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Factors associated with consistent condom use and STIs among foreign female entertainment workers: results from a cross-sectional survey in Singapore.
Sex Transm Infect. 2017 03; 93(2):118-124.ST

Abstract

OBJECTIVES

We assessed the prevalence of consistent condom use and laboratory-confirmed STIs among foreign female entertainment workers (FEWs) who engaged in paid or casual sex in Singapore and the factors associated with these characteristics.

METHODS

A cross-sectional survey, using time-location sampling, was conducted on 220 FEWs (115 Vietnamese and 105 Thai) in 2015. For multivariable analysis, we used a mixed-effects Poisson regression model with backward stepwise approach to account for clustering by venue and to obtain the adjusted prevalence ratios (aPRs) of factors associated with consistent condom use and STI positivity, respectively.

RESULTS

Consistent condom use with paid or casual partners in the past month was 39.6% and 36.2% for vaginal and oral sex, respectively. The prevalence of STI (cervical chlamydia, cervical gonorrhoea or pharyngeal gonorrhoea) positivity was 13.6%. In multivariable analysis, consistent condom use for both vaginal and oral sex increased with high self-perceived risk of getting STI/HIV (vaginal: aPR 2.09; 95% CI 1.26 to 3.46; oral: aPR 2.41; 95% CI 1.23 to 4.69) and condom negotiation (vaginal: aPR 3.74; 95% CI 2.07 to 6.75; oral: aPR 2.81; 95% CI 1.51 to 5.26). STI positivity decreased with consistent condom use for vaginal sex (aPR 0.22; 95% CI 0.07 to 0.75) and increased with number of sexual partners (aPR 1.43; 95% CI 1.07 to 1.92).

CONCLUSION

In addition to advocating for policy decisions to provide a safer work environment, behavioural interventions on condom negotiation skills and condom use and biomedical interventions on STI/HIV testing and treatment interventions are needed among the FEWs in Singapore.

TRIAL REGISTRATION NUMBER

NCT02780986; pre-results.

Authors+Show Affiliations

Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore. Department of Sexually Transmitted Infections Control, National Skin Centre, Singapore, Singapore.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27388458

Citation

Lim, Raymond Boon Tar, et al. "Factors Associated With Consistent Condom Use and STIs Among Foreign Female Entertainment Workers: Results From a Cross-sectional Survey in Singapore." Sexually Transmitted Infections, vol. 93, no. 2, 2017, pp. 118-124.
Lim RB, Wong ML, Cheung ON, et al. Factors associated with consistent condom use and STIs among foreign female entertainment workers: results from a cross-sectional survey in Singapore. Sex Transm Infect. 2017;93(2):118-124.
Lim, R. B., Wong, M. L., Cheung, O. N., Tham, D. K., Tai, B. C., & Chan, R. (2017). Factors associated with consistent condom use and STIs among foreign female entertainment workers: results from a cross-sectional survey in Singapore. Sexually Transmitted Infections, 93(2), 118-124. https://doi.org/10.1136/sextrans-2015-052530
Lim RB, et al. Factors Associated With Consistent Condom Use and STIs Among Foreign Female Entertainment Workers: Results From a Cross-sectional Survey in Singapore. Sex Transm Infect. 2017;93(2):118-124. PubMed PMID: 27388458.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors associated with consistent condom use and STIs among foreign female entertainment workers: results from a cross-sectional survey in Singapore. AU - Lim,Raymond Boon Tar, AU - Wong,Mee Lian, AU - Cheung,Olive N Y, AU - Tham,Dede Kam Tyng, AU - Tai,Bee Choo, AU - Chan,Roy, Y1 - 2016/07/07/ PY - 2015/12/30/received PY - 2016/06/10/revised PY - 2016/06/18/accepted PY - 2016/7/9/pubmed PY - 2017/6/8/medline PY - 2016/7/9/entrez KW - BACTERIAL INFECTION KW - COMMERCIAL SEX KW - CONDOMS KW - PUBLIC HEALTH KW - SEXUAL BEHAVIOUR SP - 118 EP - 124 JF - Sexually transmitted infections JO - Sex Transm Infect VL - 93 IS - 2 N2 - OBJECTIVES: We assessed the prevalence of consistent condom use and laboratory-confirmed STIs among foreign female entertainment workers (FEWs) who engaged in paid or casual sex in Singapore and the factors associated with these characteristics. METHODS: A cross-sectional survey, using time-location sampling, was conducted on 220 FEWs (115 Vietnamese and 105 Thai) in 2015. For multivariable analysis, we used a mixed-effects Poisson regression model with backward stepwise approach to account for clustering by venue and to obtain the adjusted prevalence ratios (aPRs) of factors associated with consistent condom use and STI positivity, respectively. RESULTS: Consistent condom use with paid or casual partners in the past month was 39.6% and 36.2% for vaginal and oral sex, respectively. The prevalence of STI (cervical chlamydia, cervical gonorrhoea or pharyngeal gonorrhoea) positivity was 13.6%. In multivariable analysis, consistent condom use for both vaginal and oral sex increased with high self-perceived risk of getting STI/HIV (vaginal: aPR 2.09; 95% CI 1.26 to 3.46; oral: aPR 2.41; 95% CI 1.23 to 4.69) and condom negotiation (vaginal: aPR 3.74; 95% CI 2.07 to 6.75; oral: aPR 2.81; 95% CI 1.51 to 5.26). STI positivity decreased with consistent condom use for vaginal sex (aPR 0.22; 95% CI 0.07 to 0.75) and increased with number of sexual partners (aPR 1.43; 95% CI 1.07 to 1.92). CONCLUSION: In addition to advocating for policy decisions to provide a safer work environment, behavioural interventions on condom negotiation skills and condom use and biomedical interventions on STI/HIV testing and treatment interventions are needed among the FEWs in Singapore. TRIAL REGISTRATION NUMBER: NCT02780986; pre-results. SN - 1472-3263 UR - https://www.unboundmedicine.com/medline/citation/27388458/Factors_associated_with_consistent_condom_use_and_STIs_among_foreign_female_entertainment_workers:_results_from_a_cross_sectional_survey_in_Singapore_ L2 - https://sti.bmj.com/lookup/pmidlookup?view=long&pmid=27388458 DB - PRIME DP - Unbound Medicine ER -