Trends in unprotected intercourse among heterosexual men before and after brothel ban in Siem Reap, Cambodia: a serial cross-sectional study (2003–2012)

Autor: Mee Lian Wong, Alvin Kuo Jing Teo, Bee Choo Tai, Alwyn Mao Tong Ng, Raymond Boon Tar Lim, Dede Kam Tyng Tham, Nashwinder Kaur, Rayner Kay Jin Tan, Sarath Kros, Savun Touch, Maryan Chhit, Ian Lubek
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: BMC Public Health, Vol 18, Iss 1, Pp 1-11 (2018)
Druh dokumentu: article
ISSN: 1471-2458
DOI: 10.1186/s12889-018-5321-0
Popis: Abstract 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: Directory of Open Access Journals