Sunday, October 4, 2015

Transactional Sex: Supply and Demand among European Men Who have Sex with Men (MSM) in the Context of Local Laws

Transactional sex (TS) is generally defined as the trading of sex for material goods. Cast within the broader context of prostitution laws, we examined variations in the sociodemographic profile of men who have sex with men engaging in TS by payment direction (buying/selling).

The data were collected as part of the 38-country European Men who have sex with men Internet Survey project, conducted in 2010.Results: About 12% of respondents reported engaging in TS in the past year. TS was associated with laws, age, education, employment, and residence. 

The striking sociodemographic differences in TS by payment direction suggest a power differential and a leading role of socioeconomic factors in TS.

Below:  Transactional sex in the last 12 months among men who have sex with men (MSM) in Europe, by age group





Table 1.

Sociodemographic Characteristics of EMIS Participants, Total and Grouped by Prostitution Law Group Countries (Groups A–D)
TotalGroup AGroup BGroup CGroup D
Status of transactional sex:Legal, regulatedLegal, not regulatedIllegal; clients criminally prosecutedIllegal; sellers criminally prosecutedPearson's Chi-square (two-sided p value)
Countries included (by country code top-level domain):AT, CH, DE, GR, HU, LV, NL, TKBE, BG, CY, CZ, DK, EE, ES, FI, FR, IE, IT, LU, MT, PL, PT, SI, SK, UKNO, SEBA, BY, HR, LT, MD, MK, RO, RS, RU, UA
N (%)N (%)N (%)N (%)N (%)
Sum174,209 (100.0)74,813 (100.0)82,126 (100.0)5,228 (100.0)12,042 (100.0)
Sellers
 Has frequently been paid for sex in country of residencea1,650 (1.0)683 (1.0)829 (1.1)19 (0.4)119 (1.1)X2 = 21.9 p < .001
 Has been paid for last sex abroad632 (1.5)234 (1.5)322 (1.5)11 (0.7)65 (3.0)X2 = 39.2 p < .001
Buyers
 Has frequently paid for sex in country of residenceb4,910 (3.1)2,246 (3.3)2,286 (3.0)40 (0.9)338 (3.1)X2 = 87.8 p < .001
 Has paid for last sex abroad1,970 (4.7)810 (5.2)943 (4.2)81 (5.1)136 (6.2)X2 = 31.7 p < .001
Age
 < 25 years40,673 (23.3)16,990 (22.7)18,855 (23.0)1,205 (23.0)3,623 (30.1)X2 = 1,965.4p < .001
 25–39 years85,193 (48.9)35,174 (47.0)40,609 (49.4)2,340 (44.8)7,070 (58.7)
 40+ years48,343 (27.8)22,649 (30.3)22,662 (27.6)1,683 (32.2)1,349 (11.2)
Educationc
 ISCED 11,904 (1.2)709 (1.0)1,183 (1.5)18 (0.3)84 (0.7)X2 = 18,237.8 p < .001
 ISCED 212,006 (6.9)5,722 (7.7)5,730 (7.0)254 (4.9)300 (2.5)
 ISCED 333,205 (19.2)21,087 (28.4)9,508 (11.7)1,096 (21.1)1,1514 (12.7)
 ISCED 439,394 (22.8)18,859 (25.4)17,663 (21.7)836 (16.1)2,036 (17.0)
 ISCED 544,496 (25.7)11,351 (15.3)23,926 (29.3)2,393 (46.0)6,826 (57.1)
 ISCED 641,773 (24.2)16,457 (22.2)23,517 (28.8)609 (11.7)1,190 (10.0)
Occupation
 Employed full-time93,575 (53.7)41,481 (55.4)42,131 (51.3)2,916 (55.8)7,047 (58.5)X2 = 1,661.7 p < .001
 Employed part-time9,671 (5.6)4,222 (5.6)4,192 (5.1)357 (6.8)900 (7.5)
 Unemployed10,457 (6.0)3,947 (5.3)5,614 (6.8)260 (5.0)636 (5.3)
 Self-employed20,196 (11.6)8,578 (11.5)10,285 (12.5)397 (7.6)936 (7.8)
 Student26,978 (15.5)10,066 (13.5)14,158 (17.2)895 (17.1)1,859 (15.4)
 Retired6,488 (3.7)3,045 (4.1)3,046 (3.7)273 (5.2)124 (1.0)
 Other6,844 (3.9)3,474 (4.6)2,700 (3.3)130 (2.5)540 (4.5)
Settlement size
 < 500,00092,363 (54.4)41,747 (57.2)43,680 (54.5)2,691 (52.5)4,245 (36.4)X2 = 1,768.5 p < .001
 ≥ 500,00077,539 (44.5)31,208 (42.8)36,478 (45.5)2,430 (47.5)7,423 (63.6)
Region of origind
 Born in country of residence146,311 (86.2)64,798 (89.1)66,533 (83.1)4,321 (84.6)10,659 (90.7)
EMIS regionse (Europe)
 West Europe4,160 (2.5)1,096 (1.5)2,963 (3.7)63 (1.2)39 (0.3)X2 = 9,196.4 p < .001
 Northwest Europe578 (0.3)140 (0.2)268 (0.3)167 (3.3)3 (0.0)
 Central Europe (West)2,926 (1.7)1,458 (2.0)1,312 (1.6)90 (1.8)66 (0.6)
 Southwest Europe2,367 (1.4)866 (1.2)1,431 (1.8)46 (0.9)24 (0.2)
 Northeast Europe273 (0.2)45 (0.1)166 (0.2)21 (0.4)41 (0.3)
 Central Europe (East)1,623 (1.0)794 (1.1)745 (0.9)53 (1.0)31 (0.3)
 Southeast Europe (European Union)g855 (0.5)422 (0.6)405 (0.5)22 (0.4)6 (0.1)
 Southeast Europe (non-European Union)h913 (0.5)472 (0.6)254 (0.3)32 (0.6)155 (1.3)
 East Europe1,434 (0.8)493 (0.7)267 (0.3)23 (0.5)651 (5.5)
 WHO regionsf (outside Europe)
 United States/Canada1,411 (0.8)637 (0.9)720 (0.9)36 (0.7)18 (0.2)
 Latin America/Caribbeani3,806 (2.2)725 (1.0)2,967 (3.7)98 (1.9)16 (0.1)
 Eastern Mediterranean Regionj597 (0.4)178 (0.2)378 (0.5)33 (0.6)8 (0.1)
 African Regionk974 (0.6)160 (0.2)794 (1.0)10 (0.2)10 (0.1)
 South East Asial412 (0.2)166 (0.2)205 (0.3)36 (0.7)5 (0.0)
 Australia, New Zealand425 (0.3)74 (0.1)336 (0.4)12 (0.2)3 (0.0)
 Western Pacific Regionm617 (0.4)205 (0.3)353 (0.4)42 (0.8)17 (0.1)
Note. EMIS = European Men who have sex with men Internet Survey; WHO = World Health Organization.
aHaving frequently been paid for sex was operationalized as having been paid by a man to have sex 11 or more times in the previous 12 months.
bHaving frequently paid for sex was operationalized as having paid a man to have sex three or more times in the previous 12 months.
cISCED = International Classification of Education (from 1997), where ISCED 1 is primary education and ISCED 6 is the second stage of tertiary education (e.g., Ph.D.).
dRegion of origin refers to those who were not born in their current country of residence (reference group) and can thus be regarded as migrants.
eEuropean countries of origin were grouped into nine European subregions (see http://www.emis-project.eu/sub-regions). Expressed by country code top-level domain, these are: West Europe = BE, FR, IE, NL, UK; Northwest Europe = DK, FI, NO, SE; Central Europe (West) = AT, CH, DE, LU; Southwest Europe = ES, GR, IT, PT; Northeast Europe = EE, LT, LV; Central Europe (East) = CZ, HU, SI, SL, PL; Southeast Europe (EU) = BG, CY, MT, RO; Southeast Europe (non-European Union) = BA, HR, MK, RS, TR; East Europe = BY, MD, RU, UA.
fNon-European countries of origin were grouped into non-European WHO regions (http://www.who.int/about/regions); the WHO region of the Americas was split into United States/Canada versus all others, and the WHO Western Pacific region was split into Australia/New Zealand versus all others.
gMigrant men who have sex with men (MSM) from Southeast Europe (European Union) were predominantly from Romania (n = 533) and Bulgaria (n = 217).
hMigrant MSM from Southeast Europe (non-European Union) were predominantly from Turkey (n = 198), Croatia (n = 177), Serbia (n = 244), and Bosnia (n = 161). Migrant MSM from East Europe were predominantly from Russia (n = 563), Ukraine (n = 259), and Kazakhstan (n = 215).
iMigrant MSM from Latin America were predominantly from Brazil (n = 1,184), Mexico (n = 435), Colombia (n = 422), Venezuela (n = 385), and Argentina (n = 379).
jMigrant MSM from the Eastern Mediterranean region were predominantly from Morocco (n = 102), Iran (n = 77), and Lebanon (n = 73).
kMigrant MSM from the African region were predominantly from South Africa (n = 358), Mozambique (n = 92), and Angola (n = 90).
lMigrant MSM from South East Asia were predominantly from India (n = 315) and Thailand (n = 80).
mMigrant MSM from the Western Pacific region were predominantly from China (n = 159), Malaysia (n = 122), and the Philippines (n = 97).


Full article at:  http://ht.ly/SZOix 

aDepartment of Evidence-Based Health Services, Norwegian Knowledge Center for the Health Services, Oslo, Norway
bSigma Research, Department of Social & Environmental Health Research, London School of Hygiene and Tropical Medicine, London, England

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