We examined condom-use negotiation strategies and condom use among 81 female sex workers (FSWs) in Phnom Penh, Cambodia. Percentages of FSWs who did not negotiate condom use or could not describe a negotiation strategy with native clients, foreign clients, and non-paying partners were 15.0, 29.0 and 67.6 %, respectively. The most common negotiation strategy used was "provision of risk information" for native clients (43.8 %) and non-paying partners (26.5 %), and "direct request" for foreign clients (39.5 %). About half could not describe more than one negotiation strategy. Consistent condom use was high with native clients (98.8 %), yet comparatively lower with foreign clients (86.9 %) and non-paying partners (26.5 %). FSWs who did not negotiate or did not know how to negotiate condom use were less likely to report condom use with non-paying regular partners. Future interventions should enhance condom negotiation strategies between FSWs and all partner types.
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Acknowledgments We gratefully acknowledge the Fogarty International Center, US National Institutes of Health (AITRP D43 TW007669) and UTHealth Innovation for Cancer Prevention Research Post-doctoral Fellowship (CPRIT grant #RP101503) for funding this study and TCB’s postdoctoral training. We especially thank the staff at the Psycho-Social Service Association, Activities Social Welfare Office, Department of Social Affairs, Veteran & Youth Rehabilitation in Phnom Penh for their assistance with data collection. The content of the manuscript is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health—Fogarty International Center, the Cancer Prevention and Research Institute of Texas, or the Department of Social Affairs, Veteran & Youth Rehabilitation in Phnom Penh.
- Condom use
- Foreign clients
- Sex workers