Trends in unprotected intercourse among heterosexual men before and after brothel ban in Siem Reap, Cambodia: a serial cross-sectional study (2003–2012)
| Autor: | Maryan Chhit, Sarath Kros, Alvin Kuo Jing Teo, Raymond Boon Tar Lim, Bee Choo Tai, Alwyn Ng, Mee Lian Wong, Rayner Kay Jin Tan, Dede Kam Tyng Tham, Ian Lubek, Nashwinder Kaur, Savun Touch |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Serial cross-sectional study (2003–2012) Sexually Transmitted Diseases HIV Infections law.invention Condoms Young Adult 03 medical and health sciences symbols.namesake 0302 clinical medicine Condom law Epidemiology Heterosexual men buying sex Humans Medicine Brothel ban 030212 general & internal medicine Poisson regression Heterosexuality Sex work 030505 public health Unsafe Sex business.industry Public health lcsh:Public aspects of medicine Public Health Environmental and Occupational Health Unprotected intercourse lcsh:RA1-1270 Sex Work Cross-Sectional Studies Unprotected vaginal intercourse symbols Self Report Biostatistics Cambodia 0305 other medical science business Research Article Program Evaluation Demography |
| Zdroj: | BMC Public Health, Vol 18, Iss 1, Pp 1-11 (2018) BMC Public Health |
| ISSN: | 1471-2458 |
| Popis: | Background Following Cambodia’s implementation of the 100% condom use program with enforcement of condom use and STI treatment services for sex workers in 2001, sexually transmitted infection and HIV declined markedly. In 2008, Cambodia implemented a law to ban brothel-based sex work. We reported trends in unprotected vaginal intercourse with sex workers among heterosexual men buying sex before (2003–2008) and after (2009–2012) the brothel ban in Cambodia. We also determined the association of brothel ban with these men’s reports of unprotected intercourse with sex workers. Methods In this serial cross-sectional study, we collected yearly behavioural data on random cross-sectional samples of heterosexual men buying sex who attended the only government health centre in Siem Reap for voluntary confidential counselling and testing (VCCT) between 2003 and 2012. We used multivariable Poisson regression analysis on the 10-year data of 976 men to obtain the adjusted prevalence ratio (aPR) of unprotected intercourse in the last 6 months by brothel closure. Results Men buying sex from non-brothel-based sex workers increased almost 3-fold from 17% in 2007–2008 before brothel closure to 55% in 2011–2012 after brothel closure (p |
| Databáze: | OpenAIRE |
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