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Sexual behaviors in male sex workers in Spain: modulating factors. AbstractThe aim of this study is to analyze how cultural origin, years of schooling, sexual orientation and experience as a Male Sex Worker (MSW) may mediate their commercial sexual behaviors. One hundred Spanish agency-based MSWs were interviewed. Most of them were young men, Latin-American, homosexual and had a middle educational level. Our results show that cultural differences are not a predictor of unsafe sex with clients. This is more frequent for Spaniards and Latin-Americans. Moreover, Sexual orientation mediates the sexual role adopted by MSWs and some practices, for example with women which are more frequent for heterosexuals. On the other hand, educational level has shown differences in HIV fear or practices even though they were not statistically significant. Finally, the time spent in this kind of employment facilitates their self-perception as a MSW. Therefore, our results support a major heterogeneity among the MSW profile and their diverse practices of sex work which entails different risks.

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