A cross-sectional study of HIV and STIs among male sex workers attending Australian sexual health clinics.
Sex Transm Infect
; 93(4): 299-302, 2017 06.
Article
en En
| MEDLINE
| ID: mdl-27591189
ABSTRACT
OBJECTIVES:
Although sex work is frequently characterised as a practice with high risk for HIV and other STIs, little is known about the epidemiology of these infections among men who sell sex in Australia. This study reports the prevalence of chlamydia, gonorrhoea, infectious syphilis and HIV among men who have sex with men attending Australian publicly funded sexual health clinics and compares prevalence between sex workers and non-sex workers.METHODS:
From 2011 to 2014, de-identified patient data were extracted from 40 sexual health clinics in four Australian jurisdictions. The χ2 and multiple logistic regression analyses were used to compare the prevalence of HIV and STIs among men attending these services who did and did not report sex work in the 12â months prior to consultation. All analyses were restricted to men who reported sex with other men and to each patient's first consultation at participating services.RESULTS:
In total, 27â 469 gay, bisexual and other men who have sex with men attended participating clinics; 443 (1.6%) reported sex work. At first consultation, 18% of sex workers and 17% of non-sex workers were diagnosed with HIV or an STI (p=0.4) 13% of sex workers were newly diagnosed with chlamydia, 15% with gonorrhoea, 0.5% with infectious syphilis and 0.6% with HIV. After controlling for demographic and behavioural factors, sex work was not independently associated with an HIV or STI diagnosis.CONCLUSIONS:
These findings provide estimates of HIV and STI prevalence among men who sell sex in Australia and they challenge assumptions of sex work as inherently risky to the sexual health of gay bisexual and other men who have sex with men.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Parejas Sexuales
/
Aceptación de la Atención de Salud
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Enfermedades de Transmisión Sexual
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Trabajadores Sexuales
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
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Observational_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Humans
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Male
País como asunto:
Oceania
Idioma:
En
Año:
2017
Tipo del documento:
Article