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Predictors of visits to commercial sex workers by male attendees at sexually transmitted disease clinics in southern Vietnam.
- Source :
-
AIDS (London, England) [AIDS] 1999 Apr 16; Vol. 13 (6), pp. 719-25. - Publication Year :
- 1999
-
Abstract
- Objectives: To determine the HIV/sexually transmitted disease (STD) status of male patients at STD clinics and factors associated with frequent visits to commercial sex workers (CSW) in southern Vietnam.<br />Design: Cross-sectional survey.<br />Methods: Confidential interviews and physical and laboratory evaluation of 804 male patients at STD clinics in two semi-rural provinces in the Mekong delta.<br />Results: HIV seroprevalence was 0.5%. The prevalence of urethritis syndrome was 19.3%, gonorrhea 10.2% (Gram-stain positive) and syphilis 2% (reactive rapid plasma reagin test). All the men had visited CSW in the past and 58% had their first sexual experience with a CSW; 73% had visited a CSW in the last 3 years. Married men were equally as likely as single men to have casual partners or to have visited a CSW. The men recruited CSW more from the streets (45%) than from brothels (38%). Factors independently associated with visiting a CSW in the last 3 years included being single [odds ratio (OR), 2.2], age under 20 years (OR, 1.9), having first sexual intercourse with a CSW (OR, 2.1), not having a current girlfriend (OR, 2.1), using alcohol before sex (OR, 2.7) and drug use (OR, 1.8). Only 7% of men used condoms consistently; 70% had never used them. Only 37% had used a condom last time they had intercourse with a CSW.<br />Conclusions: Prevention programs for men in Vietnam, particularly those who are young or single, need to focus on reducing drug and alcohol consumption and improving condom use with CSWs.
- Subjects :
- Adolescent
Adult
Aged
Ambulatory Care Facilities
Cross-Sectional Studies
Data Collection
Female
Humans
Male
Middle Aged
Prevalence
Risk Factors
Vietnam epidemiology
HIV Infections epidemiology
Outpatients statistics & numerical data
Sex Work
Sexual Behavior
Sexually Transmitted Diseases epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 0269-9370
- Volume :
- 13
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- AIDS (London, England)
- Publication Type :
- Academic Journal
- Accession number :
- 10397567
- Full Text :
- https://doi.org/10.1097/00002030-199904160-00013