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Sexualité, exposition au VIH et besoins en prévention dans des populations masculines: la situation des clients de prostitué(e)s

English title Sexuality, exposure to HIV and prevention needs among male populations: the case of sex worker clients
Applicant Dubois-Arber Françoise
Number 104217
Funding scheme Project funding (special)
Research institution Institut Universitaire de Médecine Sociale et Préventive - IUMSP CHUV et Université de Lausanne
Institution of higher education University of Lausanne - LA
Main discipline Infectious Diseases
Start/End 01.10.2004 - 31.01.2007
Approved amount 247'000.00
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Keywords (5)

Sexual behaviour; HIV exposure; sex vorker clients; HIV prevention; counselling

Lay Summary (English)

Lay summary
Sex work is generally considered as a potential mean of diffusion of sexually transmitted infections (STIs). However, risks for clients or risks to which clients exposed other persons are not well known.The study had two main objectives:- to study the sexual behaviour of female sex workers clients (FSWs) in the context of the prostitution and outside this context (with other sexual partners);- to improve knowledge on sexual behaviour and ad hoc counselling needs of the male population visiting city outpatients clinics where patients coming from disadvantaged groups - with specific needs - are overrepresented.The study combined two approaches :1. Secondary analysis of data from cross-sectional surveys representative of the general population aged 17-45, using computerized assisted telephone interviewing (CATI), which are regularly conducted in Switzerland to monitor sexual behaviour, including men’s recourse to prostitution. Data on sexually active males from the last two surveys [1997 ( N= 1233) and 2000 (N=1177)] were pooled in order to obtain a sufficient number of men having had a contact with FSWs in the last 12 months. 2. A survey conducted among all male patients aged 18-70 attending outpatient clinics in Lausanne, Switzerland, from October 2005 to February 2006. Data on sexual behaviour, wishes and experience of sexual history taking by doctors were collected by anonymous self administered questionnaire. First results of secondary analysis show that, in comparison with non-clients, FSWs seem to be at increased risk of contracting a STI, but also report higher condom use. In the survey among male patients of outpatients clinics in Lausanne it was found that a sizeable proportion of patients consulting in outpatient clinics report sexual behaviour which potentially exposes them to STIs. However, despite the large proportion of patients wishing sexual counselling, only a minority ever received this, and physicians should be aware that their patients expect them to talk about topics such as sexuality and STIs.
Direct link to Lay Summary Last update: 21.02.2013

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