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The Logic of Condom Use in Female Sex Workers in Bali, Indonesia

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  • Pande Putu Januraga

    (Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Bali 80232, Indonesia
    Discipline of Public Health, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia)

  • Julie Mooney-Somers

    (School of Public Health, Faculty of Medicine, University of Sydney, Sydney 2006, Australia)

  • Hailay Abrha Gesesew

    (Discipline of Public Health, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia
    Epidemiology, College of Health Sciences, Mekelle University, Mekelle 1871, Ethiopia)

  • Paul R Ward

    (Discipline of Public Health, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia)

Abstract

Studies on human immunodeficiency virus (HIV) prevention practices of female sex workers often examine the use of condom as a single behaviour: using or not using condom. This study explores typologies of the logic of condom use as part of exercising meaningful identities from female sex workers’ perspectives. We employed in-depth interviews with a purposely selected 35 female sex workers in Bali, Indonesia. Information from the in-depth interviews was analysed using thematic framework analysis to develop typologies of female sex workers’ experiences on the logic of condom use and its relation to the construction of identity. We identified two main logics for not using condom: the prioritising of financial stability and romantic relationships over condom use. The main logic for using condom was to protect their health in order to improve their future economic security. Embedded within these logics, women chose to practise agency and negotiate meaningful identities consistent with their ideals of being responsible mothers, successful migrant workers and loyal partners. Our study concluded that female sex workers had clear logics for both the use and non-use of condom with their clients, highlighting the rational nature of female sex workers decision making.

Suggested Citation

  • Pande Putu Januraga & Julie Mooney-Somers & Hailay Abrha Gesesew & Paul R Ward, 2020. "The Logic of Condom Use in Female Sex Workers in Bali, Indonesia," IJERPH, MDPI, vol. 17(5), pages 1-12, March.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1627-:d:327915
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    References listed on IDEAS

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    1. Annie George & Kim M Blankenship, 2015. "Peer Outreach Work as Economic Activity: Implications for HIV Prevention Interventions among Female Sex Workers," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-14, March.
    2. Lianne A Urada & Donald E Morisky & Nymia Pimentel-Simbulan & Jay G Silverman & Steffanie A Strathdee, 2012. "Condom Negotiations among Female Sex Workers in the Philippines: Environmental Influences," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-9, March.
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    Cited by:

    1. Gede Benny Setia Wirawan & Brigitta Dhyah K. Wardhani & Putu Erma Pradnyani & Afriana Nurhalina & Nurjannah Sulaiman & Evi Sukmaningrum & Luh Putu Lila Wulandari & Pande Putu Januraga, 2022. "Behavioral Changes, Adaptation, and Supports among Indonesian Female Sex Workers Facing Dual Risk of COVID-19 and HIV in a Pandemic," IJERPH, MDPI, vol. 19(3), pages 1-14, January.
    2. Nelsensius Klau Fauk & Maria Silvia Merry & Theodorus Asa Siri & Lillian Mwanri & Paul Russell Ward, 2021. "Structural, Personal and Socioenvironmental Determinants of HIV Transmission among Transgender Women in Indonesia," IJERPH, MDPI, vol. 18(11), pages 1-12, May.

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