Escamilla Loredo, M. I. (2014). Developing safer sex negotiation skills among Latin American female sex workers working in Germany. Bielefeld: Bielefeld University.
Sexually transmitted infections (STIs), including HIV, are among the most important
causes of infertility, long-term disability and death in the world (WHO 2012).
Because of the particularities of their job, sex workers (SW) are at great risk of
acquiring HIV/STIs. It is estimated that around 400,000 sex workers are engaged in
Germany and approximately 1 million men look daily for sex workers’ services in the
country (TAMPEP 2010). In Germany, sex work is a commercial activity
predominantly conducted by migrants and by women (TAMPEP 2010, 2007a, 2007b,
2007d). The largest populations of migrant SW in the country are the groups from
Central and Eastern Europe, Asia and Latin America (TAMPEP 2010). Evidence
suggests that sex workers in Germany may not consistently practice protected sex
(RKI 2012; Bremer 2007, 2006; TAMPEP 2010, 2007b, 2007d). Among other
interventions to increase condom use among SW, it is recommended to improve sex
workers’ safer sex negotiation abilities. In this sense, the current study was
conducted to achieve two principal goals: 1) to identify negotiation strategies that
Latin American female sex workers working in Germany (LAFSWs) employ by
attempting to persuade clients resistant to using a condom; and 2) to identify skills
building approaches to teach sex workers condom use negotiation strategies.