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AIDS and Behavior
Published in: AIDS and Behavior 9/2016

01-09-2016 | Original Paper

Is Intimate Partner and Client Violence Associated with Condomless Anal Intercourse and HIV Among Male Sex Workers in Lima, Peru?

Authors: Paul E. George, Angela M. Bayer, Patricia J. Garcia, Jose E. Perez-Lu, Jessica G. Burke, Thomas J. Coates, Pamina M. Gorbach

Published in: AIDS and Behavior | Issue 9/2016

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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.
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Metadata
Title
Is Intimate Partner and Client Violence Associated with Condomless Anal Intercourse and HIV Among Male Sex Workers in Lima, Peru?
Authors
Paul E. George
Angela M. Bayer
Patricia J. Garcia
Jose E. Perez-Lu
Jessica G. Burke
Thomas J. Coates
Pamina M. Gorbach
Publication date
01-09-2016
Publisher
Springer US
Published in
AIDS and Behavior / Issue 9/2016
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1327-8

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