Behavioral and Psychosocial Correlates of HIV Testing Among Male Clients of Female Sex Workers in Tijuana, Mexico

Fleming, Paul J.; Patterson, Thomas L.; Chavarin, Claudia V.; Semple, Shirley J.; Magis-Rodriguez, Carlos; Pitpitan, Eileen V.

doi:10.1007/s10461-016-1531-6

Cited by 7 publications

(3 citation statements)

References 53 publications

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“…Given the unique cultural context, our research team has created and used a measure of misogyny specifically for men at-risk for HIV in Tijuana, Mexico. Our previous research that focused on HIV-related behaviors showed that increased misogynistic attitudes were associated with less frequent HIV testing (Fleming et al, 2016) and increased number of unprotected sex acts with female sex workers (Semple et al, 2010). However, we have not examined whether misogyny is correlated with men’s mental health outcomes or substance use behaviors.…”

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confidence: 99%

Are men’s misogynistic attitudes associated with poor mental health and substance use behaviors? An exploratory study of men in Tijuana, Mexico.

Fleming¹,

Patterson²,

Chavarin³

et al. 2018

Psychology of Men & Masculinity

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Men's misogynistic attitudes (i.e., dislike or contempt for women) have been shown to be associated with men's perpetration of physical/sexual violence against women and poor health outcomes for women. However, these attitudes have rarely been examined for their influence on men's own health. This paper examines the socio-demographic, substance use, and mental health correlates of misogynistic attitudes among a binational sample of men (n=400) in Tijuana, Mexico with high-risk substance use and sexual behaviors. We used a 6-item scale to measure misogynistic attitudes ( = .72), which was developed specifically for this context. We used descriptive statistics to describe our sample population and the extent to which they hold misogynistic attitudes. Then, using misogynistic attitudes as our dependent variable, we conducted bivariate linear regression and multivariable linear regression to examine the relationship between these attitudes and socio-demographic characteristics, substance use behaviors (i.e., use of alcohol, marijuana, heroin, methamphetamines, cocaine), and mental health (i.e., depression, self-esteem). In the multivariable model, we found significant relationships between misogynistic attitudes and education level ( = -4.34, < 0.01), heroin use in the past 4 months ( = 2.50, = 0.01), and depressive symptoms ( = 3.37, < 0.01). These findings suggest that misogynistic attitudes are linked to poor health outcomes for men and future research needs to further explore the temporality of these relationships and identify strategies for reducing men's misogynistic attitudes with the ultimate aim of improving the health and well-being of both women and men.

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mentioning

confidence: 99%

Are men’s misogynistic attitudes associated with poor mental health and substance use behaviors? An exploratory study of men in Tijuana, Mexico.

Fleming¹,

Patterson²,

Chavarin³

et al. 2018

Psychology of Men & Masculinity

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“…La desprotección se justifica con el lugar dominante que ocupa el placer sexual masculino, haciendo que el preservativo sea un elemento no solo que resta ese placer, sino que implica la pérdida de tiempo en colocárselo (Simonetto, 2018). Todo ello provoca que los clientes tengan riesgo potencial en la propagación de enfermedades (Gomes Do Espirito Santo y Etheredge, 2005), tanto hacia las personas que venden sexo como a la población en general (Fleming et al, 2017). A pesar de ello, los varones no suelen participar en pruebas diagnósticas, por lo que se deben replantear intervenciones directamente en zonas donde se encuentra la venta de servicios sexuales (Diserens et al, 2010).…”

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La relación de compraventa en la prostitución

Martín

Falcón

2021

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Este trabajo tiene la finalidad de reflexionar sobre los hombres que pagan servicios sexuales en un momento que se reclama su criminalización desde sectores feministas. La reflexión parte de los estudios previos realizados tanto nacionales como internacionales. Se pone de relieve las características, motivaciones, perfiles y demandas de estos hombres. Se señalan los riesgos que la relación de compraventa puede generar especialmente para las mujeres. Se revisan los modelos de intervención llevados a cabo con estos hombres y se proponen intervenciones socioeducativas y sanitarias por ser más efectivas tanto en la disminución de riesgo como en la reducción de la demanda.

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“…Regular HIV testing is the gateway to detecting people living with HIV promptly, but more research is needed to learn about the risk-profile and characteristics of frequent testers. Studies on the facilitators and barriers to HIV testing among different key populations have found links with socio-demographic factors (e.g., age, education level, marital status) as well as behavioral factors (e.g., multiple sexual partners, unprotected sex, drug use) [5][6][7][8]. However, there is a dearth of literature about factors associated with frequent HIV testing among key populations other than MSM.…”

Section: Introductionmentioning

confidence: 99%

HIV testing frequency and associated factors among five key populations in ten cities of China: a cross-sectional study

Jiao

Wei

et al. 2022

BMC Infect Dis

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Background Regular HIV testing is the best way to detect people living with HIV promptly, yet not much is known about the characteristics of frequent, voluntary testers. This study explores factors related to HIV testing frequency among five key populations in China including men who have sex with men (MSM), female sex workers (FSWs), people who use drugs (PWUD), men who have casual sex with women (MCSW) and sero-negative partners among sero-discordant couples (SNPs). Methods We conducted a cross-sectional study in ten cities of China from November 2018 to September 2019 using convenience sampling to recruit participants. Univariate and multivariate partial proportional odds models were adopted to compare socio-behavioral factors associated with HIV testing frequencies among the five key populations. Results Among the 2022 recruited participants, 36.6% reported not testing for HIV in the past year, whereas 37.0% tested once and 26.4% tested twice. Compared with MSM, FSWs (AOR = 1.97, 95% CI: 1.36–2.86) and SNPs (AOR = 3.63, 95% CI: 2.40–5.49) were more likely to test for HIV, but MCSW (AOR = 0.23, 95% CI: 0.17–0.32) were less likely. Additionally, SNPs (AOR = 4.02, 95% CI: 2.78–5.83) were more likely to be frequent HIV testers, while FSWs (AOR = 0.49, 95% CI: 0.32–0.76) and MCSW (AOR = 0.29, 95% CI: 0.20–0.41) were less likely to be frequent testers. Factors identified as barriers to HIV testing include the following: higher education level and > 5000 CNY monthly income for FSWs; elder age and a married/cohabitating status for PWUD; reported alcohol use for MCSW; and non-Han ethnicity and non-local household for SNPs. Facilitators to frequent testing included the following: higher education level for MSM and SNPs; higher AIDS knowledge score for MSM and PWUD; > 5000 CNY monthly income for FSWs and PWUD; and reporting high-risk sexual behaviors for MSM, FSW and PWUD. Conclusions HIV testing frequencies and associated factors were not equivalent across the five key populations in China. Public health officials should take heed of the identified high-risk populations reporting high testing rates, perhaps with intensive and tailored behavioral interventions or biochemical prophylaxis.

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Behavioral and Psychosocial Correlates of HIV Testing Among Male Clients of Female Sex Workers in Tijuana, Mexico

Cited by 7 publications

References 53 publications

Are men’s misogynistic attitudes associated with poor mental health and substance use behaviors? An exploratory study of men in Tijuana, Mexico.

Are men’s misogynistic attitudes associated with poor mental health and substance use behaviors? An exploratory study of men in Tijuana, Mexico.

La relación de compraventa en la prostitución

HIV testing frequency and associated factors among five key populations in ten cities of China: a cross-sectional study

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