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In many Southeast Asian nations, entertainment and sex work are among the few viable employment options for transgender women due to workplace discrimination. Within the context of transactional sex, the demand for "bareback" (unprotected) sex often offers a financial premium. This economic coercion creates a significant barrier to consistent condom usage. Public health interventions must address the economic reality that drives risk-taking behavior.

The most critical reason for condom use is the prevention of Sexually Transmitted Infections (STIs). Transgender women often face higher statistical risks for HIV and other STIs due to various social and systemic factors. ladyboy condom

: The inner ring is used for insertion and keeps the condom in place, while the outer ring remains outside the body to cover a wider surface area. In many Southeast Asian nations, entertainment and sex