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.

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

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0212245 ◽  
Author(s):  
Cheick Haïballa Kounta ◽  
Luis Sagaon-Teyssier ◽  
Pierre-Julien Coulaud ◽  
Marion Mora ◽  
Gwenaelle Maradan ◽  
...  
Keyword(s):  
High Risk ◽  
West Africa ◽  
Sex Workers ◽  
High Risk Population ◽  
Male Sex Workers ◽  
Risk Population ◽  
Male Clients ◽  
Male Sex

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.

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 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.

scholarly journals Violence and Victimization in Interactions Between Male Sex Workers and Male Clients in Mombasa, Kenya

2020 ◽  
pp. 088626052092236
Author(s):  
Pablo K. Valente ◽  
Alberto Edeza, BS ◽  
Tsitsi B. Masvawure ◽  
Theo G. M. Sandfort ◽  
Peter B. Gichangi ◽  
...  
Keyword(s):  
Sex Work ◽  
Sex Workers ◽  
Peer Networks ◽  
Same Sex ◽  
Male Sex Workers ◽  
Male Clients ◽  
Sexual Exchange ◽  
Male Sex ◽  
Depth Interviews ◽  
Sex Practices

Male sex workers (MSWs) and male clients (MCMs) who engage their services face increased vulnerability to violence in Kenya, where same-sex practices and sex work are criminalized. However, little is known about how violence might arise in negotiations between MSWs and MCMs. This study explored the types of victimization experienced by MSWs and MCMs, the contexts in which these experiences occurred, and the responses to violence among these groups. We conducted in-depth interviews with 25 MSWs and 11 MCMs recruited at bars and clubs identified by peer sex worker educators as “hotspots” for sex work in Mombasa, Kenya. Violence against MSWs frequently included physical or sexual assault and theft, whereas MCMs’ experiences of victimization usually involved theft, extortion, or other forms of economic violence. Explicitly negotiating the price for the sexual exchange before having sex helped avoid conflict and violence. For many participants, guesthouses that were tolerant of same-sex encounters were perceived as safer places for engaging in sex work. MSWs and MCMs rarely reported incidents of violence to the police due to fear of discrimination and arrests by law enforcement agents. Some MSWs fought back against violence enacted by clients or tapped into peer networks to obtain information about potentially violent clients as a strategy for averting conflicts and violence. Our study contributes to the limited literature examining the perspectives of MSWs and MCMs with respect to violence and victimization, showing that both groups are vulnerable to violence and in need of interventions to mitigate violence and protect their health. Future interventions should consider including existing peer networks of MSWs in efforts to prevent violence in the context of sex work. Moreover, decriminalizing same-sex practices and sex work in Kenya may inhibit violence against MSWs and MCMs and provide individuals with safer spaces for engaging in sex work.

scholarly journals Investigating the effects of COVID-19 on global male sex work populations: a longitudinal study of digital data

2020 ◽  
pp. sextrans-2020-054550 ◽  
Author(s):  
Denton Callander ◽  
Étienne Meunier ◽  
Ryan DeVeau ◽  
Christian Grov ◽  
Basil Donovan ◽  
...  
Keyword(s):  
Risk Reduction ◽  
Sex Work ◽  
Sex Workers ◽  
Digital Data ◽  
Sex Industry ◽  
Male Sex Workers ◽  
Male Sex Work ◽  
Reduction Strategies ◽  
Male Sex ◽  
Risk Reduction Strategies

ObjectivesRecommendations of ‘social distancing’ and home quarantines to combat the global COVID-19 pandemic have implications for sex and intimacy, including sex work. This study examined the effects of COVID-19 on male sex work globally and investigated how men who sold sex responded to and engaged with the virus in the context of work.MethodsThis study made use of an existing database of deidentified data extracted from the online profiles maintained by male sex workers on a large, international website. Website engagement metrics were calculated for the periods before (September to December 2019) and during COVID-19 (January to May 2020); Poisson regression analyses were used to assess changes over time before and after, while a content analysis was undertaken to identify modes of engagement with the virus.ResultsData were collected from 78 399 profiles representing 19 388 individuals. In the ‘before’ period, the number of active profiles was stable (inter-rate ratio (IRR)=1.01, 95% CI 0.99 to 1.01, p=0.339) but during COVID-19 decreased by 26.3% (IRR=0.90, 95% CI 0.89 to 0.91, p<0.001). Newly created profiles also decreased during COVID-19 (59.4%; IRR=0.71, 95% CI 0.69 to 0.74, p<0.001) after a period of stability. In total, 211 unique profiles explicitly referenced COVID-19; 185 (85.8%) evoked risk reduction strategies, including discontinuation of in-person services (41.2%), pivoting to virtual services (38.9%), COVID-19 status disclosure (20.9%), enhanced sanitary and screening requirements (12.3%) and restricted travel (5.2%). Some profiles, however, seemed to downplay the seriousness of COVID-19 or resist protective measures (14.7%).ConclusionsThese findings support the contention that COVID-19 has dramatically impacted the sex industry; globally, male sex workers may be facing considerable economic strain. Targeted education and outreach are needed to support male sex workers grappling with COVID-19, including around the most effective risk reduction strategies. Those involved with the sex industry must have access to state-sponsored COVID-19 financial and other aid programmes to support individual and public health.

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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