Socioecological differences in factors associated with inconsistent condom use with female sex workers and casual partners: an observational study of heterosexual men attending an anonymous HIV testing clinic in Singapore

Takashima K 1 , Yeoh GWJ 1 , Chua HE 1 , Ting PLM 1 , Chong JY 1 , Tan RKJ 2 Show all authors , Kaur N 3 , Mohdar LH 4 , Banerjee S 4 , Chan RKW 5 , Chen MI 6 , Wong CS 3

Affiliations 

  • 1 Yong Loo Lin School of Medicine, National University of Singapore, 1E Kent Ridge Road, NUHS Tower Block, Level 11, Singapore 119228, Singapore
  • 2 Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-01, Singapore 117549, Singapore; and Corresponding author. Email: rayner.tan@u.nus.edu
  • 3 National Centre for Infectious Diseases, 16 Jalan Tan Tock Seng, Singapore 308442, Singapore
  • 4 Action for AIDS Singapore, 9 Kelantan Lane #03-01, Singapore 208628, Singapore
  • 5 National Skin Centre, 1 Mandalay Road, Singapore 308205, Singapore
  • 6 Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-01, Singapore 117549, Singapore; and National Centre for Infectious Diseases, 16 Jalan Tan Tock Seng, Singapore 308442, Singapore
Sex Health, 2019 11;16(6):593-595.
PMID: 31615617 DOI: 10.1071/SH18230

Abstract

Sexual practices among heterosexual men may differ between female sex workers (FSWs) and casual partners. We surveyed 203 heterosexual men and investigated the attributes associated with inconsistent condom use among them. Lower educational attainment was positively associated with inconsistent condom use with FSWs (adjusted prevalence ratio (aPR) 2.63; P = 0.018) and casual partners (aPR 1.55; P = 0.022), whereas early age of sexual debut (aPR 3.00; P = 0.012) and alcohol use during sex (aPR 7.95; P < 0.001) were positively associated with inconsistent condom use with FSWs. Socioecological factors may explain such differences.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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