We assessed factors associated with engagement in
transactional sex among men who have sex with men recruited from one of the
largest Internet sites for men seeking social or sexual interactions with other
men in Latin America.
We constructed multilevel logistic regression models to
analyze factors associated with engagement in transactional sex in 17 Latin
American countries in 2012.
Of 24 051 respondents, 1732 (7.2%) reported being paid for
sexual intercourse in the past 12 months. In a multivariable model,
- higher country-level unemployment was associated with increased odds of transactional sex (adjusted odds ratio [AOR] = 1.07 per 1% increase in unemployment).
- Individual or interpersonal factors associated with increased odds of engagement in transactional sex included self-reported HIV or sexually transmitted infection
- childhood sexual abuse history
- intimate partner violence
- and sexual compulsivity
Structural-level economic interventions and those that
address individual and interpersonal factors may improve HIV prevention efforts
among men who have sex with men who engage in transactional sex.
Via: http://goo.gl/nrMoTr Purchase
full article at: http://goo.gl/V5zOmK
By:
- 1Catherine E. Oldenburg is with the Department of Epidemiology, Harvard School of Public Health, Boston, MA. Amaya G. Perez-Brumer is with the Department of Sociomedical Sciences, Columbia University, New York, NY. Katie B. Biello and Kenneth H. Mayer are with the Fenway Institute, Fenway Health, Boston, MA. Stewart J. Landers is with John Snow, Inc., Boston, MA. Joshua G. Rosenberger is with the Department of Global and Community Health, George Mason University, Fairfax, VA. David S. Novak is with the OLB Research Institute, Online Buddies, Inc., Cambridge, MA. Matthew J. Mimiaga is with the Department of Psychiatry, Massachusetts General Hospital, Boston.
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