Sexual risk behaviours and HIV seroprevalence among male sex workers who have sex with men and non-sex workers in Campinas, Brazil

Tun, Waimar; Mello, Maeve de; Pinho, Adriana de Araújo; Chinaglia, Magda; Díaz, José Luis Gahete

doi:10.1136/sti.2008.031336

Cited by 36 publications

(39 citation statements)

References 9 publications

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“…Approximately one-third of participants reported selling sex in the past 12 months. While higher than some other global contexts [4,20,24], this prevalence is similar to prior studies with MSM in Jamaica [2,12]. Our finding that selling sex was not associated with differences in HIV serostatus corroborates findings from a 2011 study with MSM in Jamaica [2], yet contrasts with other global studies [2,26–32].…”

Section: Discussionsupporting

confidence: 85%

“…The prevalence of selling sex among MSM varies across contexts, in part due to methodological challenges in sampling a marginalized, and often criminalized, population [1,2,4,12,20–23]. Among MSM (n = 24,051) in 17 Latin American countries, 7.2% reported transactional sex [24].…”

Section: Introductionmentioning

confidence: 99%

“…Other studies report higher prevalence. One-quarter of MSM in Brazil (n = 658) recruited via respondent-driven sampling reported ever receiving payment for sex [4]. In Jamaica, cross-sectional surveys conducted with MSM in 2007 (n = 201) [12] and 2011 (n = 449) [2] identified the prevalence of sex-selling as 35.9% overall [2], and 30.5% and 39.4% among HIV negative and positive persons, respectively [12].…”

Section: Introductionmentioning

confidence: 99%

“…Significant knowledge gaps remain, however, regarding factors associated with selling sex, including multivariable analyses that identify independent effects of multi-level factors, and the possible association between sexual stigma and sex-selling among MSM in Jamaica [2]. Stigma is a particularly important area to examine among MSM who sell sex, who may face intersecting stigma, including sexual stigma, and HIV-related stigma, in addition to sex work stigma [4,5,34–38]. Stigma has been identified as a barrier for male sex workers in accessing HIV prevention services [3].…”

Section: Introductionmentioning

confidence: 99%

“…age [22], education [22]), individual risk factors (e.g. condomless anal intercourse [4,22,36], HIV knowledge [22], sexually transmitted infections (STI) history [52,53], higher number of sexual partners [1,2], substance use [54]), and social level factors (e.g., forced sex, harassment and violence [1,2,4,36]). Alternately, social cohesion among MSM who sell sex has been identified as a protective factor [3].…”

Section: Introductionmentioning

confidence: 99%

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Social-ecological factors associated with selling sex among men who have sex with men in Jamaica: results from a cross-sectional tablet-based survey

Logie

Lacombe‐Duncan

Kenny

et al. 2018

Global Health Action

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Background: Globally, men who have sex with men (MSM) experience social marginalization and criminalization that increase HIV vulnerability by constraining access to HIV prevention and care. People who sell sex also experience criminalization, rights violations, and violence, which elevate HIV exposure. MSM who sell sex may experience intersectional stigma and intensified social marginalization, yet have largely been overlooked in epidemiological and social HIV research. In Jamaica, where same sex practices and sex work are criminalized, scant research has investigated sex selling among MSM, including associations with HIV vulnerability. Objective: We aimed to examine social ecological factors associated with selling sex among MSM in Jamaica, including exchanging sex for money, shelter, food, transportation, or drugs/alcohol (past 12 months). Methods: We conducted a cross-sectional survey with a peer-driven sample of MSM in Kingston, Ocho Rios, and Montego Bay. Multivariable logistic regression analyses were conducted to estimate intrapersonal/individual, interpersonal/social, and structural factors associated with selling sex. Results: Among 556 MSM, one-third (n = 182; 32.7%) reported selling sex. In the final multivariable model, correlates of selling sex included: individual/intrapersonal (lower safer sex self-efficacy [AOR: 0.85, 95% CI: 0.77, 0.94]), interpersonal/social (concurrent partnerships [AOR: 5.52, 95% CI: 1.56, 19.53], a higher need for social support [AOR: 1.08, 95% CI: 1.03, 1.12], lifetime forced sex [AOR: 2.74, 95% 1.65, 4.55]) and structural-level factors (sexual stigma [AOR: 1.09, 95% CI: 1.04, 1.15], food insecurity [AOR: 2.38, 95% CI: 1.41, 4.02], housing insecurity [AOR: 1.94, 95% CI: 1.16, 3.26], no regular healthcare provider [AOR: 2.72, 95% CI: 1.60, 4.64]). Conclusions: This study highlights social ecological correlates of selling sex among MSM in Jamaica, in particular elevated stigma and economic insecurity. Findings suggest that MSM in Jamaica who sell sex experience intensified social and structural HIV vulnerabilities that should be addressed in multi-level interventions to promote health and human rights.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Social-ecological factors associated with selling sex among men who have sex with men in Jamaica: results from a cross-sectional tablet-based survey

Logie

Lacombe‐Duncan

Kenny

et al. 2018

Global Health Action

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A Survey of Condom Use Behaviors and HIV/STI Prevalence Among Venue-Based Money Boys in Shenzhen, China

et al. 2011

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We examined an at-risk population in China, money boys (MBs), to evaluate their potential role for transmitting HIV and sexually transmitted infections (STIs). Data were collected from 418 MBs selected by time-location cluster sampling, using a self-administered computerized questionnaire and testing a small blood sample for HIV/STIs. One-third (32.1%) of participants self-identified as homosexual, 25.4% heterosexual, 33.5% bisexual, and 9.1% uncertain. Consistent condom use by participants was 70–80% with commercial sex partners, 43.9% with girlfriends, and 60–70% with other non-commercial partners. HIV prevalence was 3.3%; syphilis, 10.5%; and HSV-2, 11.0%; overall prevalence for any was 20.3%. Factors significantly associated with HIV/STIs included being minority (OR = 4.82), having only male partners (OR = 1.92), having more male casual partners in the last 6 months (OR = 1.28), being younger at sexual debut (OR = 1.14), and being older (OR = 1.11). This study emphasizes the importance of developing targeted interventions for MBs, particularly those who are homosexual or minority.

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Moderno Love: Sexual Role-Based Identities and HIV/STI Prevention Among Men Who Have Sex with Men in Lima, Peru

et al. 2012

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Role-based sexual identities structure male same-sex partnerships and influence HIV/STI epidemiology among MSM in Latin America. We explored shifting relationships between sexual roles, identities and practices among MSM in Lima, Peru, and implications for HIV/STI prevention. Patterns of HIV/STI epidemiology reflected differential risks for transmission within role-based partnerships with relatively low prevalences of HIV, syphilis, and HSV-2 but higher prevalences of urethral gonorrhea/chlamydia among activo MSM compared with moderno and pasivo participants. Qualitative analysis of how MSM in Peru integrate sexual identities, roles, and practices identified four key themes: pasivo role as a gay approximation of cultural femininity; activo role as a heterosexual consolidation of masculinity; moderno role as a masculine reconceptualization of gay identity; and role-based identities as social determinants of partnership, network, and community formation. The concept of role-based sexual identities provides a framework for HIV prevention for Latin American MSM that integrates sexual identities, practices, partnerships, and networks.

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Sexual risk behaviours and HIV seroprevalence among male sex workers who have sex with men and non-sex workers in Campinas, Brazil

Cited by 36 publications

References 9 publications

Social-ecological factors associated with selling sex among men who have sex with men in Jamaica: results from a cross-sectional tablet-based survey

Social-ecological factors associated with selling sex among men who have sex with men in Jamaica: results from a cross-sectional tablet-based survey

A Survey of Condom Use Behaviors and HIV/STI Prevalence Among Venue-Based Money Boys in Shenzhen, China

Moderno Love: Sexual Role-Based Identities and HIV/STI Prevention Among Men Who Have Sex with Men in Lima, Peru

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