AIDS and Behavior

, Volume 11, Issue 2, pp 325–334 | Cite as

Correlates of HIV Risk and Preventive Behaviors in Armenian Female Sex Workers

  • Karine M. Markosyan
  • Talin Babikian
  • Ralph J. DiClemente
  • Jennifer S. Hirsch
  • Samvel Grigoryan
  • Carlos del Rio
Original Paper


This study describes HIV risk and preventive behaviors and their correlates among Armenian female commercial sex workers (CSWs) as a prerequisite to developing gender and culturally appropriate interventions. Ninety-eight CSWs from three Armenian cities were interviewed using a structured questionnaire. Quantitative findings were further elaborated by focus group discussions (N = 25) and key informant interviews (N = 8). Inconsistent condom use with all types of sexual partners was reported, as were condom tear/slippage, alcohol and drug use, and sex with drug injecting clients. Prominent misconceptions regarding HIV transmission, prevention and disease manifestations were noted. Correlates of condom use intentions included history of substance use, attitudes regarding condom use, risk perception, and comfort negotiating condom use. Intentions to use condoms were strongly associated with recent frequency of condom use. Understanding the relationship between condom use and its determinants is critical in the design and implementation of effective prevention programs tailored for Armenian CSWs.


HIV/AIDS Behavioral interventions Armenia Commercial sex workers Condoms 



The project was supported in part by the NIH/FIC/AIDS International Training and Research Program of Emory University (D43 TW01042) and the NIH/NIAID Center for AIDS Research of Emory University (2P30 AI 50409-04A1).


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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Karine M. Markosyan
    • 1
    • 6
  • Talin Babikian
    • 2
  • Ralph J. DiClemente
    • 3
  • Jennifer S. Hirsch
    • 4
  • Samvel Grigoryan
    • 5
  • Carlos del Rio
    • 7
  1. 1.Health Education Association NGOYerevanArmenia
  2. 2.Psychiatry and Biobehavioral SciencesUCLA School of MedicineLos AngelesUSA
  3. 3.Center for AIDS Research and Rollins School of Public HealthEmory UniversityAtlantaUSA
  4. 4.Department of Socio-Medical Sciences, Mailman School of Public HealthColumbia UniversityNew YorkUSA
  5. 5.National Center for AIDS PreventionYerevanArmenia
  6. 6.AIDS International Training and Research Program of Emory UniversityAtlantaUSA
  7. 7.Center for AIDS Research and Department of MedicineEmory University School of MedicineAtlantaUSA

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