The use of condoms as evidence of prostitution had the same effect in each of the four cities: while public health departments spend millions of Prostitutes La Possession promoting and distributing condoms for HIV prevention, some members of the groups most at Prostitutes La Possession of infection — sex workers, transgender women, and lesbian, gay, bisexual, and transgender LGBT youth — fear carrying condoms to the point where they carry only a few, or none at all, and sometimes engage in sex without protection as a result [ 15 ].