FACILITATING CONDOM USE WITH CLIENTS DURING COMMERCIAL SEX IN NEVADASLEGAL BROTHELS

Objectives. This study examined condom use in legal Nevada brothels. M ethods. Forty female prostitutes in two brothels were interviewed abou t client resistance to condoms and techniques for facilitating condom use. Results. Of 3290 clients in the previous month, 2.7% (95% confide nce interval [CI] = 2.2%, 3.4%) were reluctant to use condoms. Of thes e individuals, 72% ultimately used condoms, while 12% chose nonpenetra tive sex without condoms. The remaining 16% left the brothels without services. Condom use rates were markedly lower with nonpaying sex part ners (lovers) than with clients. Conclusions. Brothel prostitutes may be at greater risk for acquiring HIV and other sexually transmitted di seases from lovers than from clients.