The Role of Relationship Intimacy in Consistent Condom Use Among Female Sex Workers and Their Regular Paying Partners in the Dominican Republic
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Prior research has demonstrated an important link between relationship intimacy and condom use. Limited research has been conducted on this connection within the realm of female sex work. We examined the association between perceived relationship intimacy and consistent condom use among 258 female sex workers and 278 male regular paying partners who participated in a cross-sectional survey in the Dominican Republic. In multivariate analysis, higher intimacy among sex workers and regular paying partners was negatively associated with consistent condom use. Among those reporting higher perceived intimacy, male participants were more than twice as likely to report consistent condom use as female participants. Female sex workers in relationships of higher perceived intimacy are at greater risk of HIV/AIDS than their male regular paying partners. Gender-sensitive HIV prevention programs are needed to address the differential influence of relationship intimacy on condom use in the context of sex work.
- Albert, A., Warner, D. L., & Hatchery, R. A. (1998). Facilitating condom use with clients during commercial sex in Nevada’s legal brothels. American Journal of Public Health, 88(4), 643–646. CrossRef
- Castañeda, X., Ortiz, V., Allen, B., Garcia, C., & Hernandez-Avila, M. (1996). Sex masks: The double life of female commercial sex workers in Mexico City. Culture, Medicine, and Psychiatry, 20(2), 229–247. CrossRef
- CESDEM (1996). Informe de resultados. Encuesta sobre conocimientos, creencias, actitudes y practicas acerca del VIH/SIDA en trabajadoras sexuales y hombres involucrados en la industria del sexo en Santo Domingo. Santo Domingo: Dominican Republic.
- CESDEM (1999). Informe de resultados. Encuesta sobre conocimientos, creencias, actitudes y practicas acerca del VIH/SIDA en trabajdoras sexuales y hombres involucrados en la industria del sexo de la Republica Dominicana. Santo Domingo: Dominican Republic.
- Cross, S., & Madson, L. (1997). Models of the self: Self-construals and gender. Psychology Bulletin, 122(1), 5–37. CrossRef
- Dorfman, L. E, Derish, P. A., & Cohen, J. B. (1992). Hey girlfriend: An evaluation of AIDS prevention among women in the sex industry. Health Education Quarterly, 19(1), 25–40.
- Gebhardt, W. A., Kuyper, L., & Greunsven, G. (2003). Need for intimacy in relationships and motives for sex as determinants of adolescent condom use. Journal of Adolescent Health, 33, 154–164. CrossRef
- Green, W. (1997). Econometric analysis. Upper Saddle River, NJ: Prentice Hall.
- Hook, M. K., Gerstein, L. H., Detterich, L., & Gridley, B. (2003). How close are we? Measuring intimacy and examining gender differences. Journal of Counseling and Development, 81, 462–472.
- Kashima, Y., Yamaguchi, S., Kim, U., Choi, S., Gelfand, M., & Yuki, M. (1995). Culture, gender, and self: A perspective from individualism–collectivism research. Journal of Personality and Social Psychology, 69(5), 925–937. CrossRef
- Kerrigan, D., Ellen, J. M., Moreno, L., Rosario, S., Katz, J., Celentano, D. D., & Sweat, M. (2003). Environmental-structural factors significantly associated with consistent condom use among female sex workers in the Dominican Republic. AIDS, 17, 1–9. CrossRef
- Kerrigan, D., Moreno, L., Rosario, S., Butler, M., de Moya, E., & Sweat, M. (1997). Formative research for a 100% condom program in the Dominican Republic. Arlington, VA: AIDSCAP/Family Health International/USAID.
- Kerrigan, D., Moreno, L., Rosario, S., & Sweat, M. (2001). Adapting the Thai 100% condom programme: Developing a culturally appropriate model for the Dominican Republic. Culture, Health and Sexuality, 3(2), 221–240. CrossRef
- Madson, L., & Trafimow, D. (2001). Gender comparisons in the private, collective and allocentric selves. Journal of Social Psychology, 141(4), 551–559. CrossRef
- Mgalla, Z., & Pool, R. (1997). Sexual relationships, condom use and risk perception among female bar workers in northwest Tanzania. AIDS Care, 9(4), 407–416. CrossRef
- Nishigaya, K. (2002). Female garment factory workers in Cambodia: Migration, sex work and HIV/AIDS. Women and Health, 35(4), 27–42. CrossRef
- Outwater, A., Nkya, L., Lwihula, G., O’Connor, P., Leshabari, M., Nguma, J., Mwizarubi, B., Laukamm-Josten, U., Green, E. C., & Hassig, S. E. (2000). Patterns of partnership and condom use in two communities of female sex workers in Tanzania. Journal of the Association of Nurses in AIDS Care, 11(4), 46–54. CrossRef
- Pickering, H., Quigley, M., Hayes, R. J., Todd, J., & Wilkins, A. (1993). Determinants of condom use in 24,000 prostitute/client contacts in the Gambia. AIDS, 7(8), 1093–1098. CrossRef
- Pilkington, C. J., Kern, W., & Indest, D. (1994). Is safer sex necessary with a “safe” partner? Journal of Sex Research, 31, 203–210. CrossRef
- Pivnick, A. (1993). HIV infections and the meaning of condoms. Culture, Medicine, and Psychiatry, 17(4), 431–453. CrossRef
- Remien, R. H., Caballo-Dieguez, A., & Wagner, G. (1995). Intimacy and sexual risk behaviour in serodiscordant male couples. AIDS Care, 7(4), 429–439. CrossRef
- Reis, H., Senchak, M., & Solomon, B. (1985). Sex differences in the intimacy of social interaction: Further examination of potential explanations. Journal of Personality and Social Psychology, 48(5), 1204–1217. CrossRef
- Rogers, W. (1993). Regression standard errors in clustered samples. Stata Technical Bulletin, 13, 19–23.
- Sanders, T. (2002). The condom as psychological barrier: Female sex workers and emotional management. Feminism and Psychology, 12(4), 561–566. CrossRef
- Seal, D., Wagner-Raphael, L., & Ehrhardt, A. (2000). Sex, intimacy, and HIV: An ethnographic study of a Puerto Rican social group in New York City. Journal of Psychology and Human Sexuality, 11(4), 51–92. CrossRef
- Sobo, E. J. (1993). Inner-city women and AIDS: The psychosocial benefits of unsafe sex. Culture, Medicine, and Psychiatry, 17, 455–485. CrossRef
- Sobo, E. J. (1995). Finance, romance, social support, and condom use among impoverished inner-city women. Human Organization, 54(2), 115–127.
- Theodore, P. S., Duran, R. E., Antoni, M. H., & Fernandez, M. I. (2004). Intimacy and sexual behavior among HIV-positive men-who-have-sex-with-men in primary relationships. AIDS Behavior, 8(3), 321–331. CrossRef
- Tice, D. M., & Baumeister, R. F. (2001). The primacy of the interpersonal self. In C. Sedikides, & M. B. Brewer (Eds.), Individual self, relational self, collective self (pp. 71–88). Ann Arbor: Sheridan Books-Braun Brumfield.
- Tschann, J., Alder, N., Millstein, S., Gurvey, J., & Ellen, J. M. (2002). Relative power between sexual partners and condom use among adolescents. Journal of Adolescent Health, 31, 17–25. CrossRef
- Walden, V. M., Mwangulube, K., & Makhumula-Nkhoma, P. (1999). Measuring the impact of a behaviour change intervention for commercial sex workers and their potential clients in Malawi. Health Education Research, 14(4), 545–554. CrossRef
- Warr, D. J., & Pyett, P. M. (1999). Difficult relations: Sex work, love and intimacy. Sociology of Health and Illness, 21(3), 290–309. CrossRef
- Wawer, M. J., Podhisita, C., Kanungsukkasem, U., Pramualratana, A., & McNamara, R. (1996). Origins and working conditions of female sex workers in urban Thailand: Consequences of social context for HIV transmission. Social Science and Medicine, 42(3), 453–462. CrossRef
- Wong, M. L., Lubek, I., Dy, B. C., Pen, S., Kros, S., & Chhit, M. (2003). Social and behavioral factors associated with condom use among direct sex workers in Siem Reap, Cambodia. Sexually Transmitted Infections, 79(2), 163–165. CrossRef
- The Role of Relationship Intimacy in Consistent Condom Use Among Female Sex Workers and Their Regular Paying Partners in the Dominican Republic
AIDS and Behavior
Volume 11, Issue 3 , pp 463-470
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- Dominican Republic
- Female sex workers
- Male clients
- Condom use
- Industry Sectors
- Author Affiliations
- 1. Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, E5523A, Baltimore, MD, 21205, USA
- 2. Centro de Orientación e Investigación Integral (COIN), Santo Domingo, Dominican Republic
- 3. Johns Hopkins School of Medicine, Baltimore, MD, USA