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Talking the talk, walking the walk: Social network norms, communication patterns, and condom use among the male partners of female sex workers in La Romana, Dominican Republic

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  • Barrington, Clare
  • Latkin, Carl
  • Sweat, Michael D.
  • Moreno, Luis
  • Ellen, Jonathan
  • Kerrigan, Deanna

Abstract

Male partners of female sex workers are rarely targeted by HIV prevention interventions in the commercial sex industry, despite recognition of their central role and power in condom use negotiation. Social networks offer a naturally existing social structure to increase male participation in preventing HIV. The purpose of this study was to explore the relationship between social network norms and condom use among male partners of female sex workers in La Romana, Dominican Republic. Male partners (N =Â 318) were recruited from 36 sex establishments to participate in a personal network survey. Measures of social network norms included 1) perceived condom use by male social network members and 2) encouragement to use condoms from social network members. Other social network characteristics included composition, density, social support, and communication. The primary behavioral outcome was consistent condom use by male partners with their most recent female sex worker partner during the last 3 months. In general, men reported small, dense networks with high levels of communication about condoms and consistent condom use. Multivariate logistic regression revealed consistent condom use was significantly more likely among male partners who perceived that some or all of their male social network members used condoms consistently. Perceived condom use was, in turn, significantly associated with dense networks, expressing dislike for condoms, and encouragement to use condoms from social network members. Findings suggest that the tight social networks of male partners may help to explain the high level of condom use and could provide an entry point for HIV prevention efforts with men. Such efforts should tap into existing social dynamics and patterns of communication to promote pro-condom norms and reduce HIV-related vulnerability among men and their sexual partners.

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  • Barrington, Clare & Latkin, Carl & Sweat, Michael D. & Moreno, Luis & Ellen, Jonathan & Kerrigan, Deanna, 2009. "Talking the talk, walking the walk: Social network norms, communication patterns, and condom use among the male partners of female sex workers in La Romana, Dominican Republic," Social Science & Medicine, Elsevier, vol. 68(11), pages 2037-2044, June.
    • Handle: RePEc:eee:socmed:v:68:y:2009:i:11:p:2037-2044
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    References listed on IDEAS

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    Cited by:

    1. Gloria Hongyee Chan & T. Wing Lo & Gabriel Kwun-Wa Lee & Cherry Hau-Lin Tam, 2020. "Social Capital and Social Networks of Hidden Drug Abuse in Hong Kong," IJERPH, MDPI, vol. 17(17), pages 1-15, August.
    2. Schmidt-Sane, Megan, 2022. "Male partners of female sex workers: The intersectional risk environment of HIV/AIDS in a Kampala informal settlement," Social Science & Medicine, Elsevier, vol. 298(C).
    3. Caitlin McLachlan & Tinashe Dune, 2020. "A Systematic Review of Factors Influencing Condom Use among Female Sex Workers," International Journal of Social Science Studies, Redfame publishing, vol. 8(5), pages 97-126, September.
    4. Yang, Cui & Latkin, Carl & Luan, Rongsheng & Nelson, Kenrad, 2010. "Peer norms and consistent condom use with female sex workers among male clients in Sichuan province, China," Social Science & Medicine, Elsevier, vol. 71(4), pages 832-839, August.
    5. Cooper, Jan E. & Dow, William H. & de Walque, Damien & Keller, Ann C. & McCoy, Sandra I. & Fernald, Lia C.H. & Balampama, Marianna P. & Kalolella, Admirabilis & Packel, Laura J. & Wechsberg, Wendee M., 2017. "Female sex workers use power over their day-to-day lives to meet the condition of a conditional cash transfer intervention to incentivize safe sex," Social Science & Medicine, Elsevier, vol. 181(C), pages 148-157.
    6. Mulawa, Marta & Yamanis, Thespina J. & Hill, Lauren M. & Balvanz, Peter & Kajula, Lusajo J. & Maman, Suzanne, 2016. "Evidence of social network influence on multiple HIV risk behaviors and normative beliefs among young Tanzanian men," Social Science & Medicine, Elsevier, vol. 153(C), pages 35-43.

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