ArticleInternational journal of STD & AIDS2015
Transactional sex and prevalence of STIs: a cross-sectional study of MSM and transwomen screened for an HIV prevention trial.
Article in International journal of STD & AIDS, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- The Prevalence of HIV Among Men Who Have Sex With Men (MSM) and Young MSM in Latin America and the Caribbean: A Systematic Review.AIDS and behavior · 2021Pooled it
- Current research gaps: a global systematic review of HIV and sexually transmissible infections among transgender populations.Sexual health · 2017Pooled it
- Global Epidemiology of HIV Infection and Related Syndemics Affecting Transgender People.Journal of acquired immune deficiency syndromes (1999) · 2016Pooled it
- When context matters: Multilevel determinants of self-reported sexually transmitted infections symptoms among men engaged in transactional sex in 26 Sub-Saharan African countries.BMC public health · 2026Article
- Prevalence and associated factors of selling sex among men who have sex with men (MSM) in Latin America: results from the Latin American MSM Internet Survey in 18 countries (LAMIS-2018).BMJ global health · 2025Article
- Transactional Sex and its Drivers among Men Who Have Sex with Men in Plateau State North Central Nigeria.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025Article
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- Type of Exchange Sex and Associated Behaviors and Outcomes Among Cisgender Men and Women at Increased Risk for HIV via Heterosexual Transmission in Six U.S. Metropolitan Areas.Archives of sexual behavior · 2023Article
- Risk and Protective Profile of Men Who Have Sex With Men Using Mobile Voluntary HIV Counseling and Testing: Latent Class Analysis.JMIR public health and surveillance · 2023Article
- Social Determinants of Transactional Sex in a Sample of Young Black and Latinx Sexual Minority Cisgender Men and Transgender Women.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Article
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- Adolescent and non-consensual anal sexual debut among Chinese men who have sex with men: a cross-sectional study.BMC infectious diseases · 2020Article
- Links between transactional sex and HIV/STI-risk and substance use among a large sample of European men who have sex with men.BMC infectious diseases · 2019Observational
- Rectal gonorrhoea and chlamydia among men who have sex with men in coastal Kenya.Wellcome open research · 2019Article
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- Syndemic Conditions, HIV Transmission Risk Behavior, and Transactional Sex Among Transgender Women.AIDS and behavior · 2018Article
- Risk Factors Associated With HIV Among Men Who Have Sex With Men (MSM) in Ecuador.American journal of men's health · 2017Article
- Transactional Sex between Men and Its Implications on HIV and Sexually Transmitted Infections in Nigeria.Journal of sexually transmitted diseases · 2017Article
- Acceptability of Three Novel HIV Prevention Methods Among Young Male and Transgender Female Sex Workers in Puerto Rico.AIDS and behavior · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Few studies have characterised the degree of engagement in transactional sex among men and transgender women who have sex with men and explored its association with sexually transmitted infections and human immunodeficiency virus in Ecuador. We screened 642 men who have sex with men and transgender women for a pre-exposure prophylaxis clinical trial (iPrEx) in Guayaquil, Ecuador, 2007-2009. We analysed the association of degree of engagement in transactional sex and prevalence of sexually transmitted infections including human immunodeficiency virus using chi-square and analysis of variance tests. Although just 6.2% of those who screened self-identified as sex workers, 52.1% reported having engaged in transactional sex. Compared to those who had never been paid for sex, those who had been paid were more likely to have a sexually transmitted infection (56.6% vs. 45.0%, p = 0.007) and trended towards a higher human immunodeficiency virus prevalence (16.6% vs. 10.4%, p = 0.082) at screening. Transgender women compared to other men who have sex with men were more likely to have sexually transmitted infections diagnosed at screening (75.6% vs. 50.0%, p = 0.001). Transactional sex is practiced widely but occasionally among the men who have sex with men and transgender women in Guayaquil who screened for the iPrEx study; however, engaging in transactional sex may not lead to a sex worker self-identification. Both transactional sex and being a transgender woman are associated with sexually transmitted infections prevalence.
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