Talking the talk, walking the walk: Social network norms, communication patterns, and condom use among the male partners of female sex workers in La Romana, Dominican Republic

Clare Barrington, Carl A Latkin, Michael D. Sweat, Luis Moreno, Jonathan Ellen, Deanna Kerrigan

Research output: Contribution to journalArticle

Abstract

Male partners of female sex workers are rarely targeted by HIV prevention interventions in the commercial sex industry, despite recognition of their central role and power in condom use negotiation. Social networks offer a naturally existing social structure to increase male participation in preventing HIV. The purpose of this study was to explore the relationship between social network norms and condom use among male partners of female sex workers in La Romana, Dominican Republic. Male partners (N = 318) were recruited from 36 sex establishments to participate in a personal network survey. Measures of social network norms included 1) perceived condom use by male social network members and 2) encouragement to use condoms from social network members. Other social network characteristics included composition, density, social support, and communication. The primary behavioral outcome was consistent condom use by male partners with their most recent female sex worker partner during the last 3 months. In general, men reported small, dense networks with high levels of communication about condoms and consistent condom use. Multivariate logistic regression revealed consistent condom use was significantly more likely among male partners who perceived that some or all of their male social network members used condoms consistently. Perceived condom use was, in turn, significantly associated with dense networks, expressing dislike for condoms, and encouragement to use condoms from social network members. Findings suggest that the tight social networks of male partners may help to explain the high level of condom use and could provide an entry point for HIV prevention efforts with men. Such efforts should tap into existing social dynamics and patterns of communication to promote pro-condom norms and reduce HIV-related vulnerability among men and their sexual partners.

Original languageEnglish (US)
Pages (from-to)2037-2044
Number of pages8
JournalSocial Science and Medicine
Volume68
Issue number11
DOIs
StatePublished - Jun 2009

Fingerprint

Dominican Republic
communication pattern
Sex Workers
Condoms
Social Support
Walking
social network
Communication
worker
HIV
communication
Social Norms
Social Networks
social structure
Sex Work
social support
vulnerability
logistics
Sexual Partners
Negotiating

Keywords

  • Dominican Republic
  • Female sex work
  • HIV
  • Male clients
  • Norms
  • Social networks

ASJC Scopus subject areas

  • Health(social science)

Cite this

Talking the talk, walking the walk : Social network norms, communication patterns, and condom use among the male partners of female sex workers in La Romana, Dominican Republic. / Barrington, Clare; Latkin, Carl A; Sweat, Michael D.; Moreno, Luis; Ellen, Jonathan; Kerrigan, Deanna.

In: Social Science and Medicine, Vol. 68, No. 11, 06.2009, p. 2037-2044.

Research output: Contribution to journalArticle

@article{b6f0f61b300f4aab8000ef40e24a9db5,
title = "Talking the talk, walking the walk: Social network norms, communication patterns, and condom use among the male partners of female sex workers in La Romana, Dominican Republic",
abstract = "Male partners of female sex workers are rarely targeted by HIV prevention interventions in the commercial sex industry, despite recognition of their central role and power in condom use negotiation. Social networks offer a naturally existing social structure to increase male participation in preventing HIV. The purpose of this study was to explore the relationship between social network norms and condom use among male partners of female sex workers in La Romana, Dominican Republic. Male partners (N = 318) were recruited from 36 sex establishments to participate in a personal network survey. Measures of social network norms included 1) perceived condom use by male social network members and 2) encouragement to use condoms from social network members. Other social network characteristics included composition, density, social support, and communication. The primary behavioral outcome was consistent condom use by male partners with their most recent female sex worker partner during the last 3 months. In general, men reported small, dense networks with high levels of communication about condoms and consistent condom use. Multivariate logistic regression revealed consistent condom use was significantly more likely among male partners who perceived that some or all of their male social network members used condoms consistently. Perceived condom use was, in turn, significantly associated with dense networks, expressing dislike for condoms, and encouragement to use condoms from social network members. Findings suggest that the tight social networks of male partners may help to explain the high level of condom use and could provide an entry point for HIV prevention efforts with men. Such efforts should tap into existing social dynamics and patterns of communication to promote pro-condom norms and reduce HIV-related vulnerability among men and their sexual partners.",
keywords = "Dominican Republic, Female sex work, HIV, Male clients, Norms, Social networks",
author = "Clare Barrington and Latkin, {Carl A} and Sweat, {Michael D.} and Luis Moreno and Jonathan Ellen and Deanna Kerrigan",
year = "2009",
month = "6",
doi = "10.1016/j.socscimed.2009.03.009",
language = "English (US)",
volume = "68",
pages = "2037--2044",
journal = "Social Science and Medicine",
issn = "0277-9536",
publisher = "Elsevier Limited",
number = "11",

}

TY - JOUR

T1 - Talking the talk, walking the walk

T2 - Social network norms, communication patterns, and condom use among the male partners of female sex workers in La Romana, Dominican Republic

AU - Barrington, Clare

AU - Latkin, Carl A

AU - Sweat, Michael D.

AU - Moreno, Luis

AU - Ellen, Jonathan

AU - Kerrigan, Deanna

PY - 2009/6

Y1 - 2009/6

N2 - Male partners of female sex workers are rarely targeted by HIV prevention interventions in the commercial sex industry, despite recognition of their central role and power in condom use negotiation. Social networks offer a naturally existing social structure to increase male participation in preventing HIV. The purpose of this study was to explore the relationship between social network norms and condom use among male partners of female sex workers in La Romana, Dominican Republic. Male partners (N = 318) were recruited from 36 sex establishments to participate in a personal network survey. Measures of social network norms included 1) perceived condom use by male social network members and 2) encouragement to use condoms from social network members. Other social network characteristics included composition, density, social support, and communication. The primary behavioral outcome was consistent condom use by male partners with their most recent female sex worker partner during the last 3 months. In general, men reported small, dense networks with high levels of communication about condoms and consistent condom use. Multivariate logistic regression revealed consistent condom use was significantly more likely among male partners who perceived that some or all of their male social network members used condoms consistently. Perceived condom use was, in turn, significantly associated with dense networks, expressing dislike for condoms, and encouragement to use condoms from social network members. Findings suggest that the tight social networks of male partners may help to explain the high level of condom use and could provide an entry point for HIV prevention efforts with men. Such efforts should tap into existing social dynamics and patterns of communication to promote pro-condom norms and reduce HIV-related vulnerability among men and their sexual partners.

AB - Male partners of female sex workers are rarely targeted by HIV prevention interventions in the commercial sex industry, despite recognition of their central role and power in condom use negotiation. Social networks offer a naturally existing social structure to increase male participation in preventing HIV. The purpose of this study was to explore the relationship between social network norms and condom use among male partners of female sex workers in La Romana, Dominican Republic. Male partners (N = 318) were recruited from 36 sex establishments to participate in a personal network survey. Measures of social network norms included 1) perceived condom use by male social network members and 2) encouragement to use condoms from social network members. Other social network characteristics included composition, density, social support, and communication. The primary behavioral outcome was consistent condom use by male partners with their most recent female sex worker partner during the last 3 months. In general, men reported small, dense networks with high levels of communication about condoms and consistent condom use. Multivariate logistic regression revealed consistent condom use was significantly more likely among male partners who perceived that some or all of their male social network members used condoms consistently. Perceived condom use was, in turn, significantly associated with dense networks, expressing dislike for condoms, and encouragement to use condoms from social network members. Findings suggest that the tight social networks of male partners may help to explain the high level of condom use and could provide an entry point for HIV prevention efforts with men. Such efforts should tap into existing social dynamics and patterns of communication to promote pro-condom norms and reduce HIV-related vulnerability among men and their sexual partners.

KW - Dominican Republic

KW - Female sex work

KW - HIV

KW - Male clients

KW - Norms

KW - Social networks

UR - http://www.scopus.com/inward/record.url?scp=65749118180&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=65749118180&partnerID=8YFLogxK

U2 - 10.1016/j.socscimed.2009.03.009

DO - 10.1016/j.socscimed.2009.03.009

M3 - Article

C2 - 19356834

AN - SCOPUS:65749118180

VL - 68

SP - 2037

EP - 2044

JO - Social Science and Medicine

JF - Social Science and Medicine

SN - 0277-9536

IS - 11

ER -