Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Factors associated with condom use with non-commercial partners among transgender women in Cambodia
Kolab Chhim

Last modified: 2018-08-10

Abstract


Background

The rate of consistent condom use among transgender women in Cambodia remains persistently low. This study explores factors associated with consistent condom use with their non-commercial partners among transgender women in Cambodia.

Materials and methods

In 2016, Respondent Driven Sampling (RDS) method was used to recruit 1203 transgender women from 13 provinces for a national survey. A multivariate logistic regression model was constructed to identify independent factors associated consistent condom use.

 

Results

Of total, 41.6% of the study sample reported not always using condoms with non-commercial partners in the past three months. The likelihood of consistent condom use was significantly higher among participants who reported being unmarried but living with a sexual partner, self-perceiving high HIV risks, high alcohol consumption, having both insertive and receptive role in anal sex with men, and using condom inconsistently with commercial partners in the past three months.

 

Conclusions

This study confirms the persistently low rate of condom use, particularly in non-commercial relationship among transgender women in Cambodia. To address these concerns, efforts towards condom use and safer sex key messaging to transgender women should be increased. Education about harmful effects of multiple, concurrent relationships, and inconsistent condom should be reinforced among transgender women.