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Male sex workers: day to day working activities and HIV pevention, Belo Horizonte, Brazil
O. Fonseca Rezende1, R. Carvalho1, A.P. Silva2, M. Greco2, W. Madeira1
1Libertos Comunicação, Belo Horizonte, Brazil, 2Project Horizonte/UFMG, Belo Horizonte, Brazil
Background: Libertos Comunicação, a NGO
Human Rights LGBT and STD/AIDS prevention, work carried out with
sex workers. The difficulty of access added to lack of information on this
population led to this research. The objective is to identify social and
behavioral characteristics associated with sexual risk behaviors among male sex
workers in Belo Horizonte
city.
Methods: Using time location sampling
100 male sex workers were invited to participate in a cross-sectional survey. A
structured questionnaire was administred and comprising questions such
demographic characteristics, work context. Individual/confidential interviews were conducted in places of
prostitution (may to september 2009).
Results: Univariate analyses showed:
mean age was 26 years, 51, 6% were white, 65% single and 57,3% had
elementary school. Income was 3-6 brazilian minimun wages (53.8%). The majority
(65.1%) is sex worker more than 5 years and this was the main occupation for
34% of respondents. Some of them (38%) attended exclusively men and 62% men,
women and couples. Insertive sex (41.9%), Inserive and receptive sex (53.3%). Sauna was the most common place for client search (54,9%). Median
value for sexual program was R$ 50,00.They did not report any difficulty in
negotiating condom use with their clients. Nevertheless the majority (78%) feel
at risk due to the possibility of condom rupture. Illicit drugs during sexual
encounter was mentioned by 31.7%, especially cannabis (67.5%) and cocaine
(22.5%). HIV testing was reported by 59,4%, half of them in public
institutions. The majority got last test for over 2 years.
Conclusions: We observed that the consistent condom use is a priority in the daily
work of the respondents. However, a significant parcel never been tested for
HIV or are irregularly. This may associated with their difficulty in
participating in health services or specific programs. It's
necessary to implement preventive programs and investiments in health services focusing this population.
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