Jalan Tan Tock Seng, Singapore 308442, Singapore.
D Action for AIDS Singapore, 9 Kelantan Lane #03-01, Singapore 208628, Singapore.
E National Skin Centre, 1 Mandalay Road, Singapore 308205, Singapore.
F Corresponding author. Email: rayner.tan@u.nus.edu
Sexual Health 16(6) 593-595 https://doi.org/10.1071/SH18230
Submitted: 3 December 2018 Accepted: 2 May 2019 Published: 16 October 2019
Abstract
Sexual practices among heterosexual men may differ between female sex workers (FSWs) and casual partners. We surveyed 203 heterosexual men and investigated the attributes associated with inconsistent condom use among them. Lower educational attainment was positively associated with inconsistent condom use with FSWs (adjusted prevalence ratio (aPR) 2.63; P = 0.018) and casual partners (aPR 1.55; P = 0.022), whereas early age of sexual debut (aPR 3.00; P = 0.012) and alcohol use during sex (aPR 7.95; P < 0.001) were positively associated with inconsistent condom use with FSWs. Socioecological factors may explain such differences.
Additional keywords: alcohol, male clients of female sex workers, sexual debut, sexually transmitted infections.
References
[1] Fettig J, Swaminathan M, Murrill CS, Kaplan JE. Global epidemiology of HIV. Infect Dis Clin North Am 2014; 28 323–37.| Global epidemiology of HIV.Crossref | GoogleScholarGoogle Scholar | 25151559PubMed |
[2] Wong ML, Chan RKW, Koh D, Barrett ME, Chew SK, Wee SSH. A comparative study of condom use and self-reported sexually transmitted infections between foreign Asian and local clients of sex workers in Singapore. Sex Transm Dis 2005; 32 439–45.
| 15976602PubMed |
[3] Vermund SH. Casual sex and HIV transmission. Am J Public Health 1995; 85 1488–9.
| Casual sex and HIV transmission.Crossref | GoogleScholarGoogle Scholar | 7485658PubMed |
[4] Belza MJ, de la Fuente L, Suarez M, Vallejo F, Garcia M, Lopez M, et al. Men who pay for sex in Spain and condom use: prevalence and correlates in a representative sample of the general population. Sex Transm Infect 2008; 84 207–11.
| Men who pay for sex in Spain and condom use: prevalence and correlates in a representative sample of the general population.Crossref | GoogleScholarGoogle Scholar | 18339659PubMed |
[5] Wee S, Barrett ME, Lian WM, Jayabaskar T, Chan KW. Determinants of inconsistent condom use with female sex workers among men attending the STD clinic in Singapore. Sex Transm Infect 2004; 80 310–4.
| Determinants of inconsistent condom use with female sex workers among men attending the STD clinic in Singapore.Crossref | GoogleScholarGoogle Scholar | 15295132PubMed |
[6] Lim RBT, Wong ML, Tan PH, Govender MJBPH. Heterosexual men who patronise entertainment establishments versus brothels in an Asian urban setting – which group practises riskier sexual behaviours? BMC Public Health 2015; 15 777
[7] Chamratrithirong A, Kaiser P. The dynamics of condom use with regular and casual partners: analysis of the 2006 National Sexual Behavior Survey of Thailand. PLoS One 2012; 7 e42009
| The dynamics of condom use with regular and casual partners: analysis of the 2006 National Sexual Behavior Survey of Thailand.Crossref | GoogleScholarGoogle Scholar | 22860047PubMed |
