1. Is Intimate Partner and Client Violence Associated with Condomless Anal Intercourse and HIV Among Male Sex Workers in Lima, Peru?
- Author
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George PE, Bayer AM, Garcia PJ, Perez-Lu JE, Burke JG, Coates TJ, and Gorbach PM
- Subjects
- Adolescent, Adult, HIV Infections epidemiology, HIV Infections psychology, Humans, Interpersonal Relations, Male, Peru epidemiology, Prevalence, Sexual Behavior, Unsafe Sex psychology, Young Adult, Condoms statistics & numerical data, HIV Infections prevention & control, Intimate Partner Violence psychology, Sex Offenses psychology, Sex Offenses statistics & numerical data, Sex Workers, Sexual Partners psychology, Unsafe Sex statistics & numerical data
- Abstract
Violence experience can increase HIV risk behaviors; however, literature is scarce on violence among male sex workers (MSWs) globally. In 2014, 210 Peruvian MSWs (median age 24.9) were interviewed about their experience of physical, emotional, and sexual violence and condom use with non-paying intimate partners and clients and were tested for HIV. Multivariable models examined relationships between violence in the past 6 months, condomless anal intercourse (CLAI) in the past 3 months and HIV infection. HIV infection (24 %), CLAI (43 %), being a violence victim (42 %) and perpetrator (39 %) were common. In separate multivariable models, being a violence victim [adjusted prevalence ratio aPR = 1.49 (95 % CI 1.09-2.03)] and perpetrator [aPR = 1.39 (1.03-1.87)] were associated with CLAI. Further, being a victim [aPR = 1.65 (1.04-2.62)] was associated with HIV infection. Violence, which was significantly associated with CLAI and HIV infection, is common among Peruvian MSWs, reinforcing the importance of violence awareness and prevention as HIV risk-reduction strategies.
- Published
- 2016
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