Predictors of Inconsistent Condom Use among Female Sex Workers: A Community-Based Study in a Red-Light Area of Kolkata, India

BACKGROUND: Condom is an integral part of all interventions for female sex workers (FSWs). However, certain situations hinder them from practicing consistent condom use. This paper aims at identifying the situations that predict inconsistent condom use by FSWs of Sonagachi red-light area, Kolkata. SUBJECTS AND METHODS: The cross-sectional community-based observational study was conducted among 296 brothel-based FSWs of Sonagachi. Outcome variable, that is, inconsistent condom use was said to be present if any sex act with any type of partner was not protected by condom. Association with sociodemographic, occupational, and behavioral characteristics of FSWs was examined. RESULTS: Inconsistent condom use was present among 37.5% of the study participants, and this was predicted by the presence of a nonpaying partner (NPP) (adjusted odds ratio [AOR] [95% confidence interval (CI)]: 15.04 [7.52–30.08]), violence (AOR [95% CI]: 2.08 [1.07–4.03]) and sexual intercourse under the influence of alcohol (AOR [95% CI]: 1.86 [1.02–3.39]). The major cause behind nonuse of condom as reported by the participants was trust on partner. CONCLUSION: NPPs need to be given emphasis in program strategies for FSWs. The FSWs should constantly be motivated for safe sex emphasizing the fact that trust on partner may be detrimental for their health.