Researchers conducted this study to explore sex workers’ accounts of condom use and their recommendations about how condoms might be improved.
Researchers conducted in-depth interviews were conducted with 22 female sex workers in sex work premises in London.
The consistent and effective use of condoms depends on client selection, sex worker control of the condom, communication skills, and condom- and sex-related skills. The design of facilities, how the encounter was structured, and alarm call systems were vital to generating an environment in which sex worker control of the interaction was feasible. A wide range of practices used for ‘safer sex’, including the use of simulated vaginal sex, skills in fitting the condom in a sexually arousing way, checking the condom placement during intercourse, and holding onto the condom during withdrawal, were described but awareness of such practices was piecemeal. Several sex workers said that particular care is needed when using condoms in men with a small penis and pointed out to the authors that a smaller condom would be useful.
The study concluded that environmental factors and a range of sex- and condom-related skills in ‘safer sex’ are essential. Environmental ‘safety’ features could be addressed through a licensing system for sex work premises.
Reference: https://srh.bmj.com/content/33/2/107
