Psychosexual and social-cognitive correlates of sexual risk behavior among male clients of female sex workers in Tijuana, Mexico

被引:10
作者
Semple, Shirley J. [1 ]
Strathdee, Steffanie A. [2 ]
Gallardo Cruz, Manuel [3 ]
Robertson, Angela [2 ,4 ]
Goldenberg, Shira [2 ,4 ]
Patterson, Thomas L. [1 ,5 ]
机构
[1] Univ Calif San Diego, Sch Med, Dept Psychiat, La Jolla, CA 92093 USA
[2] Univ Calif San Diego, Dept Med, Div Global Publ Hlth, La Jolla, CA 92093 USA
[3] Inst Serv Estatales Salud Publ, Tijuana, BC, Mexico
[4] Univ Calif San Diego, San Diego State Univ, Joint Doctoral Program Publ Hlth, La Jolla, CA 92093 USA
[5] Dept Vet Affairs Med Ctr, San Diego, CA USA
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2010年 / 22卷 / 12期
关键词
male clients; female sex workers; sexual risk behavior; US-Mexico border; COMMERCIAL SEX; CONDOM USE; TRANSMITTED INFECTIONS; LATINO MEN; DRUG-USERS; HIV; SAMPLE; CARE; INTERVENTION; COMPULSIVITY;
D O I
10.1080/09540121003758648
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Male clients of female sex workers (FSWs) may act as a bridge to the general population contributing to the spread of HIV and other sexually transmitted infections (STIs) in the USA and Mexico. This study used cross-sectional data to identify psychosexual and social-cognitive factors associated with sexual risk behavior in a bi-national sample of 300 male clients of FSWs recruited in Tijuana, Mexico from June to October 2008. In a multiple regression analysis, the number of unprotected vaginal sex acts with FSWs was associated with higher sexual compulsivity scores, lower self-efficacy for condom use, greater use of illicit drugs, and more financial need. Behavioral interventions are urgently needed to assist clients of FSWs in reducing high-risk behaviors in an effort to prevent the spread of HIV/STIs in this high-risk population and their sexual partners.
引用
收藏
页码:1473 / 1480
页数:8
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