Heterosexual Men Who Patronise Entertainment Establishments Versus Brothels in an Asian Urban Setting – Which Group Practises Riskier Sexual Behaviours?

Below:  Reasons for unprotected last sex with different partner types for men who patronised entertainment establishments

Below:  Reasons for unprotected last sex with different partner types for men who patronised brothels

Men who patronised entertainment establishments (EEs) were younger, more likely to be single, more highly-educated and comprised more professionals compared to the brothel group. On multivariable analysis, consistent condom use for vaginal sex decreased at the EE setting (aOR 0.64; 95 % CI: 0.42 –0.97) and with alcohol use before sex (aOR 0.67; 95 % CI: 0.46 – 0.98) and increased with perceived high risk of getting HIV/STIs from partner (aOR 2.08; 95 % CI: 1.30 – 3.32) and partner’s request for condom use (aOR 5.48; 95 % CI: 1.20 – 25.11). For consistent condom use with oral sex, this decreased at the EE setting (aOR 0.64; 95 % CI: 0.39 – 0.98) and with alcohol use before sex (aOR 0.50; 95 % CI: 0.31 – 0.81) and increased with partner’s request for condom use (aOR 5.19; 95 % CI: 1.38 – 19.57).

Men who patronised EEs practised risker sexual behaviours compared to the brothel group. Priority should be given for intervention programmes to target men who patronise EEs, which could involve the female EE workers, the EE owners as well as the managers for effective HIV/STI prevention.

Read more at:   http://ht.ly/QTgpj HT @NUSingapore