Perilaku Seksual Berisiko Pengguna Narkotika

AbstrakPenyalahgunaan narkotika yang melakukan hubungan seksual sebelummenikah, dan berganti-ganti mitra seksual merupakan perilaku berisiko.Masalah yang diakibatkan penyalahgunaan narkotika sangat kompleks,seperti masalah sosial dan kesehatan. Kecenderungan pengguna narkotika melakukan perilaku seksual dini dan tidak aman semakin memperparah kondisi kualitas hidup pecandu dan tentunya berdampak besar pada kelangsungan hidup di masa depan. Tujuan penelitian ini adalah mengetahui determinan perilaku seksual berisiko di kalangan pengguna narkotika. Metode penelitian adalah potong lintang menggunakan data sekunder kajian rekam medis di instalasi Medical Psikiatric Evaluation di rumah sakit ketergantungan obat (RSKO) Jakarta tahun 2013. Populasi penelitian adalah pasien ketergantungan narkotika yang dirawat inap di RSKO Cibubur selama tahun 2013. Sampel dalam penelitian ini adalah seluruh pasien yang dirawat inap berjumlah 74 responden. Analisis data yang digunakan adalah analisis secara univariat, bivariat, dan multivariat. Hasil penelitian membuktikan bahwa mayoritas responden telah melakukan perilaku seksual berisiko, yaitu sebesar 82,4% dengan usia pertama kali berhubungan seksual ≤ 17 tahun sebesar 78,4%. Usia pertama kali berhubungan seksual ≤ 17 tahun merupakan variabel yang paling berpengaruh terhadap perilaku seksual berisiko di kalangan pecandu narkotika. Model akhir analisis multivariat menunjukkan bahwa pengguna narkotika yang telah melakukan hubungan seksual ≤ 17 tahun berpeluang 6,74 kali (CI = 1,84 – 24,73) untuk melakukan perilaku seksual berisiko dibandingkan dengan pengguna narkotika > 17 tahun.AbstractNarcotic abuse having premarital sexual intercourse and multiple sexualpartners is risky behavior. Problems caused by narcotic abuse are verycomplex, such as social and health problems. Tendency of narcotic userscommitting early and unsafe sexual intercourse worsen condition of the addict’s quality of life and definitely has a big impact on life survival in the future. This study aimed to determine determinants of risky sexual behavior among narcotic users. The method was cross sectional study using secondary data of medical record assessment at Medical PsikiatricEvaluation installation in Jakarta hospital for drug addicts in 2013. The study population was narcotic-addicted patients hospitalized at Cibubur Hospital for Drug Addicts within 2013. Sample of this study was all hospitalized patients amounted to 74 respondents. Data analysis used was univariate, bivariate and multivariate analysis. Results proved that most respondents had committed risky sexual behaviors worth 82.4% in which the age of first intercourse ≤ 17 years old worth 78.4%. The age of first intercourse ≤ 17 years old was the most influential variable to risky sexual behavior among narcotic addicts. The final model of multivariate analysis showed that narcotic users who committed sexual intercourse ≤ 17 years had 6.74 times opportunity (CI = 1.84 – 24.73) to commit risky sexual behavior than > 17 yearold narcotic users.

Download Full-text

Youth Risky Sexual Behavior: Prevalence and Socio-Demographic Factors in North-West Ethiopia: A Community-Based Cross-Sectional Study

International Quarterly of Community Health Education ◽

10.1177/0272684x20976519 ◽

2020 ◽

pp. 0272684X2097651

Author(s):

Alehegn Bishaw Geremew ◽

Abebaw Addis Gelagay ◽

Hedija Yenus Yeshita ◽

Telake Azale Bisetegn ◽

Yohannes Ayanaw Habitu ◽

...

Keyword(s):

Sexual Behavior ◽

Sexual Behaviors ◽

Risky Sexual Behavior ◽

Common Mental Disorder ◽

Risky Behaviors ◽

Cross Sectional Study ◽

Risky Sexual Behaviors ◽

Sectional Study ◽

Community Based ◽

Cross Sectional

Introduction Despite, risky sexual behavior behaviors adversely affect the health of youth people, youth has been start sexual lives during teenager is increasing, thus youth has been engaged in risky sexual behaviors. However, almost all the previous studies are institutional based and did not considered out school youth. Therefore, this community based study among youth was implemented to identify sociodemographic determinants of risky sexual behaviors among youth. Methods The community based cross-sectional study design was conducted from March 15 to April 15, 2019, among youths. Data were extracted from data collected for project on assessments of common health problem and risky behaviors in central, north and west Gondar zone, Northwest Ethiopia. A bivariable and multivariable logistic regression model was fitted. Adjusted odds ratio with 95% confidence interval were used to determine the presence of an association between independent variables and risky sexual behavior. Results The overall prevalence of risky sexual behavior was 27.5%, 95%CI: (25–29). Age 20–24 years (AOR = 1.8,95% CI:1.3–2.5), female (AOR = 1.6,95%CI: 1.2–2.1), had no formal education (AOR = 1.9,95% CI:1.1–3.4), not schooling during data collection year (AOR = 1.8,95%CI:1.3–2.6), family wealth index status; lowest (AOR = 2.3,95%CI:1.3–3.9), low (AOR = 2.1,95%CI:1.2–3.5), medium (AOR = 1.9,95%CI:1.2–3.0) and high (AOR = 1.8, 95%CI:1.1–3.0), having common mental disorder (AOR = 2.0,95% CI: 1.4–2.7), and watching pornography materials (AOR = 1.6, 95%CI: 1.2–2.1) were factors associated with risky sexual behaviors. Conclusions Findings of this study revealed that one every four youths aged 15–24 years old had risky sexual behaviors. Hence, working on economic development of the family and prevention of violence can contribute to reducing risky sexual behavior among youths.

Download Full-text

Dating Applications, Sexual Behaviors, and Attitudes of College Students in Brazil’s Legal Amazon

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17207494 ◽

2020 ◽

Vol 17 (20) ◽

pp. 7494

Author(s):

Maycon Klerystton B. Tavares ◽

Romulo L. P. de Melo ◽

Bianca F. da Rocha ◽

Débora J. Andrade ◽

Danielle R. Evangelista ◽

...

Keyword(s):

College Students ◽

Young Adults ◽

Sexual Behavior ◽

Sexual Health ◽

Sexual Behaviors ◽

Risky Sexual Behavior ◽

Cross Sectional Study ◽

Cross Sectional ◽

Sexually Transmitted ◽

Number Of Sexual Partners

Although dating applications (apps) have become popular among young adults, there is a dearth of information regarding the sexual health implications among Brazilian college students. This study examined risky sexual behavior and attitudes of dating app users, based on their sex in Brazil’s Legal Amazon. Three hundred and fifty-nine students reported their sociodemographic data, dating app use, and sexual behaviors and attitudes through self-administered questionnaires. Bivariate analyses and analysis of variance (ANOVA) with Bonferroni post-hoc tests were performed. Dating app use was reported by 238 (66.3%) subjects, most of whom had an encounter and sex with a casual partner. Women frequently requested condom use. Trust in one’s partner or having repeated encounters were the main reasons for engaging in risky sexual behavior. Men had a greater number of sexual partners and less protective attitudes. Sexual health awareness by apps was not reported by 97% of women, and most of them were not tested for sexually transmitted infections. A positive attitude toward sexual health was not a predictor of safe sex. Important similarities and differences regarding risky sexual behaviors and attitudes were observed between the sexes, many of which correlated with increased sexual vulnerability during the sexual encounters arranged through the dating apps. This cross-sectional study supports efforts on sexual health promotion and sexual education implementation in the face of growing usage of apps among young adults for sexual matters.

Download Full-text

Factors associated with risky sexual behaviour among secondary and preparatory students in Wolaita Sodo town, Southern Ethiopia; Institution based cross-sectional study

African Health Sciences ◽

10.4314/ahs.v21i4.41 ◽

2021 ◽

Vol 21 (4) ◽

pp. 1830-41

Author(s):

Gedion Asnake Azeze ◽

Natnael Atnafu Gebeyehu ◽

Addisu Yeshambel Wassie ◽

Taklu Marama Mokonnon

Keyword(s):

Sexual Behavior ◽

Sexual Behaviors ◽

Risky Sexual Behavior ◽

Cross Sectional Study ◽

Southern Ethiopia ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Wolaita Sodo ◽

Study Participants

Background: Young people in Ethiopia aged between 18 and 24 who have had sex before age 18 has increased from 35% in 2005 to 40% in 2016 among women and from 9% to 12% among men.Objectives: This study aimed to assess the prevalence and factors associated with risky sexual behavior among secondary and preparatory students in Wolaita Sodo town, Wolaita zone, Southern Ethiopia; 2020.Methods: A school-based cross-sectional study was conducted from February 4 to 25, 2020. Multistage sampling was employed to select a random sample of 830 study participants from 2 randomly selected secondary and preparatory schools. Bivariate and multivariate logistic regression analysis was used to examine the relationship between the outcome variables and independent variables.Result: Among the 306 participants who reported ever having sex, 196 (24.7%) engaged in risky sexual behaviors. Factors significantly associated with risky sexual behavior were; ever used alcohol, ever smoked cigarettes, parent monitoring, and having sexually active close friend/s.Conclusion: Substantial proportion of study participants engaged in risky sexual behavior calling for more interventions on school student’s addictive behaviors. Parents should have frequent, open and informative discussions about substance use and the associated problems with their adolescents. Keywords: Students; risky sexual behavior; factors; Ethiopia.

Download Full-text

Assessment of magnitude of risk sexual behavior among Mizan high school and preparatory school students, South West, Ethiopia, 2016: descriptive cross-sectional study

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20180793 ◽

2018 ◽

Vol 4 (3) ◽

pp. 68 ◽

Cited By ~ 2

Author(s):

Alemayehu Sayih Belay ◽

Yohannes Worku ◽

Tsion Addisu ◽

Addis Alemneh

Keyword(s):

High School ◽

Sexual Behavior ◽

Sexual Behaviors ◽

Risky Sexual Behavior ◽

Sex Workers ◽

Cross Sectional Study ◽

Risky Sexual Behaviors ◽

School Students ◽

Cross Sectional ◽

Preparatory School

Background: Risky sexual behavior increases the likelihood of adverse sexual and reproductive health consequences such as unwanted pregnancies, unsafe abortion and sexually transmitted infections including HIV/AIDS. Adolescent in Sub Saharan Africa, including Ethiopia are highly risky to various risky sexual behaviors. The aim of this study is to assess the magnitude of risky sexual behavior Among High School and Preparatory School Students in Mizan town, Ethiopia.Methods: Schools based cross sectional study design were conducted from April 23 – 27, 2016 in high school and preparatory school students in Mizan town and the data will be collected through self-administered questionnaire. Total of 308 study subject were included in the study. Individuals were selected through simple random sampling techniques. Data was entered and analyzed by using SPSS version 20. Results: A total of 308 study subjects were participated. About 204 (66%) of them were between the age of 16-18 years. The overall risk sexual behaviors of the respondents were about 158 (51.3%). Regarding to their sexual partner, about 20(18.87%) of them were had sex with commercial sex workers.Conclusions: A considerable number of students have practiced risky sexual behavior that might predispose them to different sexual and reproductive health problems. Risky sexual behaviors were proven by having sex under the influence of alcohol and khat, having multiple sexual partners, having sexual intercourse with commercial sex workers and low practice of utilization of condoms.

Download Full-text

Risky sexual behavior and associated factors in undergraduate students in a city in Southern Brazil

Revista de Saúde Pública ◽

10.11606/s1518-8787.2020054001709 ◽

2020 ◽

Vol 54 ◽

pp. 41

Author(s):

Débora Dalmas Gräf ◽

Marilia Arndt Mesenburg ◽

Anaclaudia Gastal Fassa

Keyword(s):

Sexual Behavior ◽

Sexual Intercourse ◽

Undergraduate Students ◽

Risky Sexual Behavior ◽

Associated Factors ◽

Public Investment ◽

Cross Sectional Study ◽

Smartphone Applications ◽

Cross Sectional ◽

First Semester

OBJECTIVE: To describe the sexual behavior of freshmen undergraduate students according to demographic, economic, psychosocial and behavioral characteristics, and evaluate the prevalence of risky sexual behavior and its associated factors. METHODS: A cross-sectional study of the census type with undergraduate students over 18 years old of 80 undergraduate courses of the Universidade Federal de Pelotas (UFPel), in Rio Grande do Sul (RS), who entered in the first semester of 2017 and remained enrolled in the second semester. Undergraduate students who reported having had sex were evaluated. We considered as risky sexual behavior having more than one sexual partner within the last three months and not having used condoms in the last sexual intercourse. RESULTS: The prevalence of risky sexual behavior was 9% (95%CI 7.6–10.5). Men presented more risky behavior than women, with a prevalence of 10.8% and 7.5%, respectively. Of the undergraduate students, 45% did not use condoms in the last sexual intercourse, and 24% had two partners or more within three months before the survey. Smartphone applications for sexual purposes were used by 23% of students within three months before the survey. Risky sexual behavior was associated with gender, age at first sexual intercourse, frequency of alcohol consumption, consumption of psychoactive substances before the last sexual intercourse and use of smartphone applications for sexual purposes. CONCLUSION: Although undergraduate students are expected to be an informed population, the prevalence of risky sexual behavior was important, indicating the need to expand public investment in sexual education and awareness actions.

Download Full-text

The Correlation between Perceived Peer Norms in Attitude and Self-Efficacy Premarital Sexual Behavior

The Open Public Health Journal ◽

10.2174/1874944502013010555 ◽

2020 ◽

Vol 13 (1) ◽

pp. 555-558

Author(s):

Katayon Vakilian ◽

Afsaneh Keramat

Keyword(s):

Sexual Behavior ◽

Sexual Behaviors ◽

Self Efficacy ◽

Cross Sectional Study ◽

Female Students ◽

Male Students ◽

Health Programs ◽

Sexual Abstinence ◽

Cross Sectional ◽

Spearman Test

Background and Aims: Adolescence is a period of life in which high-risk behaviors, including sexual behaviors, put the adolescents at risk for sexually transmitted diseases, including AIDS. This research aimed at studying the relationship between peers' perception of sexual behavior and adolescents' attitudes and self-efficacy. Materials and Methods: This cross-sectional study used a multi-stage method to examine 1500 subjects in the universities of Shahroud, Iran. The questionnaires were consisted of sexual abstinence attitude, abstinence self-efficacy and peer subjective norms. To ensure the confidentiality of information, the questionnaire was distributed among 1500 students in six universities anonymously, and students҆ field of study was not mentioned. The collected data was analyzed with descriptive (Mean, Percent) and inferential tests (independent t-test, chi2, and Spearman test) using SPSS 18 software. Results: The mean age of the females was 20.26±1.49, and that of males was 20.32±1.575. 59.3% of male students and 86.8% of female students had poor sexual abstinence to sex before marriage. Moreover, the sexual abstinence self-efficacy of 29% of male students and 13.1% of female students, regarding the sexual abstinence before marriage, was strong. Findings showed that the more one believes in his/her abilities in sexual abstinence, the more they believe that their friends will not be involved in sex Conclusion: It is required to provide the opportunities to learn and correct the socio-emotional skills required for physical and sexual health in relationships through social interactions with peers. In this context, the reproductive health programs need to be prioritized in the youth health programs and schools

Download Full-text

Adolescents’ Risk of Different Sexual Orientation Tendency in Terms of Family Factors (Case Study in Padang and Agam Regency)

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.6061 ◽

2021 ◽

Vol 9 (E) ◽

pp. 324-327

Author(s):

Lili Fajria ◽

Nuzulia Irawati ◽

Hema Malini ◽

Mudjiran Mudjiran ◽

Randi Refnandes

Keyword(s):

Sexual Behavior ◽

Sexual Orientation ◽

Sexual Behaviors ◽

Family Income ◽

Transition Period ◽

Cross Sectional Study ◽

Family Factors ◽

Family Type ◽

Cross Sectional ◽

High Tendency

BACKGROUND: In the transition period, in adolescents occur the process of physical, cognitive, and social maturation. This period is essential in the formation of sexual identity, which related to gender and sexual orientation. Improper sexual identities will provoke sexual behavior problems. The problems with sexual behavior begin from differences in sexual orientation with a sexual orientation generally accepted by the public (heterosexual). In some adolescents, there is a change in sexual orientation that leads to homosexuality. The factors that play a significant role in adolescent sexual orientation are parenting. AIM: This study aimed to examine the risk of different sexual orientation tendencies in adolescents and the families’ factors in West Sumatra. MATERIALS AND METHODS: This study’s design was a cross-sectional study with 532 adolescents aged 13–18 years old as the respondents. It took 3 months to research by using a questionnaire as the instrument. The questionnaire’s data were analyzed using Chi-square. RESULTS: The results showed that the risk of different sexual behaviors in adolescents was 59.4% normal tendency, 26.7% low tendency, and 13.9% high tendency. Furthermore, family factors related significantly to the risk of different sexual behavior tendencies were gender and family intimacy factors (p < 0.05), while age, family type factors, and family income factors (p > 0.05) are not significantly related. CONCLUSION: Based on that, it concluded that the parents expected to develop closer relationships with family members.

Download Full-text

Comportamientos sexuales riesgosos y factores asociados entre estudiantes universitarios en Barranquilla, Colombia, 2019

Enfermería Global ◽

10.6018/eglobal.412161 ◽

2020 ◽

Vol 19 (3) ◽

pp. 422-449

Author(s):

María Badillo-Viloria ◽

Xilene Mendoza-Sánchez ◽

Marisol Barreto Vásquez ◽

Anderson Díaz-Pérez

Keyword(s):

Sexual Behavior ◽

University Students ◽

Sexual Risk ◽

Sexual Behaviors ◽

Risky Sexual Behavior ◽

Unprotected Sex ◽

Risky Sexual Behaviors ◽

Sexual Practices ◽

Risk Scores ◽

Cross Sectional

Introducción: Adolescentes y adultos jóvenes participan frecuentemente en comportamientos sexuales riesgosos (relaciones sexuales sin protección, sexo con parejas casuales, promiscuidad, iniciación sexual temprana, etc.), trayendo consigo embarazos no planeados, Infecciones de Transmisión Sexual, suicidios, abortos, afectaciones académicas y laborales. El objetivo del estudio, fue identificar los comportamientos sexuales riesgosos y factores asociados en estudiantes de una universidad en Barranquilla, 2019. Materiales y métodos: Estudio de tipo descriptivo-correlacional de corte transversal, se utilizó la Encuesta de Riesgo Sexual, que evaluó comportamientos sexuales riesgosos en universitarios de Barranquilla, en los últimos seis meses, se generaron los coeficientes de correlación Chi cuadrado de Pearson (nivel de confianza 95%; p≤0.05) para medir la asociación entre los puntajes de riesgo sexual y factores sociodemográficos y académicos. Resultados: El 63% de los participantes inició actividad sexual antes de los 18 años. 87% han participado una o más veces en comportamientos sexuales de riesgo: sexo vaginal sin condón (73%), fellatio sin condón (60.3%), número de parejas con quién tienen comportamientos sexuales (66.2%) y experiencias sexuales inesperadas (54.4%). Los hombres y estudiantes de Derecho tenían puntajes de riesgo sexual más altos que las mujeres y los estudiantes de Enfermería. Conclusión: Los universitarios están en riesgo y participando en comportamientos sexuales riesgosos, que podrían afectar su salud y proyecto de vida. Los factores de mayor riesgo fueron; sexo temprano, género, edad >20 años, prácticas sexuales arriesgadas como el sexo vaginal, oral y anal sin protección y conductas sexuales impulsivas y no planificadas. Introduction: Adolescents and young adults are frequently involved in risky sexual behavior (unprotected sex, sex with casual partners, promiscuity, early sexual initiation, etc.) bringing with them, unplanned pregnancies, sexually transmitted infections, suicides, abortions, academic and labor affectations. The objective of the study was to identify risky sexual behaviors and associated factors in students at a university in Barranquilla, 2019.Materials and methods: Study descriptive-correlational cross-sectional, the sexual risk survey was used, which evaluated risky sexual behavior in university students of Barranquilla in the last six months, were generated correlation coefficients Chi-square Pearson (95% confidence level; p≤0.05) to measure the association between sexual risk scores and sociodemographic and academic factors.Results: 63% of participants initiated sexual activity before the age of 18. The 87% have participated one or more times in risky sexual behaviors: vaginal sex without a condom (73%), fellatio without a condom (60.3%), number of partners with whom they have sexual behaviors (66.2%) and unexpected sexual experiences (54.4%). Men and law students had higher sexual risk scores than women and nursing students.Conclusion: The university students are at risk and participating in risky sexual behavior, which could affect their health and life Project. The major risk factors were; early sex, gender, age >20 years, risky sexual practices such as vaginal, oral, and anal unprotected sex and impulsive and unplanned sexual behaviors.

Download Full-text

Perilaku Seksual Berisiko pada Pedagang Bawang Merah di Kecamatan Wanasari Kabupaten Brebes

JURNAL PROMOSI KESEHATAN INDONESIA ◽

10.14710/jpki.13.1.1-16 ◽

2018 ◽

Vol 13 (1) ◽

pp. 1

Author(s):

Nina Maria Desi ◽

Zahroh Shaluhiyah ◽

Sutopo Patria Djati

Keyword(s):

Sexual Behavior ◽

Sexual Risk ◽

Sexual Behaviors ◽

Risky Sexual Behavior ◽

Leisure Activity ◽

Cross Sectional ◽

Sexually Transmitted ◽

Strongly Connected ◽

The Times ◽

Time Variables

ABSTRAKTingkat migrasi penduduk yang makin tinggi mengakibatkan populasi berisiko tertular infeksi menular seksual juga meningkat. Dari studi pendahuluan yang dilakukan terhadap pedagang bawang merah di wilayah Kec. Wanasari Kab. Brebes terungkap bahwa pengetahuan mengenai perilaku seksual beresiko kurang dan perilaku seksual beresiko tanpa kondom yang tinggi. Penelitian ini merupakan penelitian deskriptif analitik kuantitatif dengan rancangan cross sectional, metode pengumpulan data dengan penyebaran kuisioner untuk mencari gambaran perilaku seksual berisiko. Sampel penelitian yaitu pedagang bawang merah di Kec. Wanasari Kab. Brebes yaitu sebesar 120 orang. Sebanyak 86,7% responden berperilaku seksual berisiko IMS. 70,8% responden berumur ≥32 tahun dengan pendidikan rendah sebanyak 57,5% dan belum menikah sebanyak 52,5%. Sebagian besar responden berpengetahuan kurang baik dan 61,7% melakukan kegiatan berisiko untuk mengisi waktu luang. Variabel yang berhubungan terhadap perilaku seksual berisiko IMS adalah umur dan kegiatan pengisi waktu luang. Analisis multivaritat menunjukan factor yang paling berpengaruh adalah umur, kegiatan pengisi waktu luang dan religiusitas. Saran bagi Dinas Kesehatan Kabupaten Brebes lebih meningkatkan pengetahuan para pedagang bawang dalam hal perilaku seksual berisiko dan memfasilitasi para pedagang untuk mengisi waktu luang dengan hal yang bermanfaat dan terhindar dari perilaku seksual berisiko.Kata Kunci : Pedagang bawang, Infeksi Menular SeksualABSTRACTSEXUAL BEHAVIOR AT RISK OF ONION TRADERS IN WANASARI, BREBES; Along with the times, the population at high risk of sexually transmitted infections increase rapidly. From a preliminary study in the district Wanasari Brebes revealed that their knowledge about sexual behavior said to be low risk and lots of sexual risk behavior without condom. This research is descriptive quantitative analytical with cross-sectional design study, methods for collecting the data by distributing questionnaires to find a picture on the risky sexual behaviors of respondent. The sample in this research is 120 people. 86,7% respondent has risky sexual behavior. 70,8% of respondent is above 32 years old with low education as much as 57,5% and not marriage yet 52,5%. 61,7% of respondent has risky behavior in their leisure time. Variables that significantly relationship against sexual behavior are ages and leisure activity.based on multivariate analisys, variables that strongly connected to sexual behavior is ages, leisure activity, and religiousity. Advice given to Departemen Kesehatan Brebes for further enhance the knowledge of onion traders in terms of risky sexual behavior, include facilitating spare time with things that are more useful to avoid risky sexual behavior.Keyword : Behavior, sexual risk, Brebes

Download Full-text

Risky sexual behavior and sexually transmitted infections among men who have sex with men and purchase sex attending an Israeli sexually transmitted infection clinic

International Journal of STD & AIDS ◽

10.1177/0956462419830856 ◽

2019 ◽

Vol 31 (3) ◽

pp. 236-243 ◽

Cited By ~ 1

Author(s):

Rivka S Rich ◽

Alex Leventhal ◽

Rivka Sheffer ◽

Zohar Mor

Keyword(s):

High Risk ◽

Sexually Transmitted Infections ◽

Sexual Behaviors ◽

Risky Sexual Behavior ◽

Laboratory Data ◽

Cross Sectional Study ◽

Transmitted Infection ◽

Cross Sectional ◽

Sexually Transmitted ◽

Sex With Men

Men who have sex with men (MSM) and purchase sex (MPS) are a sub-group potentially at high risk for acquiring and transmitting sexually transmitted infections (STIs). This is a hard-to-reach population resulting in a scarcity of studies covering the issue. This cross-sectional study aimed to assess the association between purchasing sex and high-risk behaviors related to HIV/STI transmission and appraise the STI prevalence among MSM. All MSM who attended the STI clinic in Tel Aviv between 2003 and 2010 were included. Demographics, behavioral, clinical, and laboratory data were compared between MPS and non-MPS to identify high-risk sexual behaviors and STI prevalence associated with purchasing sex. Of the first visits of 2694 MSM who attended the STI clinic during the study period, 151 (5.6%) paid for sex. MPS were more commonly older and married than non-MPS. MPS were more likely to engage in behaviors associated with high risk for HIV/STI transmission, including infrequent condom use during anal sex, substance use during sex, and selling sex themselves. MPS had a higher STI prevalence than non-MPS, although this was not statistically significant ( p = 0.05). These findings highlight the need to establish culturally tailored interventions for MPS addressing the potential risks associated with purchasing sex.

Download Full-text