| Contextual influences on safer sex negotiation among female sex workers (FSWs) in Hong Kong: the role of non-governmental organizations (NGOs), FSWs' managers, and clients. | |
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MedLine Citation:
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PMID: 20401815 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Despite social-cognitive interventions to increase safer sex awareness, condom use among female sex workers (FSWs) continued to be inconsistent. To account for the possible influences of contextual factors that may hinder or promote FSWs' safer sex negotiation and condom use, the present study examined the effects of non-governmental organizations (NGOs), FSWs' managers, and clients on FSWs' negotiation efficacy and condom-use efficacy, and the effects of efficacy on condom use. One hundred and nineteen FSWs in Hong Kong completed a questionnaire that focused on their perceived influences of NGOs, managers, and clients toward safer sex negotiation and condom use. Hierarchical regression results showed that whereas NGOs' influence and clients' support were positively related to negotiation self-efficacy, managers' pressure, and clients' pressure were negatively related to negotiation self-efficacy. Managers' pressure was negatively related to condom-use self-efficacy. Logistic regression results showed that FSWs with high condom-use self-efficacy was 24 times more likely to use condom in the previous six months than their counterparts. The present study indicated the importance of social contexts in affecting FSWs' safer sex negotiation and condom-use self-efficacy. Implications on preventive programs for FSWs, managers, and clients were discussed. |
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Authors:
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Shannon S Y Cheng; Winnie W S Mak |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: AIDS care Volume: 22 ISSN: 1360-0451 ISO Abbreviation: AIDS Care Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-17 Completed Date: 2011-05-23 Revised Date: 2011-06-10 |
Medline Journal Info:
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Nlm Unique ID: 8915313 Medline TA: AIDS Care Country: England |
Other Details:
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Languages: eng Pagination: 606-13 Citation Subset: IM; X |
Affiliation:
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Department of Psychology, The Chinese University of Hong Kong, Hong Kong, SAR. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Condoms / utilization* Female HIV Infections / prevention & control*, transmission Health Knowledge, Attitudes, Practice Hong Kong Humans Logistic Models Negotiating* Organizations Prostitution / psychology, statistics & numerical data* Risk Factors Safe Sex / psychology, statistics & numerical data* Sexual Partners / psychology* Young Adult |
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