Acceptability of circumcision among clients of female sex worker in Hong Kong

AIDS Behav. 2012 Oct;16(7):1836-45. doi: 10.1007/s10461-011-0088-7.

Abstract

Clients of female sex workers (CFSW) are at high risk of HIV transmission. Circumcision reduces the risk of heterosexual transmission of HIV. A total of 353 CFSW were interviewed using a combined interviewer-computer-assisted method. Amongst the participants, 28.0% were circumcised, whilst 63.8% of the uncircumcised participants were willing to take up circumcision (conditioned on being briefed about a 50% potential risk reduction effect). In a stepwise logistic regression model, frequency of patronizing female sex workers and factors related to the Health Belief Model were significantly associated with conditional willingness. Amongst uncircumcised participants, 20.9% anticipated risk compensation (i.e. would use condoms less frequently after being circumcised). Adjusting for background variables, inconsistent condom use during commercial sex and self-reported STD history in the last 6 months were significantly associated with anticipated risk compensation. It is feasible to promote circumcision among CFSW but such programs also need to promote condom use.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Asian People / psychology
  • Asian People / statistics & numerical data
  • Attitude to Health*
  • Circumcision, Male / psychology*
  • Circumcision, Male / statistics & numerical data
  • Condoms / statistics & numerical data
  • Female
  • HIV Infections / prevention & control*
  • HIV Infections / psychology
  • HIV Infections / transmission
  • Health Surveys
  • Hong Kong / epidemiology
  • Humans
  • Intention*
  • Interviews as Topic
  • Logistic Models
  • Male
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Risk Reduction Behavior
  • Sex Workers
  • Sexual Behavior / psychology
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Young Adult