Survey of risk factors of unprotected sexual behavior among commercial sex workers in Shaoyang City

Objective To investigate the factors associated with unprotected sexual behavior among commercial sex workers(CSWs)in Shaoyang City.Methods The demographic characteristics and sexual behaviors among entertainment-based CSWs in Shaoyang city were surveyed and the results were analyzed.Results Among 450 CSWs,34.9% had unprotected sexual intercourse with clients in the last six month.Multivariate logistic regression analysis indicated that unprotected intercourse among CSWs was independently associated with lower average income(OR=2.50;95%,CI: 1.48-4.23),younger age of initiation into sex work(OR=2.30;95%,CI:1.36-3.90)and lower grade of the main business location with clients in the last six month(OR=5.56;95%,CI:2.65~11.65),the awareness of consistent use of condoms could prevent AIDS during sexual intercourse(OR=5.31;95%,CI:1.24,22.81),less support for condoms use by procuress or managers(OR=1.85;95%CI:1.07,3.19).Conclusions The results showed the unprotected sexual behaviors were popular in this city.The promotion of condom use among CSW was urgently needed for control of HIV transmission.