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The influence of power, poverty and agency in the negotiation of condom use for female sex workers in mainland China

Bibliographic Data

ID9744880
AuthorsSo Yung Choi (0000-0003-3879-2915, Chinese University of Hong Kong, corresponding author), Susanne Y P Choi, Eleanor Holroyd (0000-0002-2993-8823, RMIT University)
Year2007
Volume9
Issue5
Pages489-503
Publication date2007-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691050701220446
PMID17687674
OpenAlexW2118569533
LanguageEN
Citations received92
References cited14

This paper analyses barriers to consistent condom use in the context of transactional sex among female sex workers in mainland China. It reveals how differences in socioeconomic profile and organisational hierarchies amongst different groups of sex workers create different barriers to condom use. Data was collected by means of field observation of entertainment venues and in-depth interviews. Findings suggest that, compared with other sex workers, street-walkers are less likely to use condoms with their clients, hold highly disadvantaged socioeconomic profiles and work in isolation. Major barriers to condom use link to economic deprivation and threats of violence from clients. For the women working in entertainment venues, drunkenness of clients, pricing mechanisms and familiarity with clients pose barriers to condom use. Yet within all these constraints women are not powerless and instead find ways to exercise agency and gain personal protection and economic advantage. In the newly emerging China, both structural hierarchies of work and individual agency inform condom use by female sex workers. Future HIV intervention programmes need to take these factors into account in order to meet the needs of different groups of women sex workers

China · Condom · Disadvantaged · Economic growth · Economics · Environmental health · Geography · Mainland China · Political science · Population · Poverty · Sex work · Socioeconomic status · Sociology · Transactional sex · HIV, Drug Use, Sexual Risk · Medicine · Psychology · Sex work and related issues · Sexuality, Behavior, and Technology

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    Open Access•Jennifer Sherwood, Jennifer A Sherwood et al.•BMC Public Health•2015

  • Work-related violence and inconsistent condom use with non-paying partners among female sex workers in Adama City, Ethiopia

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    L Graham, Lucy P Jordan et al.•Journal of Youth Studies•2017

  • Condom Use with Female Sex Workers among Male Clients in Sichuan Province, China

    Open Access•Peng Yang, Carl Latkin et al.•Journal of Urban Health•2010

  • From Empowerment to Exploitation

    Open Access•I Johansson, Michael A Hansen•Sexuality & Culture•2023

  • Sexuality and the Dimensions of Power

    Open Access•C Brickell•Sexuality & Culture•2009

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  • Theorizing the Relationship Between Gender and Health Through a Case Study of Nepalese Street-Based Female Sex Workers

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  • China's 100 Per Cent Condom Use Program

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  • I Am Almost a Breadwinner for My Family”

    Open Access•Sharvari Karandikar, Kaitlin Casassa et al.•Affilia•2021

  • Client-Inflicted Violence and Coping Strategies Among Sex Workers in China

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  • Government crackdown of sex work in China

    Open Access•Yingying Huang, Suiming Pan•Global Public Health•2014

  • Understanding the diversity of male clients of sex workers in China and the implications for HIV prevention programmes

    Open Access•Yingying Huang, Suzanne Maman et al.•Global Public Health•2012

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    Open Access•Yingying Huang, Kathryn E Muessig et al.•Global Public Health•2015

  • Occupational safety and HIV risk among female sex workers in China

    Open Access•H Yi, Tiantian Zheng et al.•Global Public Health•2012

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    Open Access•Joanne E Mantell, Michael T LeVasseur et al.•Global Public Health•2015

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  • Social Environmental Factors and Condom Use Among Female Injection Drug Users who are Sex Workers in China

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  • Dual Epidemics of Drug Use and Syphilis Among Chinese Female Sex Workers

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  • Consistent Condom Use by Female Sex Workers in Kolkata, India

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  • Prevalence and Correlates of Female Condom Use and Interest Among Injection Drug-Using Female Sex Workers in Two Mexico–US Border Cities

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    Open Access•Joseph D Tucker, Joseph Tucker et al.•Social Science & Medicine•2010

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  • HIV knowledge and risk behaviour of female sex workers in Yunnan Province, China

    Therese Hesketh, Junyi Zhang et al.•AIDS Care•2005

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    Open Access•W M Wechsberg, Winnie K Luseno et al.•AIDS and Behavior•2006

  • Social Factors Related to Risk for Violence and Sexually Transmitted Infections/HIV Among Asian Massage Parlor Workers in San Francisco

    Open Access•Tooru Nemoto, Mariko Iwamoto et al.•AIDS and Behavior•2004

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    Open Access•Shuquan Qu, Wei Liu et al.•AIDS and Behavior•2002

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  • The Night Is Young

    Richard Parker, H Carrillo•Contemporary Sociology A Journal…•2003

  • Prostitutes, prostitution and STD/HIV transmission in Mainland China

    Open Access•Vincent E Gil, Marco S Wang et al.•Social Science & Medicine•1996

  • Gender and HIV risk behavior among intravenous drug users in Sichuan Province, China

    Open Access•So Yung Choi, Susanne Y P Choi et al.•Social Science & Medicine•2006

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    Judith R Walkowitz•Signs: Journal of Women in…•1980

  • Is a Feminist Stance in Support of Prostitution Possible? An Exploration of Current Trends

    Open Access•Kari Kesler•Sexualities•2002

  • What's Wrong with Prostitution? Evaluating Sex Work

    Christine Overall•Signs: Journal of Women in…•1992

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