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We examined condom breakage rates and predictors of breakage in a prospective telephone-based study of female sex workers FSWs in Bangalore, India. We obtained data on 3, condom-use sex acts, and breakage occurred in 2. Situational factors, especially those associated with male clients' behaviors, were the most important predictors of breakage, including sexual inexperience, roughness and violence. Breakage was also associated with having vaginal and anal sex at the same encounter and with poor-fitting condoms. Despite lower than expected breakage rates, the high client volume of FSWs means that there are many unprotected sex acts caused by breakage.
Discussions should be held around new education messages, and how programs can respond quickly when sex workers encounter clients who are inebriated, violent or unusually sexually charged. More work is urgently needed with police, and on FSW empowerment, the use of help lines, and counseling for the most vulnerable women.
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Similar articles Perspectives on condom breakage: a qualitative study of female sex workers in Bangalore, India. Gurav K, et al. Cult Health Sex. Epub Mar 3. PMID: Determinants of condom breakage among female sex workers in Karnataka, India. Bradley J, et al. BMC Public Health. Gender based violence as a risk factor for HIV-associated risk behaviors among female sex workers in Armenia. Lang DL, et al. AIDS Behav.
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Research Support, Non-U. Gov't Actions. MeSH terms Adolescent Actions. Adult Actions. Cross-Sectional Studies Actions. Educational Status Actions. Female Actions. Health Knowledge, Attitudes, Practice Actions. Humans Actions. Power, Psychological Actions. Prospective Studies Actions. Telephone Actions. Vulnerable Populations Actions. Related information MedGen.
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