HIV and other STIs in male sex workers: Findings from a sexual health promotion intervention in Vietnam

2017 ◽  
Vol 29 (6) ◽  
pp. 540-546 ◽  
Author(s):  
Lloyd A Goldsamt ◽  
Michael C Clatts ◽  
Le Minh Giang ◽  
Bao Q Le ◽  
Donn J Colby ◽  
...  
Keyword(s):  
Health Promotion ◽  
Health Service ◽  
Sexual Health ◽  
Sex Workers ◽  
Local Treatment ◽  
Health Promotion Intervention ◽  
Male Sex Workers ◽  
Sexually Transmitted ◽  
Hiv Test ◽  
Male Sex

Male sex workers (MSWs) in Vietnam are at high risk for acquisition and transmission of human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs), yet are extremely disengaged from the healthcare system. This contributes to large numbers of untreated or late-treated infections and increased secondary transmission. We enrolled 995 MSWs in Hanoi and Ho Chi Minh City (HCMC) in a Sexual Health Promotion intervention that included face-to-face delivery of seven content modules, a clinical examination and testing for HIV, syphilis, gonorrhea and Chlamydia. Onsite treatment was provided for STIs, and those who tested positive for HIV were referred to local treatment centers. While 64.6% of participants had never been to a health service and fewer than half (41.2%) had ever been tested for HIV, 67.1% returned for test results. This testing identified 109 (11.0%) participants who were HIV-positive and 312 (31.4%) who tested positive for at least one other STI. Substantive differences were seen in MSWs from different cities, with those from Hanoi more likely to have ever visited a health service (57.8% vs. 24.9%) and to have taken a prior HIV test (54.1% vs. 37.9%) than those in HCMC. Sexual health promotion is a promising approach to engaging MSWs in health services.

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 Incidence and time-varying predictors of HIV and sexually transmitted infections among male sex workers in Mexico City

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Karla Y. Ganley ◽  
Marta Wilson-Barthes ◽  
Andrew R. Zullo ◽  
Sandra G. Sosa-Rubí ◽  
Carlos J. Conde-Glez ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Mexico City ◽  
Sex Workers ◽  
Incidence Rates ◽  
Consistent Condom ◽  
Vaginal Intercourse ◽  
Time Varying ◽  
Male Sex Workers ◽  
Sexually Transmitted ◽  
Male Sex

Abstract Background Male sex workers are at high-risk for acquisition of sexually transmitted infections (STIs), including human immunodeficiency virus (HIV). We quantified incidence rates of STIs and identified their time-varying predictors among male sex workers in Mexico City. Methods From January 2012 to May 2014, male sex workers recruited from the largest HIV clinic and community sites in Mexico City were tested for chlamydia, gonorrhea, syphilis, hepatitis, and HIV at baseline, 6-months, and 12-months. Incidence rates with 95% bootstrapped confidence limits were calculated. We examined potential time-varying predictors using generalized estimating equations for a population averaged model. Results Among 227 male sex workers, median age was 24 and baseline HIV prevalence was 32%. Incidence rates (per 100 person-years) were as follows: HIV [5.23; 95% confidence interval (CI): 2.15–10.31], chlamydia (5.15; 95% CI: 2.58–9.34), gonorrhea (3.93; 95% CI: 1.88–7.83), syphilis (13.04; 95% CI: 8.24–19.94), hepatitis B (2.11; 95% CI: 0.53–4.89), hepatitis C (0.95; 95% CI: 0.00–3.16), any STI except HIV (30.99; 95% CI: 21.73–40.26), and any STI including HIV (50.08; 95% CI: 37.60–62.55). In the multivariable-adjusted model, incident STI (excluding HIV) were lower among those who reported consistently using condoms during anal and vaginal intercourse (odds ratio = 0.03, 95% CI: 0.00–0.68) compared to those who reported inconsistently using condoms during anal and vaginal intercourse. Conclusions Incidence of STIs is high among male sex workers in Mexico City. Consistent condom use is an important protective factor for STIs, and should be an important component of interventions to prevent incident infections.

Health Service- and Provider-Level Factors Influencing Engagement in HIV Pre-Exposure Prophylaxis Care Among Male Sex Workers

2021 ◽  
Vol 35 (8) ◽  
pp. 279-287
Author(s):  
Pablo K. Valente ◽  
Matthew J. Mimiaga ◽  
Philip A. Chan ◽  
Katie B. Biello
Keyword(s):  
Health Service ◽  
Sex Workers ◽  
Male Sex Workers ◽  
Factors Influencing ◽  
Male Sex ◽  
Exposure Prophylaxis

scholarly journals Male sex workers in Moscow, Russia: a pilot study of demographics, substance use patterns, and prevalence of HIV-1 and sexually transmitted infections

AIDS Care ◽  
2009 ◽  
Vol 22 (1) ◽  
pp. 112-118 ◽  
Author(s):  
Stefan Baral ◽  
Darya Kizub ◽  
Nicole Franck Masenior ◽  
Alena Peryskina ◽  
Julie Stachowiak ◽  
...  
Keyword(s):  
Substance Use ◽  
Pilot Study ◽  
Sexually Transmitted Infections ◽  
Sex Workers ◽  
Male Sex Workers ◽  
Sexually Transmitted ◽  
Use Patterns ◽  
Male Sex ◽  
Hiv 1

scholarly journals Incidence and Time-Varying Predictors of HIV and Sexually Transmitted Infections Among Male Sex Workers in Mexico City

2020 ◽  
Author(s):  
Karla Ganley ◽  
Marta Wilson-Barthes ◽  
Andrew R. Zullo ◽  
Sandra G. Sosa-Rubí ◽  
Carlos J. Conde-Glez ◽  
...  
Keyword(s):  
Human Immunodeficiency Virus ◽  
Sexually Transmitted Infections ◽  
Mexico City ◽  
Sex Workers ◽  
Incidence Rates ◽  
Time Varying ◽  
Male Sex Workers ◽  
Sexually Transmitted ◽  
Immunodeficiency Virus ◽  
Male Sex

Abstract Introduction: Male sex workers are at high-risk for acquisition of sexually transmitted infections, including human immunodeficiency virus. We quantified incidence rates of sexually transmitted infections and identified their time-varying predictors among male sex workers in Mexico City.
 Methods: Male sex workers recruited from the largest human immunodeficiency virus clinic and community sites in Mexico City were tested for chlamydia, gonorrhea, syphilis, hepatitis, and human immunodeficiency virus at baseline, 6-months, and 12-months. Incidence rates with 95% bootstrapped confidence limits were calculated. We examined potential time-varying predictors using generalized estimating equations for a population averaged model. Results and Discussion: Among 227 male sex workers, median age was 24 and baseline human immunodeficiency virus prevalence was 32%. Incidence rates (per 100 person-years) were as follows: human immunodeficiency virus (5.23; 95% confidence interval [CI]: 2.15, 10.31), chlamydia (5.15; 95% CI: 2.58, 9.34), gonorrhea (3.93; 95% CI: 1.88, 7.83), syphilis (13.04; 95% CI: 8.24, 19.94), hepatitis B (2.11; 95% CI: 0.53, 4.89), hepatitis C (0.95; 95% CI: 0.00, 3.16), any sexually transmitted infection except human immunodeficiency virus (30.99; 95% CI: 21.73, 40.26), and any sexually transmitted infection including human immunodeficiency virus (50.08; 95% CI: 37.60, 62.55). In the multivariable-adjusted model, incident sexually transmitted infections (excluding human immunodeficiency virus) were lower among those who reported consistently using condoms during anal and vaginal intercourse (odds ratio = 0.03, 95% 0.00, 0.68) compared to those who reported inconsistently using condoms during anal and vaginal intercourse. Conclusions: Incidence of sexually transmitted infections is high among male sex workers in Mexico City. Consistent condom use is an important protective factor for sexually transmitted infections, and should be an important component of interventions to prevent incident infections.

A cross-sectional study of HIV and STIs among male sex workers attending Australian sexual health clinics

2016 ◽  
Vol 93 (4) ◽  
pp. 299-302 ◽  
Author(s):  
Denton Callander ◽  
Phillip Read ◽  
Garrett Prestage ◽  
Victor Minichiello ◽  
Eric P F Chow ◽  
...  
Keyword(s):  
Sexual Health ◽  
Sex Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Male Sex Workers ◽  
Cross Sectional ◽  
Health Clinics ◽  
Male Sex ◽  
Sexual Health Clinics

Male sex workers in Antwerp, Belgium: a descriptive study

2005 ◽  
Vol 16 (11) ◽  
pp. 744-748 ◽  
Author(s):  
E Leuridan ◽  
K Wouters ◽  
M Stalpaert ◽  
P Van Damme
Keyword(s):  
Hepatitis B ◽  
Sex Workers ◽  
Red Light ◽  
Preventive Health Care ◽  
Hepatitis B Vaccination ◽  
Published Data ◽  
Male Sex Workers ◽  
Sexually Transmitted ◽  
Behavioural Characteristics ◽  
Male Sex

The objective of this study was to describe the prevalence of sexually transmitted infections (STI), sociodemographic and behavioural characteristics in a population of male sex workers (MSW) in Antwerp, Belgium. Between September 1999 and March 2004, 129 MSW were reached by Gh@pro, an outreach programme providing preventive health care, free STI check-up and hepatitis B vaccination, to sex workers (SW). Sera were collected from 121 men, urine samples from 115 men and a questionnaire was filled in by 43 MSW. In 45.5% of MSW one or more STI were diagnosed (including hepatitis B), 76% on laboratory testing at first screening, 9% through symptomatology at first visit. The prevalence of HIV was 10.8%, hepatitis B virus (HBV) infection 28.9%, syphilis 12.5%, gonorrhoea 1.7% and Chlamydia trachomatis 9.7%. More than 50% of non-immune MSW completed their three-dose hepatitis B vaccination course. Prevalence of STI is concordant with published data on MSW; this population clearly requests and deserves particular attention and approach. There is an important difference in sociodemographic and behavioural characteristics between MSW working in the red light district and those working on the street. Health promotion should be tailored to the different subpopulations and outreach appears to be a successful tool.

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