Correlates of inconsistent refusal of unprotected sex among Armenian female sex workers

Karine Markosyan, Delia L. Lang, Ralph DiClemente

Research output: Contribution to journalArticle

Abstract

This cross-sectional study assessed the prevalence and correlates of inconsistent refusal of unprotected sex among female sex workers (FSWs) in Armenia. One hundred and eighteen street-based FSWs between the ages of 20 and 52 completed a questionnaire assessing FSWs' demographic, psychosocial, and behavioral characteristics. A total of 52.5% (n = 62) of FSWs reported inconsistent refusal of unprotected sex with clients in the past 3 months. Logistic regression analysis controlling for participants' age and education revealed that perceiving more barriers toward condom use (AOR = 1.1; P < 0.01), reporting more types of abuse (AOR = 2.1; P < 0.01), and setting lower fees for service (AOR = 0.9; P = 0.02) significantly predicted inconsistent refusal of unprotected sex. HIV-risk-reduction behavioral interventions tailored to FSWs working in Yerevan Armenia should address the factors identified in this study toward the goal of enhancing refusal of unprotected sex and ultimately preventing acquisition of sexually transmitted infections (STIs) including HIV.

Original languageEnglish (US)
Article number314145
JournalAIDS Research and Treatment
Volume2014
DOIs
StatePublished - Jan 1 2014

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Unsafe Sex
Sex Workers
Armenia
Mandatory Reporting
HIV
Fee-for-Service Plans
Condoms
Risk Reduction Behavior
Sexually Transmitted Diseases
Cross-Sectional Studies
Logistic Models
Regression Analysis
Demography
Education

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Immunology and Allergy
  • Infectious Diseases
  • Dermatology

Cite this

Correlates of inconsistent refusal of unprotected sex among Armenian female sex workers. / Markosyan, Karine; Lang, Delia L.; DiClemente, Ralph.

In: AIDS Research and Treatment, Vol. 2014, 314145, 01.01.2014.

Research output: Contribution to journalArticle

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