Includes bibliographical references and index.

This case illustrates how qualitative research, using the constructivist grounded theory, was applied in a PhD thesis to answer the research question: What is the role of sexual decision making and risk perception in the adoption of HIV/STI risk reduction practices among female sex workers in the context of the Jamaican sex trade? Theoretical and maximum variation sampling was used to select 44 participants. Data were collected using semi-structured interviews with female sex workers, their clients, main partners and facilitators of sex work and analyzed using constant comparison guided by a framework for sexual decision making developed by the researcher and her supervisor. Trustworthiness of the data was enhanced through triangulation and respondent validation while validity was enhanced using team analysis and peer review. The findings revealed that decisions about sexual behaviors among female sex workers particularly condom use are not always based on accurate risk perception. Violence, drug use and partner status were barriers to consistent condom use. However, relationship intimacy with clients and main partners exerted the greatest influence in sexual decision making. Using grounded theory as a method of inquiry facilitated the researcher's ability to provide insight into the experiences of populations where the previous research lacked breadth and/or depth.

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