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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

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