This study examined levels of AIDS knowledge and condom practices in a sample of female commercial sex workers (CSWs) in Bangladesh. The 284 subjects were questioned about AIDS knowledge using a 12-item AIDS knowledge and patterns of condom use questionnaire. The subjects had a moderate knowledge of AIDS with 61.5 percent of the sample responding correctly to 6 or more of the 12 AIDS knowledge questions. Those with high levels of AIDS knowledge used condoms at a higher rate than those with low levels of AIDS knowledge. These CSWs were predominantly young (36.6 percent) and illiterate (62.7 percent). Street-based CSWs were at greatest risk for acquiring HIV; many reported less frequent use of condom than brothel-based CSWs. The majority knew that condoms offered protection against HIV/AIDS, although only 11 percent reported using condoms prior to the day of survey. Misconception and confusion were identified regarding modes of transmission and prevention.
References
1.
WenigerB. G.BrownT., The March of AIDS through Asia (Editorial), The New England Journal of Medicine, 355: 5, pp. 343–344, 1996.
2.
JanaS.BandyopadhyayN.MukherjeeS.DuttaN.BasuI.SahaA., STD/HIV Intervention with Sex Workers in West Bengal, India, AIDS, 12: Suppl. B, pp. S101–S108, 1998.
3.
HyderA. A.KhanO., HIV/AIDS in Pakistan: The Context and Magnitude of an Emerging Threat, Journal of Epidemiology and Community Health, 52, pp. 579–585, 1998.
4.
FordK.WirawanD. N.ReedB. D.MuliawanP.SutargaM., AIDS and STD Knowledge, Condom Use and HIV/STD Infection among Female Sex Workers in Bali, Indonesia, AIDS Care, 12: 5, pp. 523–534, 2000.
5.
PrybylskiD.AltoW. A., Knowledge, Attitudes and Practices Concerning HIV/AIDS among Sex Workers in Phnom Penh, Cambodia, AIDS Care, 11: 4, pp. 459–472, 1999.
6.
HanenbergR.RojanapithayakornW., Changes in Prostitution and the AIDS Epidemic in Thailand, AIDS Care, 10, pp. 69–79, 1998.
7.
BollingerR. C.TripathyS. P.QuinnT. C., The Human Immunodeficiency Virus Epidemic in India: A Current Magnitude and Future Projections, Medicine, 74, pp. 97–106, 1995.
8.
ChelalaC., Burma: A Country's Health in Crisis, Lancet, 352, p. 556, 1998.
9.
KilmarxP. H.LimpakarnjanaratK.MastroT. D.SaisornS.KaewkungwalJ.KorattanaS.UthaivoravitW.YoungN. L.WenigerB. G.LouisM. E., HIV-1 Seroconversion in a Prospective Study of Female Sex Workers in Northern Thailand: Continued High Incidence among Brothel-Based Women, AIDS, 12, pp. 1889–1898, 1998.
10.
HabibS. E.AmanullahA. S. M.HasanK., AIDS Knowledge, Condom Use and Sexual Behavior Among Commercial Female Sex Workers in Bangladesh, Social Science Review, 17: 2, pp. 147–159, 2000.
11.
IslamM.MitraA.MianA. H.VermundS. H., HIV/AIDS in Bangladesh: A National Surveillance, International Journal of STD & AIDS, 10: 7, pp. 471–474, 1999.
12.
GibneyL.ChowdhuryP.KhawajaZ.SarkearM.IslamN.VermundS. H., HIV/AIDS in Bangladesh: An Assessment of Biomedical Risk Factors for Transmission, International Journal of STD & AIDS, 10, pp. 338–346, 1999.
13.
GibneyL.ChowdhuryP.KhawajaZ.SarkarM.VermundS. H., Behavioral Risk Factors for HIV/AIDS in a Low-HIV Prevalence Muslim Nation: Bangladesh, International Journal of STD & AIDS, 10, pp. 186–194, 1999.
14.
RichJ. D.NizamR.DasK.IslamS.AkhtarN.DickinsonB. P.FlaniganT. P.MayerK.CarpenterC. C. J., HIV and Syphilis Prevalence in Chittagong, Bangladesh, AIDS, 11: 5, pp. 703–704, 1997.
15.
UNAIDS and WHO, Epidemiological Fact Sheet on HIV/AIDS and Sexually Transmitted Infections, Geneva, 2000.
16.
SarkerS.IslamN.DurandinF.SiddiquiN.PandaS.JanaS.CorbittG.KlapperP.MandalD., Low HIV and High STD among Commercial Sex Workers in a Brothel in Bangladesh: Scope for Prevention of Larger Epidemic, International Journal of STD & AIDS, 9, pp. 45–47, 1998.
17.
BloemM.HoqueE.KhanamL.MahbubT. S.SalehinM.BegumS., HIV/AIDS and Female Street-Based Sex Workers in Dhaka City: What about Their Clients?Resistances to Behavioural Change to Reduce HIV/AIDS Infection, pp. 197–210, 1999.
18.
JenkinsC., Resistance to Condom Use in a Bangladesh Brothel, Resistances to Behavioural Change to Reduce HIV/AIDS Infection, pp. 211–222, 1999.
19.
Abdul-QuadirS., The Women in Need: The Street-Based Female Sex Workers in Dhaka City, CARE, Bangladesh, 1998.
20.
AmanullahS. M., Sexual Behaviour of Commercial Sex Workers in Bangladesh: A Sociological Analysis, Social Science Review, XIII: 2, pp. 243–263, 1996.
21.
HabibS. E.BhuiyanA. Q.HossainK. T.LovejoyF. H., Drug Use and Social Circumstances: A Study among Different Target Groups in Northwest Bangladesh, Japanese Journal of Alcohol & Drug Dependence, 36: 2, pp. 81–97, 2001.
22.
BhuiyaA.HanifiS. M. A.HossainM.AzizA., Effects of an AIDS Awareness Campaign on Knowledge about AIDS in a Remote Rural Area of Bangladesh, International Quarterly of Community Health Education, 19: 1, pp. 51–63, 2000.
23.
PandaS.ChatterjeeA.SarkarS.JalanK. N.MaitraT.MukherjeeS.MukherjeeB.DebB. C.Abdul-QuadirA. S., Injection Drug Use in Calcutta: A Potential Focus for an Explosive HIV Epidemic, Drug and Alcohol Review, 16, pp. 17–23, 1997.
24.
EicherA. D.CroftsN.BenjaminS.DeutschmannP.RodgerA. J., A Certain Fate: Spread of HIV among Young Injecting Drug Users in Manipur, North-East India, AIDS Care, 12: 4, pp. 497–504, 2000.
25.
ChakrabortyA. K.JanaS.DashA.KhodakevichL.ChakrabortyM. S., Community Based Survey of STD/HIV Infection among Commercial Sex Workers in Calcutta (India): Part I. Some Social Features of Commercial Sex Workers, Journal of Communicable Diseases, 26: 3, pp. 161–167, 1994.
26.
CaldwellB.PierisI., Continued High-Risk Behaviour among Bangladeshi Males, Resistances to Behavioural Change to Reduce HIV/AIDS Infection, pp. 183–196, 1999.
27.
WHO, Survey on Knowledge, Attitudes, Beliefs, and Practices Relating to HIV Infection: Research Package, Social and Behavioural Research Unit, Global Program in AIDS, Geneva, 1989.
28.
MitraS. N.AhmedA. S.CrossA. R.JamilK., Bangladesh Demographic and Health Survey, 1996–1997, National Institute of Population Research and Training (NIPORT), Mitra and Associates, and Macro International Inc., Dhaka and Calverton, Maryland: Pp. 141–144, 1997.
29.
National AIDS Committee (NAC), KAPB Survey in Relation to AIDS in Bangladesh, National AIDS Committee, Dhaka, Bangladesh, 1990.
30.
SarkarS. F.DurandinM. A.QuddusF. K.ChowdhuryN.MandalN., Preliminary Results on Effectiveness of Peer Outreach Intervention on Condom Use among Commercial Sex Workers (CSWs) in a Brothel of Bangladesh, paper presented at Fourth International Congress on AIDS in Asia and the Pacific, Manila, October, 1997.
31.
FultonE. L.KamaN.AhmedA. S.KhanM. I., Determination of AIDS Awareness and Knowledge among Rural Men and Women in Bangladesh, Special Publication No. 57, Dhaka, International Centre for Diarrhoeal Disease Research, Bangladesh, 1997.
32.
AmanullahA. S. M.DanielA., The Reaches and Role of Mass Media among High Risk Groups in Bangladesh, Social Science Review, XV: 1, pp. 217–238, 1998.
33.
Ministry of Health & Family Welfare (MOHFW), National Policy on HIV/AIDS and STD Related Issues, Government of the People's Republic of Bangladesh, Dhaka, 1997.
34.
AmanullahA. S. M.IslamS., HIV/AIDS and Condom Use: Knowledge, Attitude & Practice (KAP) Survey, (Baseline Report), Social Marketing Company (SMC)/Mitra and Associates, Dhaka, Bangladesh, 1996.
35.
NastasiB.SchensulJ. J.De SilvaAmarasiriM. W.VargasK.SchensulS., Community-Based Risk Prevention Program for Sri-Lankan Youth: Influencing Sexual Risk Decision Making, International Quarterly of Community Health Education, 18: 1, pp. 137–153, 1998.
