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Trend and Factors Associated with Condom Use Among Male Clients of Female Sex Workers in Hong Kong: Findings of 13 Serial Behavioural Surveillance Surveys

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Abstract

This study investigated the trend and associated factors of condom use among male clients of female sex workers (CFSW) in Hong Kong. A total of 25,443 males of the general population were screened to identify 2,330 CFSW via 13 rounds of population-based serial cross-sectional telephone surveys during 1998 through 2015. Over time, there were no significant changes in condom use with various types of female sex partners (p ranged 0. 219–0.837) and prevalence of self-reported STI (p = 0.975) in the past 6 months. Decrease in the prevalence of non-regular sex partners (p < 0.001) and increase in perceived efficacy of condom use for HIV prevention (p = 0.028) were observed. Perceived efficacy of condom use for HIV prevention and self-reported STI experience were significantly associated with condom use with various types of female sex partners in the past 6 months. No evident improvement for condom use was found. Tailored intervention programs are warranted.

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Acknowledgements

The authors would like to thank all participants who have taken part in this study and all research assistances for their support on data collection. The study was supported by the Hong Kong Council for the AIDS Trust Fund.

Funding

This study was funded by the Hong Kong Council for the AIDS Trust Fund (Grant Number MSS 241R).

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Authors and Affiliations

  1. The School of Public Health, Sun Yat-sen University, Guangzhou, China

    Jinghua Li

  2. Sun Yat-sen Global Health Institute, Sun Yat-sen University, Guangzhou, China

    Jinghua Li

  3. School of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China

    Joseph T. F. Lau

  4. The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong, China

    Joseph T. F. Lau, Yee Ling Ma & Mason M. C. Lau

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  1. Jinghua Li
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Correspondence to Joseph T. F. Lau.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Li, J., Lau, J.T.F., Ma, Y.L. et al. Trend and Factors Associated with Condom Use Among Male Clients of Female Sex Workers in Hong Kong: Findings of 13 Serial Behavioural Surveillance Surveys. AIDS Behav 22, 2235–2247 (2018). https://doi.org/10.1007/s10461-018-2148-8

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