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AIDS Research and Treatment
Volume 2014, Article ID 314145, 7 pages
Research Article

Correlates of Inconsistent Refusal of Unprotected Sex among Armenian Female Sex Workers

1Center for Health Services Research and Development, American University of Armenia, 40 Baghramyan Avenue, 0019 Yerevan, Armenia
2Emory University, Rollins School of Public Health, Atlanta, GA 30322, USA
3Emory Center for AIDS Research, Atlanta, GA 30322, USA
4Department of Pediatrics, Division of Infectious Diseases, Epidemiology, and Immunology, Emory University School of Medicine, Atlanta, GA 30322, USA
5Department of Medicine (Infectious Diseases), Emory University School of Medicine, Atlanta, GA 30322, USA

Received 20 May 2014; Revised 9 September 2014; Accepted 24 September 2014; Published 1 October 2014

Academic Editor: Otoniel Martinez-Maza

Copyright © 2014 Karine Markosyan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This cross-sectional study assessed the prevalence and correlates of inconsistent refusal of unprotected sex among female sex workers (FSWs) in Armenia. One hundred and eighteen street-based FSWs between the ages of 20 and 52 completed a questionnaire assessing FSWs’ demographic, psychosocial, and behavioral characteristics. A total of 52.5% () of FSWs reported inconsistent refusal of unprotected sex with clients in the past 3 months. Logistic regression analysis controlling for participants’ age and education revealed that perceiving more barriers toward condom use (AOR = 1.1; ), reporting more types of abuse (AOR = 2.1; ), and setting lower fees for service (AOR = 0.9; ) significantly predicted inconsistent refusal of unprotected sex. HIV-risk-reduction behavioral interventions tailored to FSWs working in Yerevan Armenia should address the factors identified in this study toward the goal of enhancing refusal of unprotected sex and ultimately preventing acquisition of sexually transmitted infections (STIs) including HIV.