Article

Prostitution and risk of HIV: male partners of female prostitutes.

Academic Department of Public Health, St Mary's Hospital Medical School, London.
BMJ Clinical Research (Impact Factor: 14.09). 09/1993; 307(6900):359-61. DOI: 10.1136/bmj.307.6900.359
Source: PubMed

ABSTRACT To describe risk behaviours for infection with HIV in male sexual partners of female prostitutes.
A cross sectional study.
Genitourinary medicine clinic, St Mary's Hospital, London.
112 self identified male sexual partners of female prostitutes: 101 who reported commercial sexual relationships only, five who reported non-commercial relationships only, and six who reported both commercial and non-commercial relationships.
Reported risk behaviours for infection with HIV.
Of the 40 men who had had previous HIV tests or were tested during the study, two (5%) were infected with HIV. Of the men who would answer the questions, 34/94 reported having sex with other men, 2/105 reported using injected drugs, 8/105 had a history of blood transfusion, 14/108 reported a past history of gonorrhoea, 44/102 reported paying for sex abroad, and 8/92 said that they had also been paid for sex. Of the 55 men who reported paying for vaginal intercourse in the past year, 45 (82%) said that they had always used a condom. In contrast, of the 11 non-paying partners of prostitutes, only two (18%) reported ever using a condom with their partners.
Men who have sex with female prostitutes cannot be assumed to be at risk of infection with HIV only by this route: homosexual contact may place them at greater risk. Despite the heterogeneity among male sexual partners of prostitutes, patterns of use of condoms were uniform when they were considered as a reflection of the type of relationship a man had with a female prostitute rather than a consequence of an individual's level of risk.

0 Followers
 · 
69 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: History of abuse has been associated with greater HIV risk among women. This study examined client-perpetrated abuse among female sex workers (FSWs) in two Mexico-U.S. border cities where HIV prevalence is rising. Among 924 FSWs, prevalence of client-perpetrated abuse was 31%. In multivariate logistic regression models, intimate partner violence (IPV), psychological distress, and having drug-using clients were associated with experiencing client-perpetrated abuse. FSWs along the Mexico-U.S. border report frequently experiencing abuse from both clients and intimate partners, which may have serious mental health consequences. Our findings suggest the need for screening and gender-based violence prevention services for Mexican FSWs.
    Violence Against Women 03/2014; 20(4). DOI:10.1177/1077801214528582 · 1.33 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Male sex workers (MSW) are thought to be at increased risk of sexually transmitted infections (STI), however, limited comparative data with other groups are available. Disparities among MSWs by migrant status may also exist. Using newly available, cross-sectional surveillance data, the characteristics of MSWs and other male genitourinary medicine (GUM) clinic attendees can be investigated. Demographic characteristics, STI prevalence and service usage among MSWs and other male attendees between 1 January and 31 December 2011 were compared using logistic regression. In 2011, 627 780 men attended GUM clinics; 488 (0.08%) were identified as MSWs. MSWs used a variety of services, however, one in seven had no HIV test at presentation. Adjusting for demographic factors and self-reported sexual orientation, MSWs had increased risk of some STIs and reinfection compared to other male attendees (eg, ORadj of gonorrhoea infection: 2.21, 95% CI 1.61 to 3.01, p<0.001, 14.1% vs 4.8% reinfected in 2011, p=0.005). Service usage did not vary between migrant and UK-born MSWs, but migrant MSWs were twice as likely to be diagnosed with chlamydia. Some STIs are more prevalent and some reinfections more common among MSWs than other male attendees. A minority of MSWs do not appear to access STI/HIV testing through GUM clinics, and targeted interventions to improve uptake of testing in MSWs should be developed. Service usage and sexual health of MSWs does not appear to vary greatly by migrant status, though the increased risk of chlamydia infection among migrant MSWs should be investigated further.
    Sexually transmitted infections 11/2013; 90(1). DOI:10.1136/sextrans-2013-051320 · 3.08 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: There are major differences between female sex workers in Indonesia in terms of income, places of work, ways of contacting clients, reasons for entering sex work and career progression. Yet, STD and HIV/AIDS intervention programmes and the majority of research projects often do not respect these differences. This paper describes relationships between female sex workers and clients and other male partners in Surabaya and Jakarta. Different relationships were associated with different attitudes to self cleansing, risk perception, preventive behaviour and the use of condoms. The concept of multiple identities is useful in understanding how sex workers negotiate their relationships with occasional clients, regular clients and boyfriends. Differences in relationship are moreover reflected in differences in role expectations and behaviours. In particular, perceptions of dirtiness ( kotor ) and non-dirtiness ( tidak kotor ) influence sex workers' behaviour with clients. Intervention programmes should address the complexities of these multiple identities and relationships, and should acknowledge sex workers as human beings involved in more than sexual transactions.
    Culture Health & Sexuality 01/1999; 1(1). DOI:10.1080/136910599301157 · 1.55 Impact Factor

Full-text (2 Sources)

Download
19 Downloads
Available from
Jun 4, 2014