An instrument to measure safer sex strategies used by male sex workers

Sexual risk behaviors for HIV infection in Spanish male sex workers: differences according to educational level, country of origin and sexual orientation

The stigma associated with male sex workers (MSW) hinders the prevention, treatment, and care of HIV infection in this population. These factors make social and public health resources less accessible to MSW. To improve the effectiveness of prevention strategies, this study examines social factors such as educational level, country of origin, and sexual orientation. Semi-structured interviews of 100 MSW in Castellón and Valencia (Spanish cities) indicate that knowledge of HIV transmission is good; nevertheless, MSW significantly overestimate or underestimate some sexual practices. Levels of condom use are high; notably, they are higher during anal sex. Levels of condom use are lower with intimate partners than with clients. MSW do not present differences in terms of the socio-demographic variables analyzed and sexual orientation. Furthermore, regression analyses are not significant. These results offer more accurate profiles of MSW than were previously available, which will ultimately help improve the effectiveness of prevention programs.

Psychosocial pathways to inconsistent condom use among male sex workers: personality, drug misuse and criminality

BACKGROUND

This research compared street male sex workers in Santo André, Brazil, that reported consistent condom use with those that revealed inconsistent condom use with their clients, concerning personality aspects, impulsiveness, alcohol and drug consumption, depressive symptoms, sociodemographic data and criminal involvement.

METHODS

Eighty-six male sex workers were evaluated in face-to-face interviews at their place of work. A 'snowball' sampling procedure was used to access this hard-to-reach population.

FINDINGS

Male sex workers with inconsistent condom use showed greater involvement with criminal activities, higher reward dependence level and more frequent self-report of being HIV-positive.

CONCLUSIONS

Conceptualisation of male sex workers' psychological characteristics may be required where HIV risk is not only attributed to sex work per se, but to other aspects such as personality-related factors and negative identity.

"Nobody's ever going to make a fag pretty woman": stigma awareness and the putative effects of stigma among a sample of Canadian male sex workers

The purpose of this study was to examine male sex workers' awareness of the social stigma surrounding involvement in the sex industry and the possible effects of that stigma. Personal interviews were conducted with 21 men (9 independent escorts who advertised via the Internet and 12 escorts/erotic masseurs who were on contract with an agency). Results indicated that a majority of interviewees believed sex work was stigmatized but attributed this stigma to society's tendency to conflate escort/erotic masseur with street-based prostitute and society's negative view of human sexuality in general and homosexuality in particular. It should be noted that interviewees did not necessarily perceive the gay community as more tolerant than the heterosexual community of persons involved in the male sex industry. In terms of how participants saw the sex trade, both prior to and during their involvement, multifarious viewpoints emerged (i.e., some engaged in "whore mythologizing" while others reported having no clearly defined perception of male sex workers). Finally, results suggested that some participants believed their involvement in a stigmatized industry was deleterious to them personally whereas others maintained that the consequences of being an escort/ erotic masseur were largely positive.