scholarly journals Sexual practices, partner concurrency and high rates of sexually transmissible infections among male sex workers in three cities in Vietnam

Sexual Health ◽  
2015 ◽  
Vol 12 (1) ◽  
pp. 39 ◽  
Author(s):  
Michael C. Clatts ◽  
Lloyd A. Goldsamt ◽  
Le Minh Giang ◽  
Gary Yu
Keyword(s):  
Sex Workers ◽  
Anal Intercourse ◽  
Sexual Practices ◽  
Ho Chi Minh City ◽  
Anal Sex ◽  
Male Sex Workers ◽  
Male Client ◽  
Sexually Transmissible Infections ◽  
Male Sex ◽  
Partner Concurrency

Background This paper examines sexual practices, partner concurrency and sexually transmissible infections (STI)/HIV infection among male sex workers (MSWs) in Vietnam. Methods: Six hundred and fifty-four MSWs, aged 16–35 years, were recruited in Hanoi, Nha Trang and Ho Chi Minh City between 2009 and 2011. Survey measures included demographic characteristics, drug use, types of sexual partners and sexual practices. Subjects were screened for STIs, including HIV. Results: MSWs in Ho Chi Minh City (33%) were more likely than those from the other two sites to be current users of one or more types of illegal drugs (P < 0.001). MSWs with both male and female elective partners (compared with other partnership types) were more likely to have anal sex with male client partners (P < 0.001), elective male partners (P = 0.045) and elective female partners (P = 0.025). At last sex with a male client partner, only 30% used a condom during anal intercourse. At last sex with an elective female partner, only 31% used a condom during vaginal sex and only 3% during anal sex. Although rates of HIV are low (4%), other STIs are high, including chlamydia (17%), gonorrhoea (29%) and human papillomavirus (33%). Most (57.3%) have never been tested for HIV and only 17% have ever disclosed to a healthcare provider that they have sex with men. Conclusions: Complex patterns of sexual concurrency, coupled with high rates of STIs, signal the urgent need for health services interventions among MSWs, both to improve individual health outcomes and to reduce secondary STI/HIV transmission among sexual partner networks.

scholarly journals Male clients of male sex workers in West Africa: A neglected high risk population

2019 ◽  
Author(s):  
Cheick Haïballa Kounta ◽  
Luis Sagaon-Teyssier ◽  
Pierre-Julien Coulaud ◽  
Marion Mora ◽  
Gwenaelle Maradan ◽  
...  
Keyword(s):  
Risk Reduction ◽  
Sex Workers ◽  
Sexual Partners ◽  
Sexual Practices ◽  
High Risk Population ◽  
Anal Sex ◽  
Male Sex Workers ◽  
Male Clients ◽  
Male Sex ◽  
Male Sexual Partners

AbstractResearch on male clients of male sex workers (MCMSW) has been neglected for a long time globally. We aimed to characterize MCMSW and to identify factors associated with their sexual practices using data from the prospective cohort study CohMSM conducted in Burkina Faso, Côte d’Ivoire, Mali and Togo. Our study focused on HIV-negative men who have sex with other men (MSM) recruited between 06/2015 and 01/2018 by a team of trained peer educators. Scheduled study visits at 6, 12 and 18 months included medical examinations, HIV screening, risk-reduction counselling and face-to-face interviews to collect information on their sociodemographic characteristics, sexual behaviours, and HIV risk-reduction strategies (HIV-RRS). Three stigmatization sub-scores were constructed (experienced, perceived and internalized). Mixed-effects logistic regression was used for data analysis. Of the 280 participants recruited at baseline, 238, 211 and 118, respectively, had a follow-up visit at 6, 12 and 18 months. Over a total of 847 visits, 47 transactional sex (TS) encounters were reported by 38 MCMSW (13.6%). Of the latter, only one participant reported systematic TS (2.6%), 18 (47.4 %) stopped reporting TS after baseline, and 6 (15.8%) reported TS after baseline. Thirteen participants (34.2 %) reported occasional TS. After adjusting for country of study and age, the following self-reported factors were associated with a greater likelihood of being MCMSW: protected anal sex, exclusively insertive anal sex with male sexual partners, avoidance of sex after consuming psychoactive products and experiencing stigmatization (all during the previous 6 months). The majority of MCMSW in this study employed HIV-RRS with male sexual partners, including engaging in protected anal sex, avoidance of sex when consuming psychoactive products, and practising exclusively insertive anal sex.

Australian men's sexual practices in saunas, sex clubs and other male sex on premises venues

Sexual Health ◽  
2010 ◽  
Vol 7 (2) ◽  
pp. 186 ◽  
Author(s):  
Anthony Lyons ◽  
Anthony M. A. Smith ◽  
Jeffrey W. Grierson ◽  
Henry von Doussa
Keyword(s):  
Anal Intercourse ◽  
Unprotected Anal Intercourse ◽  
Sexual Practices ◽  
Anal Sex ◽  
Sexually Transmissible Infections ◽  
Younger Men ◽  
Receptive Anal Sex ◽  
Risky Sexual Practices ◽  
Sexual Encounters ◽  
Sex With Men

Background: Sex on premises venues (SOPVs) where men have sex with men have been implicated in the spread of sexually transmissible infections, but few studies have described men’s sexual encounters in SOPVs, particularly the degree to which men from different backgrounds engage in risky sexual practices. Methods: Interviewer administered surveys were conducted with 186 Australian men who have sex with men (MSM) within 48 h of visiting an SOPV. They reported their sexual practices, the characteristics of their partners and other circumstances surrounding their sexual encounters. Results: All analyses were based on the number of sexual encounters (n = 430). Oral sex was the most common practice, occurring in 74.9% of encounters, followed by massage, frottage or kissing (53.7%), solo or mutual masturbation (36.3%), and anal sex (32.1%). Multivariate analyses revealed age as a significant factor for having protected anal sex (P = 0.001), insertive anal sex (P = 0.004) and receptive anal sex (P < 0.001). These practices were more frequent in encounters among younger men, while masturbation (P = 0.03) was more frequent among older men. When men’s sexual partners were affected by alcohol, encounters were less likely to involve unprotected anal intercourse (P = 0.006) and more likely to involve massage, frottage or kissing (P = 0.009). Men disclosed their HIV status in only 7.7% of encounters. Conclusions: With the likelihood of risky sexual practices varying according to background, results from this study should be used to guide interventions aiming to promote safer sex in SOPVs.

HIV, sexually transmitted infections and sexual practices among male sex workers attending a sexual health clinic in Melbourne, Australia, 2010-2018

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Evelyn M. Turek ◽  
Christopher K. Fairley ◽  
Marjan Tabesh ◽  
Tiffany R. Phillips ◽  
Catriona S. Bradshaw ◽  
...  
Keyword(s):  
Sexual Health ◽  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Sexual Practices ◽  
Health Clinic ◽  
Male Sex Workers ◽  
Sexually Transmitted ◽  
Male Sex

scholarly journals The balancing act: Exploring stigma, economic need and disclosure among male sex workers in Ho Chi Minh City, Vietnam

2015 ◽  
Vol 10 (4) ◽  
pp. 520-531 ◽  
Author(s):  
Elizabeth F. Closson ◽  
Donn J. Colby ◽  
Thi Nguyen ◽  
Samuel S. Cohen ◽  
Katie Biello ◽  
...  
Keyword(s):  
Sex Workers ◽  
Ho Chi Minh City ◽  
Male Sex Workers ◽  
Male Sex ◽  
Economic Need

scholarly journals Engagement with Peer Health Educators Is Associated with Willingness to Use Pre-Exposure Prophylaxis Among Male Sex Workers in Ho Chi Minh City, Vietnam

2014 ◽  
Vol 28 (3) ◽  
pp. 109-112 ◽  
Author(s):  
Catherine E. Oldenburg ◽  
Katie B. Biello ◽  
Donn Colby ◽  
Elizabeth F. Closson ◽  
Thi Nguyen ◽  
...  
Keyword(s):  
Sex Workers ◽  
Ho Chi Minh City ◽  
Health Educators ◽  
Male Sex Workers ◽  
Male Sex ◽  
Willingness To Use ◽  
Exposure Prophylaxis

scholarly journals Male sex work and HIV risk among young heroin users in Hanoi, Vietnam

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 261 ◽  
Author(s):  
Michael C. Clatts ◽  
Le M. Giang ◽  
Lloyd A. Goldsamt ◽  
Huso Yi
Keyword(s):  
Sex Work ◽  
Sex Workers ◽  
Sex Partners ◽  
Sexual Encounter ◽  
Anal Sex ◽  
Male Sex Workers ◽  
Heroin Users ◽  
Male Sex Work ◽  
Receptive Anal Sex ◽  
Male Sex

The present study describes complex drug and sexual risk in a group of male sex workers (n = 79) who were recruited in the context of a larger study of young heroin users in Hanoi, Vietnam (n = 1270). Male sex workers were significantly more likely than male non-sex workers to be migrants (P < 0.001) and to have unstable housing (P < 0.001), to have lifetime exposure to marijuana (P < 0.001), 3,4 methylenedioxymethamphetamine (MDMA, ecstasy) (P < 0.01), amphetamines (P < 0.05), cocaine (P < 0.01) and morphine (P < 0.001). Male sex workers are more likely to currently use MDMA (P < 0.05), amphetamines (P < 0.001), morphine (P < 0.05) and to ‘smoke’ as their most frequent mode of heroin administration (P < 0.01). Male sex workers are more likely to have both male and female concurrent sex partners (P < 0.001), to have a history of sexual victimisation (P < 0.001), to have had more than three different sex partners in the past 30 days (P < 0.001), and to have had partners who injected drugs before sex (P < 0.001) or who used drugs during sex (P < 0.01). In their last sexual encounter with a client partner, approximately one-third (31.1%) reported having had receptive anal sex. In nearly three-quarters of these exchanges (71.4%), no condom was used. Similarly, in their last sexual encounter with a client partner, 42.2% reported having had insertive anal sex and in nearly half (47.4%) of these encounters no condom was used. Consistent with recent data from elsewhere in the region, there is an urgent need for additional research on male sex work in South-east Asia in order to properly situate behavioural interventions for male sex workers in this region.

Factors Associated With Self-Reported Unprotected Anal Sex Among Male Sex Workers in Mombasa, Kenya

2008 ◽  
Vol 35 (8) ◽  
pp. 746-752 ◽  
Author(s):  
Scott Geibel ◽  
Stanley Luchters ◽  
Nzioki Kingʼola ◽  
Eka Esu-Williams ◽  
Agnes Rinyiru ◽  
...  
Keyword(s):  
Sex Workers ◽  
Anal Sex ◽  
Male Sex Workers ◽  
Factors Associated ◽  
Male Sex
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