Vietnam Population and AIDS Indicator Survey 2005 ... - Measure DHS
Vietnam Population and AIDS Indicator Survey 2005 ... - Measure DHS
Vietnam Population and AIDS Indicator Survey 2005 ... - Measure DHS
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6.5 HIGHER-RISK SEX<br />
Condom use is an important tool in the fight to curtail the spread of HIV/<strong>AIDS</strong>. Although truly<br />
effective protection would require condom use at every sexual encounter, the most important sexual<br />
encounters in which to use condoms are those considered to be “higher risk.” In the context of this survey,<br />
higher-risk sex is defined as sex with a non-marital, noncohabitating<br />
partner in the 12 months preceding the survey.<br />
Tables 6.2.1 <strong>and</strong> 6.2.2 show the proportion of women <strong>and</strong><br />
men who were sexually active in the 12 months preceding<br />
the survey <strong>and</strong> had engaged in higher-risk sex, <strong>and</strong> among<br />
the men, the proportion that used a condom the most recent<br />
time they had sex with a higher-risk partner.<br />
The results show that, among those who were<br />
sexually active in the 12 months preceding the survey, less<br />
than one percent of women <strong>and</strong> 4 percent of men engaged in<br />
higher-risk sex in the 12 months preceding the survey.<br />
Three-quarters of those men who did have higher-risk<br />
intercourse reported using condoms at the most recent<br />
higher-risk sex (73 percent).<br />
Since all premarital sex is by definition higher-risk<br />
sex, the prevalence of higher-risk sex among men is higher<br />
among the youngest respondents <strong>and</strong> among those who are<br />
never married. Condom use at higher-risk sex is highest<br />
among respondents in their late 20s. The prevalence of<br />
higher-risk sexual behavior tends to increase slightly with<br />
increasing education <strong>and</strong> wealth.<br />
6.6 SEX WITH PROSTITUTES<br />
As presented above, higher-risk sex is defined as<br />
having sex with a non-marital, non-cohabiting partner. This<br />
includes sex with commercial sex workers (i.e., prostitutes).<br />
Sex with prostitutes is particularly risky since prostitutes are<br />
more likely than the general population to have sexually<br />
transmitted infections, as a result of having more sexual<br />
partners.<br />
Of all the male respondents to the VPAIS, only 0.5<br />
percent reported that they had sex with a prostitute in the 12<br />
months preceding the survey (Table 6.3). This proportion<br />
hardly changes across any of the background characteristics.<br />
While men were also asked whether or not they used a<br />
condom the most recent time they had sex with a<br />
commercial sex worker, there are too few cases of men<br />
reporting sex with a commercial sex worker to present these<br />
data.<br />
Table 6.3 Payment for sexual intercourse<br />
Percentage of men age 15-49 reporting payment for<br />
sexual intercourse in the past 12 months, by<br />
background characteristics, <strong>Vietnam</strong> <strong>2005</strong><br />
–––––––––––––––––––––––––––––––––––––––––––<br />
Number<br />
Background<br />
of<br />
characteristic Percentage 1 men<br />
–––––––––––––––––––––––––––––––––––––––––––<br />
Age<br />
15-24 0.5 2,406<br />
15-19 0.2 1,472<br />
20-24 1.0 934<br />
25-29 1.0 902<br />
30-39 0.6 1,718<br />
40-49 0.2 1,680<br />
Education<br />
Never attended school 0.4 234<br />
Primary 0.4 1,215<br />
Secondary 0.6 4,599<br />
More than secondary 0.3 658<br />
Marital status<br />
Never married 0.8 2,618<br />
Ever had sex 10.3 204<br />
Never had sex 0.0 2,414<br />
Married/living together 0.3 4,025<br />
Divorced/separated/<br />
widowed 1.0 64<br />
Wealth quintile<br />
Lowest 0.1 1,261<br />
Second 0.4 1,275<br />
Middle 0.5 1,384<br />
Fourth 0.6 1,378<br />
Highest 0.9 1,410<br />
Residence<br />
Urban 0.8 1,378<br />
Rural 0.4 5,329<br />
Region<br />
North 0.3 2,455<br />
Central 0.4 1,735<br />
South 0.8 2,517<br />
Targeted provinces<br />
Ha Noi 0.2 218<br />
Ho Chi Minh City 0.3 427<br />
Hai Phong 1.1 141<br />
Quang Ninh 0.3 93<br />
Total 0.5 6,707<br />
–––––––––––––––––––––––––––––––––––––––––––<br />
1<br />
Corresponds to UN<strong>AIDS</strong> Sexual Behavior <strong>Indicator</strong><br />
3 “Commercial sex in last year.” For youth 15-24, it<br />
corresponds to Youth Guide Behavioral <strong>Indicator</strong> 21<br />
"Sex with commercial sex worker among young<br />
people."<br />
58 | HIV-<strong>AIDS</strong>-Related Behavior