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Published online by Cambridge University Press:  03 May 2011

Centre for Health Services Research and Development, American University of Armenia, Yerevan, Armenia College of Public Health, University of South Florida, Tampa, FL, USA
Rollins School of Public Health, Emory University, Atlanta, GA, USA Emory Centre for AIDS Research, Atlanta, GA, USA
Rollins School of Public Health, Emory University, Atlanta, GA, USA Emory Centre for AIDS Research, Atlanta, GA, USA Department of Paediatrics, Division of Infectious Diseases, Epidemiology and Immunology & Department of Medicine (Infectious Diseases), Emory University School of Medicine, Atlanta, GA, USA
Mailman School of Public Health, Columbia University, New York, NY, USA
Centre for Health Services Research and Development, American University of Armenia, Yerevan, Armenia


This study sought to assess the prevalence of consistent condom application on male clients by female sex workers (FSWs) in Armenia and its association with demographic, psychosocial and behavioural factors. In this cross-sectional study, 120 street-based FSWs aged 20–52 completed an interviewer-administered questionnaire. The primary outcome measure was consistent application of condoms by FSWs on their male clients. A total of 21.7% of participants reported consistently applying condoms on clients. Logistic regression analysis demonstrated that higher condom use self-efficacy (Adjusted Odds Ratio, AOR=1.1; p=0.01), lower perceived condom use barriers (AOR=0.9; p=0.04) and not using douching as a method to prevent STI/HIV (AOR=4.8; p=0.04) significantly predicted consistent condom application. Higher HIV/AIDS knowledge was a marginally significant predictor of condom application (AOR=1.3; p=0.05). Future interventions should address these modifiable factors to encourage FSWs to apply condoms on clients themselves, which may reduce condom failure and exposure to HIV transmission.

Research Article
Copyright © Cambridge University Press 2011

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