Exploration of commercial sex workers' experiences of condom use in coastal and border areas : A Qualitative Study

Authors

DOI:

https://doi.org/10.56294/saludcyt20251770

Keywords:

Commercial sex workers, men having sex with men, condoms

Abstract

Background: Sexual behavior is the basis of self-identity in society, men who have sex with men (MSM) have a certain role in the spread of HIV AIDS, as a group at high risk, of course the use of condoms is very important in preventing the spread sexually transmitted diseases. Tarakan is the only city in the North Kalimantan region and is part of the coastal area bordering Malaysia, besides Tarakan is one of the industrial centers in Kalimantan with an island that has limited access to other regions. The number of industry and workers from outside have caused prostitution in Tarakan to become increasingly rampant, the existence of application facilities specifically for LSL makes it easier their space to carry out sexual transactions.
Objective: The objective of this study was to explore the experiences of male commercial sex workers regarding condom use in the area borders and coast of Tarakan City.
Methods: This study uses a phenomenological approach with in-depth interviews. Participants are male sex workers who work. As Commercial Sex Workers (CSWs) who have worked as CSWs for at least 12 months, in-depth interviews were conducted directly from July to August 2024, followed by transcription, coding, theme determination and analysis with 30 participants.
Results: The results of interviews with female PSK found: (1) Self-perception, (2) Support for MSM  application facilities and social environment, (3) economic background, (4) condom negotiation skills, (5) self-acceptance as a risk of sex work.
Conclusion: CSWs with an MSM background make their self-perception a form of abnormality in their sexual orientation, thus making it... as a reason for working as a PSK based on sexual needs, poor economic background, work as a male commercial  sex worker
Men are supported by the many MSM applications or groups available and can monitor the existence and types of sexual services offered in the application. Furthermore, in sexual activities/sexual services, the ability to negotiate the use of condoms is also influenced by economic needs, social needs, and sexual, sexual imagination that encourages challenging sex, so that condom use is not optimal.

References

UNAIDS. (2021). HIV and Stigma and Discrimination. 1–6. ttps://www.unaids.org

Centers for Disease Control and Prevention. (2022). About HIV. Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention. June. https://www.cdc.gov/hiv/basics/whatishiv.html

Krishnaratne, S., Hensen, B., Cordes, J., Enstone, J., & Hargreaves, J.R. (2016). Interventions to strengthen the HIV prevention cascade: a systematic review of reviews. The Lancet HIV, 3(7), e307–e317. https://doi.org/10.1016/S2352-3018(16)30038-8

De Torres, R. Q. (2020). Facilitators and barriers to condom use among Filipinos: A systematic review of literature. Health Promotion Perspectives, 10(4), 306–315. https://doi.org/ 10.34172/hpp.2020.49

Deuba, K., Kohlbrenner, V., Koirala, S., & Ekström, A. M. (2018). Condom use behaviour among people living with HIV: a seven-country community-based participatory research in the Asia-Pacific region. Sexually Transmitted Infections, 94(3), 200–205. https://doi.org/10.1136/sextrans-2017-053263

Jin, M., Yang, Z., Dong, Z., & Han, J. (2013). Correlates of consistent condom use among men who have sex with men recruited through the Internet in Huzhou city: A cross-sectional survey. BMC Public Health, 13(1). https://doi.org/10.1186/1471-2458-13-1101

Tatlow, C., Heywood, S., Hodgson, C., Cunningham, G., Conron, M., Ng, H. Y., Georgiou, H., & Pound, G. (2021). Physiotherapy-assisted prone or modified prone positioning in ward-based patients with COVID-19: a retrospective cohort study. Physiotherapy. https://doi.org/10.1016/j.physio.2021.09.001

6. Manjengwa, P. G., Mangold, K., Musekiwa, A., & Kuonza, L. R. (2019). Cognitive and behavioural determinants of multiple sexual partnerships and condom use in South Africa: Results of a national survey. Southern African Journal of HIV Medicine, 20(1), 1–9. https://doi.org/10.4102/sajhivmed.v20i1.868

Herbst, J.H., Sherba, R.T., Crepaz, N., DeLuca, J.B., Zohrabyan, L., Stall, R.D., & Lyles, C.M. (2005). A meta-analytic review of HIV behavior

Sidjabat FN , setiawan A , Sofro MA , Hadisaputro S. (2017) Men Who Have Sex with Men, HIV and Their Sexual Behaviour in Semarang. Jurnal Kesehatan Reproduksi, 8(2), 2017: 131-142 DOI: 10.22435/kespro.v8i2.6753.131-142

Leddy, A., Chakravarty, D., Dladla, S., Bruynb, G. de, Lynae, & Darbes2. (2017). Sexual communication self-efficacy, hegemonic masculine norms and condom use among heterosexual couples https://doi.org/ 10.1080/09540121.2015.1080792.Sexual in South 139–148.Africa. Physiology & Behavior,176(3).

.Aholou, T.M., Nanin, J., Drumhiller, K., & Sutton, M.Y. (2017). Opportunities for HIV prevention communication during sexual encounters with black men who have sex with men. AIDS Patient Care and STDs, 31(1), 33–40. https://doi.org/10.1089/apc.2016.0220

Browne J, minichiello (1994) The Condom : why more people don’t put itr on. https://doi.org/10.1111/1467-9566.ep11347391

Browne J, minichiello (1994) The Condom : why more people don’t put itr on. https://doi.org/10.1111/1467-9566.ep11347391

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Published

2025-06-04

How to Cite

1.
Parman DH, Yona S, Waluyo A, Wispriyono B. Exploration of commercial sex workers’ experiences of condom use in coastal and border areas : A Qualitative Study. Salud, Ciencia y Tecnología [Internet]. 2025 Jun. 4 [cited 2025 Jun. 21];5:1770. Available from: https://sct.ageditor.ar/index.php/sct/article/view/1770