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Journal of Sexually Transmitted Diseases
Volume 2014 (2014), Article ID 952035, 7 pages
Research Article

Prevalence and Predictors of Self-Reported Consistent Condom Usage among Male Clients of Female Sex Workers in Tamil Nadu, India

AIDS Prevention and Control Project, Voluntary Health Services (VHS), Rajiv Gandhi Road, T.T.T.I. Post Adyar, Chennai, Tamil Nadu 113 600, India

Received 25 March 2013; Revised 30 April 2014; Accepted 8 May 2014; Published 1 June 2014

Academic Editor: Bea Vuylsteke

Copyright © 2014 Saumya Rastogi 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.


Clients of female sex workers (FSWs) possess a high potential of transmitting HIV and other sexually transmitted infections from high risk FSWs to the general population. Promotion of safer sex practices among the clients is essential to limit the spread of HIV/AIDS epidemic. The aim of this study is to estimate the prevalence of consistent condom use (CCU) among clients of FSWs and to assess the factors associated with CCU in Tamil Nadu. 146 male respondents were recruited from the hotspots who reportedly had sex with FSWs in exchange for cash at least once in the past one month. Data were analyzed using bivariate and multivariate methods. Overall, 48.6 and 0.8 percent clients consistently used condoms in the past 12 months with FSWs and regular partners, respectively. Logistic regression showed that factors such as education, peers’ use of condoms, and alcohol consumption significantly influenced clients’ CCU with FSWs. Strategies for safe sex-behaviour are needed among clients of FSWs in order to limit the spread of HIV/AIDS epidemic in the general population. The role of peer-educators in experience sharing and awareness generation must also be emphasized.