Twahirwa Rwema JO, et al. - Female sex workers (FSWs) in Senegal were examined for the prevalence of structural determinants of HIV risk and their associations with condom use. Using respondent-driven sampling, researchers recruited 758 FSWs >18 years of age in Senegal in 2015. Lower consistent condom use (CCU) was observed in significant correlation to structural determinants, as follows: physical violence; working primarily in a hotel or guest house; and difficultly accessing condoms. Higher CCU was observed in significant correlation with high income from sex work. Results thereby emphasize the necessity for structural interventions, including safe working spaces and violence mitigation programs, to support condom negotiation and access. Structural interventions combined with condom distribution programs may finally improve condom use among FSWs in Senegal.