A Multilevel Analysis of the Impact of Socio-Structural and Environmental Influences on Condom Use Among Female Sex Workers


This paper reports the results of a multilevel analysis of condom use among female Filipino sex workers (FSW) in the Philippines. Condom use is affected by organizational and social factors.

Researchers conducted a randomized controlled study of 1,382 female commercial sex workers who were assigned to three intervention groups: 1) peer education, 2) managerial training, and 3) combined peer and managerial intervention, and a usual care control group. FSWs who work in organizations that have strict common use rules tend to have higher levels of condom use. The combined peer and managerial intervention group had the largest effect on condom use when compared with the use care control group.