Female condom use in the rural sex industry in China
Analysis of users and non-users at post-intervention surveys
Dados Bibliográficos
Changes in sexual attitudes and behaviors and resurgence of the sex industry in China have increased concerns about HIV/AIDS and sexually transmitted infections (STI) epidemics. Little attention has been paid to the significant and growing sex industry in rural China. Promotion of barrier protection in this context is most effective to prevent STIs and pregnancy. The female condom (FC) is a barrier method that gives women more autonomy in its application, and has other advantages, but has been little promoted and tested in high risk contexts in China. The China/US Women's Health Project was designed to promote FC use in addition to male condoms (MC) through outreach intervention conducted in sex work establishments in rural and small urban towns in southern China, using the original prototype FC1. The study used quantitative and qualitative methods to document the pre-intervention context, intervention delivery process, and post-intervention outcomes of FC use. In this paper we compare post-intervention FC users and non-users in the first study sites, two rural towns in a single county in Hainan Province. Examination of cross-sectional six-month and 12-month surveys indicated that, despite relatively high MC use, about one-third of the women in sex work establishments in these rural towns had adopted FC at each post-intervention survey. Compared with non-users, FC users were more likely to be freelance women in boarding houses, more sexually experienced, married with children, more sexually active in the prior month, and more exposed to the intervention. The rural context hampered intervention implementation, particularly the significant limits in health and human resources available to manage prevention of HIV/STIs among women in the sex industry. These challenges highlight the need to better understand the context of the rural sex industry and capacity of local resources for better prevention efforts and the benefits that new prevention technologies like FC can offer
China · Condom · Economic growth · Environmental health · Family medicine · Geography · Outreach · Rural area · Sex work · Socioeconomics · Sociology · Adolescent Sexual and Reproductive Health · Demography · HIV, Drug Use, Sexual Risk · Medicine · Nursing · Sex work and related issues
Behavioral Studies of Female Sex Workers in China
The Acceptability of the Female Condom
Working to Prevent HIV/STIs Among Women in the Sex Industry in a Rural Town of Hainan, China
A Comparison of Health-Risk Behaviors of Rural Migrants With Rural Residents and Urban Residents in China
Can Variation in HIV/STD-Related Risk be Explained by Individual SES? Findings from Female Sex Workers in a Rural Chinese County
The future of female‐controlled barrier methods for HIV prevention
Opportunities for Woman-Initiated HIV Prevention Methods among Female Sex Workers in Southern China
The promises and limitations of female-initiated methods of HIV/STI protection
| Obras citantes distintas | 3 |
|---|---|
| Citações por ano | 0,2 |
| Intervalo de citações | 2011 - 2017 (7) |
| Velocidade de citação | historical |
| Altamente citado | Não |
| Tipos de citação | Neutras: 3 |