ArticleSexually transmitted infections2015
The prevalence of, and factors associated with, paying for sex among men resident in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3).
Article in Sexually transmitted infections, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Are Men Who Buy Sex Different from Men Who Do Not?: Exploring Sex Life Characteristics Based on a Randomized Population Survey in Sweden.Archives of sexual behavior · 2021Trial
- Prevalence and associated risk factors for men being paid for sex in Ethiopia: a multilevel analysis of 2016 Ethiopian demographic health survey data.Scientific reports · 2024Article
- High Prevalence of Sexually Transmitted and Reproductive Tract Infections (STI/RTIs) among Patients Attending STI/Outpatient Department Clinics in Tanzania.Tropical medicine and infectious disease · 2023Article
- In Reply.Deutsches Arzteblatt international · 2022Article
- Disproportionate Effort.Deutsches Arzteblatt international · 2022Article
- Men Who Pay For Sex: Prevalence and Sexual Health.Deutsches Arzteblatt international · 2022Article
- Sexually Transmitted Infections and Associated Risk Factors Among Male Clients of Sex Workers: A Cross-Sectional Pilot Project in Antwerp, Belgium.Frontiers in reproductive health · 2022Article
- Paying for Sex During COVID-19 Pandemic: The Experiences of Israeli Men.Sexuality research & social policy : journal of NSRC : SR & SP · 2022Article
- Who Are the Men Who Pay for Sex in Mozambique? Results from the National HIV/AIDS Indicator Survey 2015.Archives of sexual behavior · 2021Article
- A multi-country cross-sectional study of self-reported sexually transmitted infections among sexually active men in sub-Saharan Africa.BMC public health · 2020Article
- Paid sex among men in sub-Saharan Africa: Analysis of the demographic and health survey.SSM - population health · 2020Article
- Sexually transmitted infections in male heterosexual Dutch clients who visited German cross-border female sex workers; a 3 year retrospective study.BMC public health · 2020Observational
- Heterosexual men who purchase sex and attended an STI clinic in Israel: characteristics and sexual behavior.Israel journal of health policy research · 2018Article
- Youth paying for sex: what are the associated factors? Findings from a cross-sectional study in Cambodia.BMC public health · 2018Article
- Ecological validity of cost-effectiveness models of universal HPV vaccination: a protocol for a systematic review.Systematic reviews · 2017Article
- Forming new sex partnerships while overseas: findings from the third British National Survey of Sexual Attitudes & Lifestyles (Natsal-3).Sexually transmitted infections · 2016Article
- Early Sexual Debut: A Risk Factor for STIs/HIV Acquisition Among a Nationally Representative Sample of Adults in Nepal.Journal of community health · 2016Article
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12 authors.
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Abstract
objectivesMen who pay for sex (MPS) are considered a bridging population for sexually transmitted infections (STI). However, the extent, characteristics and role of MPS in transmission is poorly understood. We investigate these questions using data from Britain's third National Survey of Sexual Attitudes and Lifestyles (Natsal-3).
methodsWe performed complex survey analyses of data from 6293 men aged 16-74 years resident in Britain who completed Natsal-3, a probability sample survey undertaken during 2010-2012, using computer-assisted personal interviewing and computer-assisted self-interview.
results11.0% (95% CI10.1% to 11.9%) of all men reported ever paying for sex. Among MPS, 18.4% (95% CI 18.2% to 18.7%) of their lifetime sexual partners were paid. 3.6% (95% CI 3.1% to 4.2%) of men had paid for sex in the past 5 years. Partners of MPS constitute 14.7% of all reported partners and MPS report 15.6% of all reported STI diagnoses in the past 5 years. Paying for sex in the past 5 years was strongly associated with reporting larger numbers of sexual partners (adjusted OR, AOR for 5+ partners, past 5 years, 31.50, 95% CI 18.69 to 53.09). After adjusting for partner numbers, paying for sex remained strongly associated with reporting new foreign partners outside the UK (AOR 7.96; 95% CI 4.97 to 12.73) and STI diagnosis/es (AOR 2.34; 95% CI 1.44 to 3.81), all in the past 5 years. Among men ever paying for sex, 62.6% (95% CI 58.3% to 66.8%) reported paying for sex outside the UK, most often in Europe and Asia.
conclusionsMPS in Britain remain at greater risk of STI acquisition and onward transmission than men who do not. They report high numbers of partners, but the minority are paid partners. They are an important core group in STI transmission.
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