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A Mixed Methods Analysis of the Venue-Related Social and Structural Context of Drug Use During Sex Among Male Clients of Female Sex Workers in Tijuana, Mexico.
Pitpitan, Eileen V; Rocha-Jimenez, Teresita; Salazar, Marissa; Chavarin, Claudia; Magis-Rodriguez, Carlos.
Afiliação
  • Pitpitan EV; Department of Medicine, University of California San Diego, 9500 Gilman Drive MC 0507, 92093, La Jolla, CA, USA. epitpitan@ucsd.edu.
  • Rocha-Jimenez T; Department of Medicine, University of California San Diego, 9500 Gilman Drive MC 0507, 92093, La Jolla, CA, USA.
  • Salazar M; Department of Medicine, University of California San Diego, 9500 Gilman Drive MC 0507, 92093, La Jolla, CA, USA.
  • Chavarin C; Department of Medicine, University of California San Diego, 9500 Gilman Drive MC 0507, 92093, La Jolla, CA, USA.
  • Magis-Rodriguez C; Centro Nacional para la Prevención y Control, del VIH/SIDA (CENSIDA), Herschell 119, Anzures, C.P. 11590, Ciudad De México, Mexico.
AIDS Behav ; 24(3): 724-737, 2020 Mar.
Article em En | MEDLINE | ID: mdl-31093819
ABSTRACT
Drug use during sex increases risks for HIV acquisition. Male clients of female sex workers (FSW) represent both a key population at risk for HIV as well as a transmission bridge population. In Tijuana, Mexico, drug use is prevalent and there is a need to understand male clients' drug use during sex with FSW. Characteristics of sex work venues may confer higher risks for drug use, risky sex, and HIV/STI. It is essential to understand the venue-related social and structural factors associated with drug use during sex in order to inform HIV prevention interventions with male clients in this region. We used a Mixed-Methods Sequential Explanatory Design to conduct an enriched examination of drug use during sex among male clients of FSW in Tijuana. Findings from logistic regression analysis showed that drug use during sex was significantly correlated with police harassment (AOR = 4.06, p < .001) and methamphetamine use (AOR = 33.77, p < .001). In-depth interview data provided rich meaning behind and context around the quantitative associations. Social and structural interventions to reduce police harassment, methamphetamine use, and promote condom availability are needed to reduce risks for HIV among male clients of FSW in Tijuana.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Trabalho Sexual / Infecções Sexualmente Transmissíveis / Infecções por HIV / Transtornos Relacionados ao Uso de Substâncias / Sexo sem Proteção / Profissionais do Sexo Tipo de estudo: Etiology_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male País como assunto: Mexico Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Trabalho Sexual / Infecções Sexualmente Transmissíveis / Infecções por HIV / Transtornos Relacionados ao Uso de Substâncias / Sexo sem Proteção / Profissionais do Sexo Tipo de estudo: Etiology_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans / Male País como assunto: Mexico Idioma: En Ano de publicação: 2020 Tipo de documento: Article