PMID- 18545148
OWN - NLM
STAT- MEDLINE
DCOM- 20080715
LR  - 20200930
IS  - 1525-4135 (Print)
IS  - 1525-4135 (Linking)
VI  - 48
IP  - 3
DP  - 2008 Jul 1
TI  - Sex purchasing and associations with HIV/STI among a clinic-based sample of US 
      men.
PG  - 355-9
LID - 10.1097/QAI.0b013e3181775939 [doi]
AB  - BACKGROUND: Despite high rates of human immunodeficiency virus/sexually 
      transmitted infection (HIV/STI) among commercial sex workers and international 
      concern that male clients may constitute a critical bridge population for HIV/STI 
      transmission, little empirical data exist within the United States to 
      characterize men who purchase sex or to assess their sexual risk and HIV/STI 
      infection. METHODS: The study involves the analysis of a community-based survey 
      of men aged 18-35 years attending urban health centers (n=1515) to assess the 
      prevalence of engagement in sex purchasing during the past year and to evaluate 
      relations with self-reported HIV/STI diagnosis and symptoms across this same 
      period. RESULTS: More than 1 in 12 (8.7%) men reported exchanging drugs, money, 
      or a place to stay for sex with a female partner in the past year. Such behavior 
      was associated with additional sexual risk taking and emerged as an independent 
      predictor of self-reported HIV/STI diagnosis [adjusted odds ratio (ORadj)=2.99; 
      95% confidence interval (CI): 1.51 to 5.94] and STI symptoms (ORadj=2.57; 95% CI: 
      1.57 to 4.22) in the past year in analyses adjusted for alternate HIV/STI risk 
      sources. CONCLUSIONS: Sex purchasing is a common form of HIV/STI risk among the 
      population sampled. Men engaging in such behavior are more likely to be HIV/STI 
      infected and, thus, represent a risk to the sexual health of both commercial and 
      noncommercial sex partners. Further research is needed to inform interventions 
      targeted toward male clients of prostituted women.
FAU - Decker, Michele R
AU  - Decker MR
AD  - Department of Society, Human Development and Health, Harvard School of Public 
      Health, Boston, MA, USA. mdecker@hsph.harvard.edu
FAU - Raj, Anita
AU  - Raj A
FAU - Gupta, Jhumka
AU  - Gupta J
FAU - Silverman, Jay G
AU  - Silverman JG
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Acquir Immune Defic Syndr
JT  - Journal of acquired immune deficiency syndromes (1999)
JID - 100892005
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - HIV Infections/*epidemiology
MH  - Humans
MH  - Male
MH  - Risk-Taking
MH  - *Sex Work
MH  - Sexual Behavior
MH  - Sexually Transmitted Diseases, Viral/*epidemiology
MH  - United States
EDAT- 2008/06/12 09:00
MHDA- 2008/07/17 09:00
CRDT- 2008/06/12 09:00
PHST- 2008/06/12 09:00 [pubmed]
PHST- 2008/07/17 09:00 [medline]
PHST- 2008/06/12 09:00 [entrez]
AID - 10.1097/QAI.0b013e3181775939 [doi]
PST - ppublish
SO  - J Acquir Immune Defic Syndr. 2008 Jul 1;48(3):355-9. doi: 
      10.1097/QAI.0b013e3181775939.