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The relational determinants of condom use with commercial sex partners in Thailand.
AIDS. 1995 May; 9(5):507-15.AIDS

Abstract

OBJECTIVE

To analyze the extent and determinants of condom use with commercial sex partners among lower socioeconomic status groups in the Thai population.

DESIGN

Respondents were sampled in Udon Thani, Saraburi and Bangkok in 1992. Completed sample size was 678 women in brothels, 330 male truck drivers and 1,075 men aged 17-45 years. Behavioral data and local sexual network information were collected using structured questionnaires (face-to-face interviews), focus groups and in-depth unstructured interviews.

METHODS

Data were analyzed using univariate and multivariate logistic regression.

RESULTS

Condom use with commercial partners remains inconsistent. Consistent use was reported by 61% of women in brothels, 25% of truck drivers, and 29% of men in the low-income population. The single strongest predictor of consistent condom use for all groups is type of partnership. Consistent use drops significantly with regular (multivisit) commercial sex partners compared with casual (single visit) commercial partners; adjusted odds of consistent use are 0.22 for women and 0.25 for men. Brothel women report that one in five of their commercial partners is a 'regular', and 20% of the young men who report a commercial partner report a 'regular'.

DISCUSSION

The strongest determinant of consistent condom use is the nature of the relational bond between the partners, rather than their individual characteristics, knowledge or attitudes. To raise condom use further, programs will have to move beyond the standard knowledge-attitudes-practices paradigm focus on individual attributes to address the contextual determinants of behavior.

Authors+Show Affiliations

Department of Sociology, Columbia University, New York, New York 10027, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

7639977

Citation

Morris, M, et al. "The Relational Determinants of Condom Use With Commercial Sex Partners in Thailand." AIDS (London, England), vol. 9, no. 5, 1995, pp. 507-15.
Morris M, Pramualratana A, Podhisita C, et al. The relational determinants of condom use with commercial sex partners in Thailand. AIDS. 1995;9(5):507-15.
Morris, M., Pramualratana, A., Podhisita, C., & Wawer, M. J. (1995). The relational determinants of condom use with commercial sex partners in Thailand. AIDS (London, England), 9(5), 507-15.
Morris M, et al. The Relational Determinants of Condom Use With Commercial Sex Partners in Thailand. AIDS. 1995;9(5):507-15. PubMed PMID: 7639977.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The relational determinants of condom use with commercial sex partners in Thailand. AU - Morris,M, AU - Pramualratana,A, AU - Podhisita,C, AU - Wawer,M J, PY - 1995/5/1/pubmed PY - 1995/5/1/medline PY - 1995/5/1/entrez KW - Asia KW - Barrier Methods KW - Behavior KW - Condom KW - Contraception KW - Contraceptive Methods KW - Data Collection KW - Developing Countries KW - Economic Factors KW - Family Planning KW - Focus Groups KW - Interviews KW - Low Income Population KW - Prostitutes--women KW - Research Methodology KW - Research Report KW - Risk Reduction Behavior--determinants KW - Sex Behavior KW - Social Class KW - Socioeconomic Factors KW - Socioeconomic Status KW - Southeastern Asia KW - Thailand SP - 507 EP - 15 JF - AIDS (London, England) JO - AIDS VL - 9 IS - 5 N2 - OBJECTIVE: To analyze the extent and determinants of condom use with commercial sex partners among lower socioeconomic status groups in the Thai population. DESIGN: Respondents were sampled in Udon Thani, Saraburi and Bangkok in 1992. Completed sample size was 678 women in brothels, 330 male truck drivers and 1,075 men aged 17-45 years. Behavioral data and local sexual network information were collected using structured questionnaires (face-to-face interviews), focus groups and in-depth unstructured interviews. METHODS: Data were analyzed using univariate and multivariate logistic regression. RESULTS: Condom use with commercial partners remains inconsistent. Consistent use was reported by 61% of women in brothels, 25% of truck drivers, and 29% of men in the low-income population. The single strongest predictor of consistent condom use for all groups is type of partnership. Consistent use drops significantly with regular (multivisit) commercial sex partners compared with casual (single visit) commercial partners; adjusted odds of consistent use are 0.22 for women and 0.25 for men. Brothel women report that one in five of their commercial partners is a 'regular', and 20% of the young men who report a commercial partner report a 'regular'. DISCUSSION: The strongest determinant of consistent condom use is the nature of the relational bond between the partners, rather than their individual characteristics, knowledge or attitudes. To raise condom use further, programs will have to move beyond the standard knowledge-attitudes-practices paradigm focus on individual attributes to address the contextual determinants of behavior. SN - 0269-9370 UR - https://www.unboundmedicine.com/medline/citation/7639977/The_relational_determinants_of_condom_use_with_commercial_sex_partners_in_Thailand_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=7639977.ui DB - PRIME DP - Unbound Medicine ER -