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This disconnection between knowledge and behaviour may be explained by two factors found to be significantly associated with consistent condom use in our study—namely, economic barriers and lack of negotiation skill.The importance of negotiation skill was supported by another finding which shows the main reason for not using condoms with clients was not being able to persuade them.The most frequently reported reason for not using condoms with clients was not being able to persuade them (66.7%), while for non-paying partners, the reason was that they loved them (60.0%).Conclusion: To complement the government’s current programme of client education, 100% condom policy and brothel administrative measures, additional strategies to increase condom use among clients and non-paying partners should be directed at (i) the social policy and community levels to address sex workers’ economic and cultural barriers to condom use, and (ii) personal level empowerment through developing sex workers’ condom negotiation skills.— your daily roundup of casting news from Deal Central — Jessica Chastain is the third red-haired actress to join Dream Works' "The Help, Fernando Meirelles will direct a sexy drama from writer Peter Morgan, Danny Mc Bride calls Fred Ward "daddy," David Bowers lands a "Wimpy Kid" gig and Toby Kebbell returns from war.Previously on Deal Central: Peter Jackson looks to replace Guillermo del Toro on "The Hobbit," Wayne Kramer hunts down Pretty Boy Floyd and Alexander Skarsgard finds work on a Norwegian oil rig.Objectives: To determine the social and behavioural factors associated with condom use among direct sex workers in Siem Reap, Cambodia.Methods: Using a structured behavioural questionnaire, interviews were conducted with 140 direct sex workers attending a health centre in Siem Reap for HIV screening.

As the main reason for not using condoms was “love for their boyfriends,” innovative health education messages, designed to enhance compatibility to the romantic values in relationships, may contribute towards wider community efforts to increase condom use in this group.Results: Consistent condom use with their clients was reported by 78% of sex workers compared to only 20% with their non-paying partners.Consistent condom use with clients was significantly higher among higher income than lower income sex workers (adjusted prevalence ratio: 1.91, 95% CI: 1.15 to 3.18) and those with good rather than poor negotiation skills (adjusted prevalence ratio: 1.51, 95% CI: 1.01 to 2.26), after adjustment for age, educational level, marital status, number of sexual encounters per week, and knowledge of AIDS/HIV and sexually transmitted infections.The rapid spread of HIV/AIDS and sexually transmitted infections (STIs) in Cambodia has been attributed to extensive solicitation of sex workers by Cambodian men.The 100% condom use programme for entertainment establishments, implemented in 1998, has increased condom use among direct sex workers from 53.4% in 1998 to 78.1% in 1999 in the pilot area, with a concomitant significant decline in HIV.

The 100% condom policy has become, during 2002, a joint responsibility of the brothel owners, peer educators, community outreach workers, provincial health authorities, and sex workers.

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