简介：Objectives:Todescribeandanalyzeriskfactorsassociatedwithdisuseofcondomsduringcommercialsexualintercourseamongclientsattendingsaunaandmassagecenters.Methods:Selectedfemalesexworkersfromsaunasandbeautyparlorsweretrainedasinterviewers.Theysurveyedclientsduringprovisionofsexualservices.Informationcollectedincludedcustomers’demographics,knowledgeofSTDs,rationaleforandhistoryofcondomuse.Riskfactorsforcondomusagewereasessedthoughlogisticalmodeling.Results:Atotalof50clientswereinterviewed.Theratesofcondomusageforlastsexualintercoursewithcommercialandnon-commercialpartnerswere57%and53%forclientsofrespectively.Thechoicetouseacomdomwasinfluencedbyclients60.8%ofthetime,sexworkers30.4%,andotherfactors8.8%.Thechoiceagainstusingacondomwasdecideduponbyclients69.7%,ogthetime,sexworkers9.1%,andotherfactors21.2%.Multivariateanalysisshowedthateducationallevelandperceptionofriskofinfectionwerefactorsforcondomuse.Clientswithahighschooleducationhadahighercondomuseratethanthosewithamiddleschooleducationorless.Furthermore,clientswhoperceivedriskofdiseaseusedcomdomsmorefrequentlythanthosewhodidnot.Conclusions:Clientsplayedasignificantroleindecidingwhetherornottouseacondomduringcommercialsex,Lackofperceptionofriskisamajorfactorfornotusingcondoms.Aprogramforpromotionofprophylacticstargetingbothcommercialsexworkersandtheirclientsisrecommended.