Document 3118
 DOCN  M94A3118
 TI    Clients of female sex workers and unsafe sex.
 DT    9412
 AU    Plumridge E; Chetwynd J; Dept Public Health, Christchurch School of
       Medicine, New Zealand.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):15 (abstract no. 033D). Unique
       Identifier : AIDSLINE ICA10/94369457
 AB    OBJECTIVES: To study the contexts and circumstances leading to unsafe
       sex practices amongst clients of female sex workers in their commercial
       and non-commercial sexual encounters. METHODS: This was a 2-stage
       project involving both quantitative and qualitative research phases.
       Clients were contacted and interviewed in the commercial sex districts
       of three major urban centres. In the first stage of the study 30 men
       were interviewed with a structured interview technique. Findings from
       this phase led to in-depth interviews with a further 25 clients
       focussing particularly on the context and meaning of condom use.
       RESULTS: Condoms were used very commonly in commercial sex encounters,
       but relatively rarely in non-commercial sex. Clients approached condom
       use in a very passive manner, rarely carrying them nor initiating their
       use. With sex workers clients expected condoms to be provided as part of
       the service and this expectation carried over to their non-commercial
       partners as well. The qualitative analysis explored the justifications
       clients gave for their unsafe sex practices and the role of phantasy in
       sustaining unsafe sex. DISCUSSION: Clients of female sex workers may be
       at particular risk of transmitting HIV infection because of their
       passivity in condom use combined with their frequent partner exchange.
       Whilst their commercial partners may be protected by insistence on
       condom use, their non-commercial partners, including wives and permanent
       partners, may be at risk. CONCLUSIONS: Future health promotion efforts
       will need to address clients' rationalisations for unsafe sex.
 DE    Adult  Attitude  Condoms/UTILIZATION  Data Collection/METHODS  Female
       Human  HIV Infections/TRANSMISSION  Male  *Prostitution  Risk Factors
       *Sex Behavior  Sexual Partners  Urban Population  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).