Barriers to Condom Negotiation and Use Among Female Sex Workers in the United States and United States-Mexico Border Cities: A Systematic Review

• Published in: AIDS and behavior Vol. 27; no. 9; pp. 2855 - 2864
• Main Authors: Segosebe, Kebafe, Kirwan, Mitchell, Davis, Kelly Cue
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.09.2023; Springer Nature B.V
• Subjects: Barriers; Borders; Cities; Clients; Condoms; Cross-Sectional Studies; Disease transmission; Drinking behavior; Drug abuse; Dynamic stability; Female; Females; Health Psychology; HIV; HIV Infections - epidemiology; HIV Infections - prevention & control; Human immunodeficiency virus; Humans; Infectious Diseases; International boundaries; Intervention; Male; Medicine; Medicine & Public Health; Mexico - epidemiology; Negotiating; Power structure; Prophylaxis; Prostitution; Public Health; Reviews; Sex industry; Sex Workers; Sexual behavior; Sexually transmitted diseases; Socioeconomic status; Socioeconomics; STD; Substance abuse; Substantive Review; Systematic review; United States - epidemiology; United States; Mexico; United States > US; Female sex workers; Condom use barriers; Inconsistent condom use; Sexual transmitted infections; Human Immunodeficiency Virus
• ISSN: 1090-7165; 1573-3254
• DOI: 10.1007/s10461-023-04009-z

Despite the effectiveness of male condoms, many Female Sex Workers (FSWs) report using condoms infrequently with multiple clients during sexual activity. As such, inconsistent condom use by FSWs is a public health concern as it can increase STI and HIV transmission. This systematic review synthesized extant evidence regarding barriers to condom use experienced by FSWs in the U.S and U.S. – Mexico border towns. The search was conducted through PubMed, CINAL, Cochrane, Medline, and PsychInfo. Studies were included if: they were conducted in the U.S. or U.S. – Mexico borders, their target population was FSWs, they examined condom use barriers experienced by FSWs, and they were published in English between 2011 and February 2021. Condom use barriers among FSWs were reported in all the articles including alcohol consumption and drug use before sex, venue stability, socio-economic status vulnerability, violence and gendered power dynamics, trust of regular clients, and age. The review findings indicate the need to develop interventions promoting condom use for both FSWs and their clients, as well as alternative interventions for HIV prevention such as pre-exposure prophylaxis (PrEP).