Actions of female sex workers who experience male condom failure during penetrative sexual encounters with clients in Cape Town: implications for HIV prevention strategies

Ferdinand C. Mukumbang

Research output: Contribution to journalA1: Web of Science-article

Abstract

Background: Condom failure has always been found to coexist with condom usage, especially among sex workers.

Objective: To describe the actions of female sex workers when they are faced with situations of condom failure.

Methods: Using the survey design, the participants were selected through the snowball sampling method. Their responses were obtained using a structured questionnaire. A total of 100 questionnaires were analysed.

Results: With respect to the immediate actions of sex workers after condom failure, 36% of the respondents continued with the sexual encounter after noticing that the condom was broken. Another 36% stopped immediately when they noticed that the condom had failed, but replaced the condom; 13% of the participants stopped the sexual encounter completely; 3% applied vaginal spermicidal foam; and 5% of the respondents stopped immediately and took a douche when they had the chance. For the actions within the next 24 hours of experiencing condom failure with a client, 53% of the participants did nothing; 4% sought counsel from a professional; 3% of the respondents took alcohol or drugs to forget the incident, 25% went to the clinic for assistance and 8% offered other responses.

Conclusion: While continuing the sexual encounter without replacing the condom, taking alcohol and drugs or doing nothing could increase the risk of contracting HIV; however, actions like stopping the sexual encounter completely and visiting a clinic or a professional could make a difference between staying HIV negative or seroconverting. There is a need for targeted intervention to address issues of inappropriate behaviours after experiencing condom failure.

Original languageEnglish
Article number698
JournalSouthern African Journal of HIV Medicine
Volume18
Issue number1
Number of pages9
ISSN1608-9693
DOIs
Publication statusPublished - 2017

Keywords

  • RISK BEHAVIOR
  • SOUTH-AFRICA
  • ALCOHOL-USE
  • USE ERRORS
  • HEALTH
  • CHINA
  • REACH
  • PERSPECTIVES
  • POPULATIONS
  • BANGALORE

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