Greater access to alternative female-initiated barrier methods, such as the female condom, is needed among women exchanging street sex. This study describes knowledge of and experience with the female condom among 101 women exchanging sex for money and drugs on the streets of New York City, and examines the acceptability of female condom use as an alternative barrier method for HIV/STD prevention among this population. Female condom use among this sample of sex workers was found to be related to having a regular sexual partner, living with someone who is a drug or alcohol abuser, not being homeless, using alcohol or intravenous heroin, having heard of the device, and having discussed the device with other women or with a regular sexual partner. Despite decreased acceptability post-use, most sex workers indicated an intention for future female condom use.
PIP: This study describes the knowledge and experience of the female condom among 101 women exchanging sex for money and drugs on the streets of New York City, and examines the acceptability of female condom use as an alternative barrier method for HIV and sexually transmitted disease (STD) prevention among this population. Samples included were African American, never married, and with an average age of 35.9 years. The result shows that women who were single and never married were more likely to use the female condom than those who were married, separated, divorced, or widowed. Moreover, those who lived with someone having drug or alcohol problems were more likely to use female condoms than their counterparts than those who were homeless, women with a place to live were more likely to use female condoms. These suggest that the female condom may be feasible alternative barrier method for STD and HIV prevention among women engaging in commercial sex work. Despite decreased acceptability post-use, most sex workers indicated an intention for future female condom use.