Peer norms and consistent condom use with female sex workers among male clients in Sichuan province, China

Research output: Contribution to journalArticle

Abstract

Despite their crucial role in HIV infection and transmission, commercial sex male clients (CSMCs) are rarely studied. The purpose of this study was to examine the relationship between peer norms and consistent condom use with female sex workers (FSWs) among CSMCs in Sichuan province, China. Male clients with peers who had paid for sex (n = 562) were recruited by local health workers through snowball sampling. Measures of peer norms included 1) descriptive norms which were evaluated by perceptions of peer's condom attitudes and behaviors with FSWs; 2) injunctive norms which were assessed by the perceived peer approval of using condoms with FSWs; and 3) communication of HIV-related topics with peers. The outcome was consistent condom use with FSWs. Results of multivariate logistic regression models revealed that consistent condom use with FSWs was significantly more likely among male clients who perceived more pro-condom descriptive and injunctive norms among their peer groups. In addition, the pattern of commercial sex visits moderated the relations between peer norms and consistent condom use with FSWs. More peer approval of condom use and more HIV-related communication were significantly associated with consistent condom use among clients who visited FSWs with friends but not among those who visited FSWs alone. The findings suggest that social activities surrounding commercial sex visits may provide an entry point for HIV prevention intervention with men who patronize FSWs and that such efforts should tap into existing dynamics of social interaction to promote pro-condom norms.

Original languageEnglish (US)
Pages (from-to)832-839
Number of pages8
JournalSocial Science and Medicine
Volume71
Issue number4
DOIs
StatePublished - Aug 2010

Fingerprint

Sex Workers
Condoms
China
worker
HIV
Female Condoms
Logistic Models
Communication
Sichuan
Peers
Peer Group
Infectious Disease Transmission
Interpersonal Relations
communication
peer group
HIV Infections
logistics
AIDS/HIV
regression

Keywords

  • China
  • Commercial sex
  • Condoms
  • Female sex workers
  • HIV
  • Male sex clients
  • Peer norms

ASJC Scopus subject areas

  • Health(social science)

Cite this

@article{d152a9c299ab481abb71d67d805345c6,
title = "Peer norms and consistent condom use with female sex workers among male clients in Sichuan province, China",
abstract = "Despite their crucial role in HIV infection and transmission, commercial sex male clients (CSMCs) are rarely studied. The purpose of this study was to examine the relationship between peer norms and consistent condom use with female sex workers (FSWs) among CSMCs in Sichuan province, China. Male clients with peers who had paid for sex (n = 562) were recruited by local health workers through snowball sampling. Measures of peer norms included 1) descriptive norms which were evaluated by perceptions of peer's condom attitudes and behaviors with FSWs; 2) injunctive norms which were assessed by the perceived peer approval of using condoms with FSWs; and 3) communication of HIV-related topics with peers. The outcome was consistent condom use with FSWs. Results of multivariate logistic regression models revealed that consistent condom use with FSWs was significantly more likely among male clients who perceived more pro-condom descriptive and injunctive norms among their peer groups. In addition, the pattern of commercial sex visits moderated the relations between peer norms and consistent condom use with FSWs. More peer approval of condom use and more HIV-related communication were significantly associated with consistent condom use among clients who visited FSWs with friends but not among those who visited FSWs alone. The findings suggest that social activities surrounding commercial sex visits may provide an entry point for HIV prevention intervention with men who patronize FSWs and that such efforts should tap into existing dynamics of social interaction to promote pro-condom norms.",
keywords = "China, Commercial sex, Condoms, Female sex workers, HIV, Male sex clients, Peer norms",
author = "Cui Yang and Latkin, {Carl A} and Rongsheng Luan and Nelson, {Kenrad Edwin}",
year = "2010",
month = "8",
doi = "10.1016/j.socscimed.2010.04.039",
language = "English (US)",
volume = "71",
pages = "832--839",
journal = "Social Science and Medicine",
issn = "0277-9536",
publisher = "Elsevier Limited",
number = "4",

}

TY - JOUR

T1 - Peer norms and consistent condom use with female sex workers among male clients in Sichuan province, China

AU - Yang, Cui

AU - Latkin, Carl A

AU - Luan, Rongsheng

AU - Nelson, Kenrad Edwin

PY - 2010/8

Y1 - 2010/8

N2 - Despite their crucial role in HIV infection and transmission, commercial sex male clients (CSMCs) are rarely studied. The purpose of this study was to examine the relationship between peer norms and consistent condom use with female sex workers (FSWs) among CSMCs in Sichuan province, China. Male clients with peers who had paid for sex (n = 562) were recruited by local health workers through snowball sampling. Measures of peer norms included 1) descriptive norms which were evaluated by perceptions of peer's condom attitudes and behaviors with FSWs; 2) injunctive norms which were assessed by the perceived peer approval of using condoms with FSWs; and 3) communication of HIV-related topics with peers. The outcome was consistent condom use with FSWs. Results of multivariate logistic regression models revealed that consistent condom use with FSWs was significantly more likely among male clients who perceived more pro-condom descriptive and injunctive norms among their peer groups. In addition, the pattern of commercial sex visits moderated the relations between peer norms and consistent condom use with FSWs. More peer approval of condom use and more HIV-related communication were significantly associated with consistent condom use among clients who visited FSWs with friends but not among those who visited FSWs alone. The findings suggest that social activities surrounding commercial sex visits may provide an entry point for HIV prevention intervention with men who patronize FSWs and that such efforts should tap into existing dynamics of social interaction to promote pro-condom norms.

AB - Despite their crucial role in HIV infection and transmission, commercial sex male clients (CSMCs) are rarely studied. The purpose of this study was to examine the relationship between peer norms and consistent condom use with female sex workers (FSWs) among CSMCs in Sichuan province, China. Male clients with peers who had paid for sex (n = 562) were recruited by local health workers through snowball sampling. Measures of peer norms included 1) descriptive norms which were evaluated by perceptions of peer's condom attitudes and behaviors with FSWs; 2) injunctive norms which were assessed by the perceived peer approval of using condoms with FSWs; and 3) communication of HIV-related topics with peers. The outcome was consistent condom use with FSWs. Results of multivariate logistic regression models revealed that consistent condom use with FSWs was significantly more likely among male clients who perceived more pro-condom descriptive and injunctive norms among their peer groups. In addition, the pattern of commercial sex visits moderated the relations between peer norms and consistent condom use with FSWs. More peer approval of condom use and more HIV-related communication were significantly associated with consistent condom use among clients who visited FSWs with friends but not among those who visited FSWs alone. The findings suggest that social activities surrounding commercial sex visits may provide an entry point for HIV prevention intervention with men who patronize FSWs and that such efforts should tap into existing dynamics of social interaction to promote pro-condom norms.

KW - China

KW - Commercial sex

KW - Condoms

KW - Female sex workers

KW - HIV

KW - Male sex clients

KW - Peer norms

UR - http://www.scopus.com/inward/record.url?scp=77955086693&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77955086693&partnerID=8YFLogxK

U2 - 10.1016/j.socscimed.2010.04.039

DO - 10.1016/j.socscimed.2010.04.039

M3 - Article

VL - 71

SP - 832

EP - 839

JO - Social Science and Medicine

JF - Social Science and Medicine

SN - 0277-9536

IS - 4

ER -