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Genitourin Med. 1991 Aug;67(4):303-6.

Homosexual prostitution among male drug users and its risk for HIV infection.

Author information

1
Municipal Health Service, Department of Public Health and Environment, Amsterdam.

Abstract

OBJECTIVE:

to assess whether male prostitution is an independent risk factor for HIV infection among male (intravenous and nonintravenous) drug users.

DESIGN:

a cross-sectional study.

SETTING:

various low-threshold methadone clinics and the sexually transmitted diseases clinic of the Municipal Health Service in Amsterdam and a drug-treatment centre in The Hague.

PARTICIPANTS:

343 male intravenous drug users and 106 male non-intravenous drug users.

MAIN OUTCOME MEASURES:

characteristics concerning drug use behaviour, sexual behaviour, and sociodemography, related to prostitution and HIV-antibodies.

RESULTS:

of the 449 study participants, 88 (20%) reported a history of prostitution; no differences were found between intravenous and non-intravenous drug users. Younger age, West German nationality, and having had private homosexual sex contacts, were independent predictors of a history of prostitution. Independent predictors of HIV infection were (1) longer residency in Amsterdam; (2) having had predominantly homosexual private sex contacts; (3) longer duration of intravenous drug use; and (4) frequent needle sharing.

CONCLUSION:

no evidence was found to suggest that male prostitution in itself contributed to the risk of HIV infection.

PMID:
1916792
PMCID:
PMC1194705
[Indexed for MEDLINE]
Free PMC Article

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