The present study focused on male clients' anal sex practices with female sex workers (FSWs) in Tijuana, Mexico, where an HIV epidemic is growing among high-risk groups. Logistic regression analyses were used to identify psychosocial and behavioral correlates of anal sex among male clients. Our sample of HIV-negative men (N = 400) was predominantly Latino (87.5%), born in Mexico (78.8%), never married (36.8%) or in a regular or common-law marriage (31.5%), and employed (62.8%), with an average age and education of 37.8 and 9.2 years, respectively. Eighty-nine percent identified as heterosexual and 11% as bisexual. By design, 50% of the sample resided in Tijuana and the other 50% in San Diego County.
Nearly half (49%) reported at least one incident of anal sex with a FSW in Tijuana in the past 4 months; of those participants, 85% reported that one or more of their anal sex acts with FSWs had been without a condom. In a multivariate model, anal sex with a FSW in the past 4 months was associated with bisexual identification, methamphetamine use with FSWs, repeat visits to the same FSW, higher scores on perceived stigma about being a client of FSWs, and sexual compulsivity. Prevention programs are needed that address the behavioral and psychosocial correlates of heterosexual anal sex in order to reduce HIV/STI transmission risk among male clients, FSWs, and their sexual network members.
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- 1Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, Mail Code 0680, La Jolla, CA, 92093-0680, USA.
- Arch Sex Behav. 2015 May;44(4):1025-33. doi: 10.1007/s10508-015-0514-4. Epub 2015 Mar 21.
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