|
|
Am J Public Health. 1993 January; 83(1): 79–83. | PMCID: PMC1694529 |
Risk factors associated with HIV infection among male prostitutes. K W Elifson, J Boles, and M Sweat Department of Sociology, Georgia State University, Atlanta 30303. Abstract OBJECTIVES. This study documents the human immunodeficiency virus (HIV) and sexually transmitted disease seroprevalence rate for male prostitutes, identifies the risk factors for HIV, and provides baseline information for the development and implementation of appropriate prevention and intervention strategies. METHODS. Structured interviews were conducted with and blood samples were collected from 235 actively working male prostitutes in Atlanta, Georgia, from July 1988 through July 1991. RESULTS. The HIV seroprevalence was 29.4%; 25.1% of the sample had seromarker for syphilis and 58.3% for hepatitis B. Multivariate logistic regression analysis showed the following significant HIV risk factors: history of receptive anal sex with nonpaying partners, serologic history of hepatitis B or syphilis, and history of childhood physical abuse. CONCLUSIONS. The reported seroprevalence rates among these male prostitutes indicate they are a high-risk group. The striking difference in HIV seroprevalence by sexual orientation may warrant special attention. Considering the public health consequences, there is a clear need for innovative HIV prevention and intervention among these men. Full text Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (3.0M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References. These references are in PubMed. This may not be the complete list of references from this article. - Sterk C. Cocaine and HIV seropositivity. Lancet. 1988 May 7;1(8593):1052–1053. [PubMed]
- Rosenberg MJ, Weiner JM. Prostitutes and AIDS: a health department priority? Am J Public Health. 1988 Apr;78(4):418–423. [PubMed]
- Coutinho RA, van Andel RL, Rijsdijk TJ. Role of male prostitutes in spread of sexually transmitted diseases and human immunodeficiency virus. Genitourin Med. 1988 Jun;64(3):207–208. [PubMed]
- Elifson KW, Boles J, Sweat M, Darrow WW, Elsea W, Green RM. Seroprevalence of human immunodeficiency virus among male prostitutes. N Engl J Med. 1989 Sep 21;321(12):832–833. [PubMed]
- Tirelli U, Vaccher E, Bullian P, Saracchini S, Errante D, Bullian P, Zagonel V, Serraino D. HIV-1 seroprevalence in male prostitutes in northeast Italy. J Acquir Immune Defic Syndr. 1988;1(4):414–415. [PubMed]
- Cortes E, Detels R, Aboulafia D, Li XL, Moudgil T, Alam M, Bonecker C, Gonzaga A, Oyafuso L, Tondo M. HIV-1, HIV-2, and HTLV-I infection in high-risk groups in Brazil. N Engl J Med. 1989 Apr 13;320(15):953–958. [PubMed]
- Ekstrand ML, Coates TJ. Maintenance of safer sexual behaviors and predictors of risky sex: the San Francisco Men's Health Study. Am J Public Health. 1990 Aug;80(8):973–977. [PubMed]
- Earls CM, David H. A psychosocial study of male prostitution. Arch Sex Behav. 1989 Oct;18(5):401–419. [PubMed]
- Zierler S, Feingold L, Laufer D, Velentgas P, Kantrowitz-Gordon I, Mayer K. Adult survivors of childhood sexual abuse and subsequent risk of HIV infection. Am J Public Health. 1991 May;81(5):572–575. [PubMed]
- Coates RA, Calzavara LM, Read SE, Fanning MM, Shepherd FA, Klein MH, Johnson JK, Soskolne CL. Risk factors for HIV infection in male sexual contacts of men with AIDS or an AIDS-related condition. Am J Epidemiol. 1988 Oct;128(4):729–739. [PubMed]
- Darrow WW, Echenberg DF, Jaffe HW, O'Malley PM, Byers RH, Getchell JP, Curran JW. Risk factors for human immunodeficiency virus (HIV) infections in homosexual men. Am J Public Health. 1987 Apr;77(4):479–483. [PubMed]
- Stamm WE, Handsfield HH, Rompalo AM, Ashley RL, Roberts PL, Corey L. The association between genital ulcer disease and acquisition of HIV infection in homosexual men. JAMA. 1988 Sep 9;260(10):1429–1433. [PubMed]
|
This article has been