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标题：Condom-Use Negotiation, Alcohol Consumption, and Hiv-Risk Sexual Behavior among Female Sex Workers in Kupang, East Nusa Tenggara, Indonesia: A Cross-Sectional Study
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作者：Khumaidi ; Sri Yona ; Agung Waluyo 等
期刊名称：Journal of Public Health Research
印刷版ISSN：2279-9028
电子版ISSN：2279-9036
出版年度：2022
卷号：10
期号：1
DOI：10.4081/jphr.2021.2334
语种：English
出版社：PAGEPress Publications
摘要：Background Female Sex Workers (FSW) play a crucial part in HIV transmission. Having unprotective condom during sexual activity can lead to HIV infection. Having lower power in condom negotiation with client can lead FSW not to using condoms during the sexual act. Alcohol consumption was also mediated HIV risk behavior among FSW. This study aimed to evaluate the relationship between condom use-negotiation, alcohol consumption and HIV-risk sexual behavior among female sex workers (FSW) in Kupang. Design and Methods A cross-sectional study was conducted with 125 FSWs aged 18 to 60 years recruited from Yayasan Tanpa Batas Kupang with consecutive sampling. The data were analyzed using univariate and the Chi-square test. Results The majority of FSWs (61.6%) reported had low negotiation condom use with their clients, about 77.6% reported high levels of alcohol consumption and 64.8% had high-risk sexual behavior. Condom-use negotiation (p-value: 0.003) and alcohol consumption (p-value: 0.037) were found to be significantly associated with HIV-risk sexual behavior. Conclusions Future interventions on HIV prevention should focus on empowering young FSWs with condom negotation skills in order to increase condum use. It is also recommended to include information about alcohol consumption and it's relationship wit HIV-risk behavior in order to have better health outcomes for FSW.
关键词：Alcohol consumption;condom-use negotiation;female sex worker;HIV;risk sexual behavior