Abstract
This study examined predictors of HIV testing, successful condom negotiation with clients, and self-reported sexually transmitted infections (STIs) among Vietnamese female sex workers (FSW). Data were collected by using face-to-face interviews from a community sample of 610 FSW from Nha Trang city during October–December, 2000. Having had an HIV test was associated with having spent time in a rehabilitation center. Consistently successful negotiation of condom use occurred most among FSW who had few clients, understood how HIV was not transmitted, and had not reported ever having any symptoms of STIs. Migration to Nha Trang for sex work was a risk factor for an STI diagnosis; successful negotiation of condom use had a protective effect. Our results suggest the need for voluntary HIV counseling and testing, further promotion of condom use among FSW populations, and better use of rehabilitation sites to promote HIV prevention.
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Boonchalaksi, W., and Guest, P. (1998). Prostitution in Thailand. In L. L. Lim (Ed.), The sex sector: The economic and social bases of prostitution in Southeast Asia (pp. 130–169). Geneva: International Labour Office.
Celentano, D. D., Akarasewi, P., Sussman, L., Suprasert, S., Matanasarawoot, A., Wright, N. H., Theetranont, C., and Nelson, K. E. (1994). HIV-1 infection among lower class commercial sex workers in Chiang Mai, Thailand. AIDS, 8, 533–537.
Cox, S., and Shipley, M. (1997). Counting the uncatchable? An epidemiological method for counting drug misusers. Social Psychiatry and Psychiatric Epidemiology, 32, 19–23.
Elmer, L. (2000). HIV/AIDS Intervention Data on Commercial Sex Workers in Vietnam: A Review of Recent Research Findings (Technical Report). Hanoi: Population Council.
Family Health International. (2001). HIV behavioral surveillance survey: Vietnam 2000 (BSS Round 1 Results, English Report). Retrieved October 10, 20003 from http://www.fhi.org/en/HIVAIDS/Publications/survreports/BSS+Vietnam+2000.htm.
Gray, J., Dore, G. J., Li, Y., Supawitkul, S., Effler, P., and Kaldor, J. M. (1997). HIV-1 infection among female commercial sex workers in rural Thailand. AIDS, 11, 89–94.
Hay, G., and McKeganey, N. (1996). Estimating the prevalence of drug misuse in Dundee, Scotland: An application of capture-recapture methods. Epidemiology and Community Health, 50, 469–472.
Hien, N. T., Long, H. T., Chi, P. K., van Ameijden, E. J. C., Walter Deville, W., and Wolffers, I. (1999). HIV monitoring in Vietnam: System, methodology, and results of sentinel surveillance. Journal of Acquired Immune Deficiency Syndromes, 21, 338–346.
Larson, A., and Bammer, G. (1996). Why? Who? How? Estimating numbers of illicit drug users: Lessons from a case study from the Australian Capital Territory. Australian and New Zealand Journal of Public Health, 20(5), 493–499.
Limanonda, B. (1993). The demographic and behavioral study of female commercial sex workers in Thailand (IPS Publication No.210/93). Bangkok: Chulalongkorn University, Institute of Population Studies.
Limpakarnjanarat, K., Mastro, T. D., Saisorn, S., Uthaivoravit, W., Kaewkungwal, J., Korattana, S., Young, N. L., Morse, S. A., Schmid, D. S., Weniger, B. G., and Neiburg, P. (1998). HIV-1 and other sexually transmitted infections in a cohort of female sex workers in Chiang Rai, Thailand. Sexually Transmitted Infections, 75, 30–35.
Maxwell, J. C. (2000). Methods for estimating the number of “hard-core” drug users. Substance Use & Misuse, 35(3) 399–400
McKeganey, N., Barnard, M., and Bloor, M. (1994). Challenges and Innovation: Social Research on HIV/AIDS: How Many Prostitutes? Epidemiology out of Ethnography. The Glascow Prostitute Study. (Technical Report). Glasgow: University of Glasgow.
Minh, L., Nhan, D. T., West, G. R., Durant, T., Jenkins, R. A., and Valdiserri, R. (2004). Sex workers in Vietnam: How many, how risky? AIDS Education & Prevention, 16, 389–404.
Phanuphak, P., Muller, O., Sarangbin, S., and Sittitrai, W. (1994). Knowledge attitudes and behaviour among HIV-positive and HIV-negative clients of a confidential HIV counseling and testing center in Thailand. AIDS, 8, 1315–1319.
Sawanpanyalert, P., Ungchusak, K., Thanprasertsuk, S., and Akarasewi, P. (1994). HIV-1 seroconversion rates among female commercial sex workers, Chiang Mai, Thailand: A multi cross-sectional study. AIDS, 8, 825–829.
Sedyaningsih-Mamahit, E. R., and Gortmaker, S. L. (1999). Determinants of safer-sex behaviors of brothel female commercial sex workers in Jakarta, Indonesia. Journal of Sex Research, 36, 190–197.
Shenassa, E. D. (1999). Commentary: Application of the capture-recapture method to epidemiological studies of alcohol related problems. Alcoholism: Clinical and Experimental Research, 23(11), 1843–1847.
Siraprapasiri, T., Thanprasertsuk, S., Rodklay, A., Srivanichakorn, S., Sawanpanyalert, P., and Temtanarak, J. (1991). Risk factors for HIV among prostitutes in Chiangmai, Thailand. AIDS, 5, 579–582.
Thuy, N. T. T., Nhung, V. T., Thuc, N. V., Lien, T. X., and Khiem, H. B. (1998). HIV infection and risk factors among female sex workers in southern Vietnam. AIDS, 12, 425–432.
UNAIDS. (2004a). Combodia Country Profile. Geneva: Author.
UNAIDS. (2004b). Vietnam Country Profile. Geneva: Author.
Ungchusak, K., Rehle, T., Thammapornpilap, P., Spiegelman, D., Brinkmann, U., and Siraprapasiri, T. (1996). Determinants of HIV infection among female commercial sex workers in Northeastern Thailand: Results from a longitudinal study. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology, 12, 500–507.
Ungphakorn, J., and Sittitrai, W. (1994). The Thai response to the HIV/AIDS epidemic, AIDS, 8(Suppl 2), S155–S163.
Weniger, B. G., Limpakarnjanarat, K., Ungchusak, K., Thanprasertsuk, S., Choopanya, K., Vanichseni, S., Uneklabh, T., Thongcharoen, P., and Wasi, C. (1991). The epidemic of HIV infection and AIDS in Thailand. AIDS, 5, S71–S85.
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Grayman, J.H., Nhan, D.T., Huong, P.T. et al. Factors Associated with HIV Testing, Condom Use, and Sexually Transmitted Infections Among Female Sex Workers in Nha Trang, Vietnam. AIDS Behav 9, 41–51 (2005). https://doi.org/10.1007/s10461-005-1680-5
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DOI: https://doi.org/10.1007/s10461-005-1680-5