Sexual Behaviour of Commercial Sex Workers and Their Clients in Cambodia

Abstract

Objective: This study surveyed the sexual behaviour of commercial sex workers and their clients in an attempt to identify factors of transmission of STDs (including HIV/AIDS) and to control their epidemics in Cambodia and South-East Asia.
Design: Cross-sectional study.
Setting: Trained questioners asked items of the questionnaires to each objective subject in December 1996. Data were analysed to show the descriptive status by risk group of each person.
Participants: 200 direct commercial sex workers, 220 indirect commercial sex workers, and 211 clients in Phnom Penh.
Results: Prostitution was widely accepted by both young males and females, and this was an easy way for young girls to obtain money. Although commercial sex workers and clients were knowledgeable about prevention methods against STDs, they seldom used condoms. Some commercial sex workers had been infected with STDs many times, and many of them incompletely treated the diseases by themselves. Social support from governmental and non- governmental organisation was poor.
Conclusions: It is very important to support both commercial sex workers in practicing preventive methods against STDs and also visiting physicians when they notice symptoms of STDs. It is strongly recommended that not only governmental but also non-governmental organisations should be more active in this area. J Epidemiol, 1999 ; 9 : 175-182