Transactional sex and prevalence of STIs: a cross-sectional study of MSM and transwomen screened for an HIV prevention trial

Autor: Orlando Montoya, Robert M. Grant, César R. Nureña, Judith M. Tanur, Marc M. Solomon, J. Jeff McConnell
Rok vydání: 2014
Předmět:
Male
Cross-sectional study
HIV Infections
Men who have sex with men
Pre-exposure prophylaxis
Risk Factors
Transgender
Prevalence
Mass Screening
Medicine
Pharmacology (medical)
sexual behaviour
Homosexuality
AIDS
Sexual Partners
Infectious Diseases
Medical Microbiology
Public Health and Health Services
HIV/AIDS
epidemiology
Female
Public Health
Ecuador
Infection
Adult
medicine.medical_specialty
Clinical Trials and Supportive Activities
Clinical Sciences
Sexually Transmitted Diseases
Transactional sex
Sexual and Gender Minorities (SGM/LGBT*)
Dermatology
Transgender Persons
Article
Acquired immunodeficiency syndrome (AIDS)
Clinical Research
Humans
Serologic Tests
homosexual
Homosexuality
Male
sexually transmitted infections
Mass screening
sex workers
Sex work
Gynecology
business.industry
Prevention
Public Health
Environmental and Occupational Health
HIV
South America
medicine.disease
Sex Work
Good Health and Well Being
Cross-Sectional Studies
Pre-Exposure Prophylaxis
business
Demography
Zdroj: International journal of STD & AIDS, vol 26, iss 12
ISSN: 1758-1052
0956-4624
Popis: Few studies have characteri sed the degree of engagement in transactional sex among men and transgender women who have sex with men and explored its association with sexually transmitted infections and human immunodeficiency virus in Ecuador. We screened 642 men who have sex with men and transgender women for a pre-exposure prophylaxis clinical trial (iPrEx) in Guayaquil, Ecuador, 2007–2009. We analysed the association of degree of engagement in transactional sex and prevalence of sexually transmitted infections including human immunodeficiency virus using chi-square and analysis of variance tests. Although just 6.2% of those who screened self-identified as sex workers, 52.1% reported having engaged in transactional sex. Compared to those who had never been paid for sex, those who had been paid were more likely to have a sexually transmitted infection (56.6% vs . 45.0%, p = 0.007) and trended toward s a higher human immunodeficiency virus prevalence (16.6% vs . 10.4%, p = 0.082) at screening. Transgender women compared to other men who have sex with men were more likely to have sexually transmitted infections diagnosed at screening (75.6% vs . 50.0%, p = 0.001). Transactional sex is practiced widely but occasionally among the men who have sex with men and transgender women in Guayaquil who screened for the iPrEx study; however, engaging in transactional sex may not lead to a sex worker self-identification. Both transactional sex and being a transgender woman are associated with sexually transmitted infections prevalence.
Databáze: OpenAIRE
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