HIV, sexually transmitted infections, and risk behaviours in male sex workers in London over a 10 year period

Sethi, G

doi:10.1136/sti.2005.019257

Cited by 46 publications

(49 citation statements)

References 19 publications

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“…However, the prevalence of HIV recorded among MSWs (3.7%) was lower than that of 6.3–14.1% previously reported in MSWs attending a GUM clinic in London 6. MSWs were also more likely to experience reinfection with chlamydia and gonorrhoea.…”

Section: Discussioncontrasting

confidence: 66%

The sexual health of male sex workers in England: analysis of cross-sectional data from genitourinary medicine clinics: Table 1

et al. 2013

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ObjectivesMale 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.MethodsDemographic characteristics, STI prevalence and service usage among MSWs and other male attendees between 1 January and 31 December 2011 were compared using logistic regression.ResultsIn 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.ConclusionsSome 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.

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Section: Discussioncontrasting

confidence: 66%

The sexual health of male sex workers in England: analysis of cross-sectional data from genitourinary medicine clinics: Table 1

et al. 2013

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“…It is possible that recruiting men through gay dating websites might have increased the number of sex workers in our sample. However, the proportion of East European men attending a clinic for male sex workers in London increased from less than 1% in the mid-1990s to 8% over the following 6–7 years,17 and numbers are likely to have increased further following EU accession. Further research is needed to understand when and how CEE MSM take up commercial sex work and the risks involved.…”

Section: Discussionmentioning

confidence: 99%

Central and East European migrant men who have sex with men: an exploration of sexual risk in the UK

Evans

Hart

Mole

et al. 2010

Sexually Transmitted Infections

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“…Research indicates that male prostitutes who are HIV positive do not appear to have contacted it due to their sex work (Sethi et al, 2006). However, street, as opposed to indoor, male prostitutes are more likely to engage in higher rates of HIV risk behavior with clients (Smith & Seal, 2008).…”

Section: Prostitution Activitymentioning

confidence: 98%

Male Street Prostitution in Dublin: A Psychological Analysis

McCabe¹,

Acree

O'Mahony³

et al. 2011

Journal of Homosexuality

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This study assessed the mental health characteristics of 12 male street prostitutes (MSPs) in Dublin, with particular regard to issues of homelessness, substance abuse, depression, suicidal ideation, and self-esteem. Participants completed five psychometric tests, which indicated that all of the participants had above average levels of depression and suicidal ideation and low levels of self-esteem. This study found that candidates likely to become MSPs are young males with a combination of factors, including a background of childhood sexual or physical abuse, leaving school early, running away from home, and a dependence on heroin.

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HIV, sexually transmitted infections, and risk behaviours in male sex workers in London over a 10 year period

Abstract: Men who sell sex are at risk of HIV and other STIs, but these risks do not appear to be directly linked to sex work. The changing demographics of these men is associated with different patterns of infection and poses challenges for service delivery.

Cited by 46 publications

References 19 publications

The sexual health of male sex workers in England: analysis of cross-sectional data from genitourinary medicine clinics: Table 1

The sexual health of male sex workers in England: analysis of cross-sectional data from genitourinary medicine clinics: Table 1

Central and East European migrant men who have sex with men: an exploration of sexual risk in the UK

Male Street Prostitution in Dublin: A Psychological Analysis

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