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Answer to Case Study #4:Patience is at risk for a variety of reasons. The primary factors are her poverty and status as a single mother struggling to provide for her children. Poverty fuels her need to supplement her income through informal sex work, and poverty places her at risk when she is offered extra money to forgo condom use. When she has sex with truck drivers, they have the financial resources to influence the nature of their sexual activity (i.e., whether or not to use condoms). Despite these factors working against her, Patience has obtained condoms and has asked men to use them. She could benefit from counseling and support to insist on condom use at all times.
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