Sex work and risk behaviour among HIV-negative gay men

Prestage, Garrett; Mao, Limin; Jin, Fengyi; Grulich, Andrew E.; Kaldor, John; Kippax, Susan

doi:10.1080/09540120701203386

Cited by 16 publications

(30 citation statements)

References 28 publications

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“…After adjusting for other factors, no differences were observed in the prevalence of HIV, chlamydia or gonorrhoea between MSS and other MSM. Although no difference in the frequency of condom use was observed between MSS and other MSM in this study, previous investigation has found condom use to be higher among MSM when engaged in sex work than in other sexual encounters [46,47]. A potentially increased risk of rectal STIs among MSS due to a higher frequency of anal receptive intercourse may have been mitigated by an increased frequency of condom use while engaged in sexselling, although overall condom-use frequency did not vary between groups and many study participants reported condomless sex.…”

Section: Discussioncontrasting

confidence: 90%

Stigma, access to healthcare, and HIV risks among men who sell sex to men in Nigeria

Crowell

Keshinro

Baral

et al. 2017

Journal of the International AIDS Society

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Introduction: Among men who have sex with men (MSM), men who sell sex (MSS) may be subject to increased sexual behaviour-related stigma that affects uptake of healthcare and risk of sexually transmitted infections (STIs). The objectives of this study were to characterize stigma, access to care, and prevalence of HIV among MSS in Nigeria.Methods: Respondent-driven sampling was used to recruit MSM in Abuja and Lagos into the ongoing TRUST/RV368 study, which provides HIV testing and treatment. Detailed behavioural data were collected by trained interviewers. MSS were identified by self-report of receiving goods or money in exchange for sex with men. Poisson regression with robust error variance was used to explore the impact of sex-selling on the risk of HIV.Results: From 12 initial seed participants, 1552 men were recruited from March 2013-March 2016. Of these, 735 (47.4%) reported sex-selling. Compared to other MSM, MSS were younger (median 22 vs. 24 years, p < 0.001) and more likely to identify as gay/homosexual (42.4% vs. 31.5%, p < 0.001). MSS were more likely to report perceived and experienced stigmas such as healthcare avoidance (27.6% vs. 21.5%, p = 0.005) and verbal harassment (39.2% vs. 26.8%, p < 0.001). Total HIV prevalence was 53.4%. After controlling for other factors, HIV prevalence among MSS was similar to that observed among other MSM (relative risk 0.94 [95% confidence interval 0.84–1.05]).Conclusions: These data highlight increased sexual behaviour-related stigma affecting MSS, as compared with other MSM, that limits uptake of healthcare services. The distinct characteristics and risks among MSS suggest the need for specific interventions to optimize linkage to HIV prevention and treatment services in Nigeria.

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Section: Discussioncontrasting

confidence: 90%

Stigma, access to healthcare, and HIV risks among men who sell sex to men in Nigeria

Crowell

Keshinro

Baral

et al. 2017

Journal of the International AIDS Society

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“…This study demonstrates the achievement of our community mobile unit to draw out the hard-to-reach populations, who otherwise may have not been tested 28. As the study was performed in public venues rather than a medical setting, its findings can be used as a rough estimation of the prevalence of STI/HIV among MSM in Tel Aviv.…”

Section: Discussionmentioning

confidence: 82%

Knowledge, attitudes, sexual practices and STI/HIV prevalence in male sex workers and other men who have sex in Tel Aviv, Israel: a cross-sectional study

Mor¹,

Dan

2012

Sex Transm Infect

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“…For the pH study, comparison data were based on the 293 HIV‐positive men who completed both the main and the optional sexual behavioral questionnaires at the 2006–2007 data collection round. For the HIM study, the comparison was based on the 1,427 HIV‐negative men who completed the baseline survey between 2001 and 2004 [18]. It should be noted that in the two community studies (the pH and HIM cohorts), many of the same sexual problem questions were asked, but the recall period was 6 months prior to survey.…”

Section: Methodsmentioning

confidence: 99%

Self-Reported Sexual Difficulties and Their Association with Depression and Other Factors Among Gay Men Attending High HIV-Caseload General Practices in Australia

Mao

Newman

Kidd

et al. 2009

The Journal of Sexual Medicine

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Introduction Sexual expression affects physical, mental and social well-being. There is a lack of understanding of male sexual dysfunction in homosexually active men. Aim We investigated gay men’s self-report of a number of sexual problems. Methods The survey data were from a sample of 542 self-identified gay men, 40% of whom were HIV positive, recruited from six high HIV-caseload general practices in Australia. Main Outcome Measures The reporting of experiencing three or more sexual problems over a period of at least 1 month in the 12 months prior to a survey was defined here as having “multiple” sexual problems. We explored a number of factors, including HIV status, depression, alcohol and other drug use, and sexual risk-taking with casual male partners, in association with multiple sexual problems. Results Rates of a range of self-reported sexual problems were high, with erectile dysfunction and lack of sexual desire being the most commonly reported. These high rates were consistent with the limited data from previous Australian studies. Men who had multiple sexual problems were likely to suffer from major depression (P < 0.001). A higher proportion of the HIV-positive gay men (48.4%) reported multiple sexual problems than the HIV-negative men (35.1%, P = 0.002). Factors independently associated with multiple sexual problems among the HIV-negative gay men were poorer general health and interpersonal isolation, whereas for the HIV-positive gay men, they were adoption of avoidant strategies to cope with daily life stress, sexual risk-taking in casual encounters, and the use of antidepressants. Conclusions Our findings underscore the complex interactions between depression, sexual dysfunction, sexual risk taking, HIV infection, and general well-being among homosexually active men.

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Sex work and risk behaviour among HIV-negative gay men

Cited by 16 publications

References 28 publications

Stigma, access to healthcare, and HIV risks among men who sell sex to men in Nigeria

Stigma, access to healthcare, and HIV risks among men who sell sex to men in Nigeria

Knowledge, attitudes, sexual practices and STI/HIV prevalence in male sex workers and other men who have sex in Tel Aviv, Israel: a cross-sectional study

Self-Reported Sexual Difficulties and Their Association with Depression and Other Factors Among Gay Men Attending High HIV-Caseload General Practices in Australia

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