Evidence map›Paper›PMID 29338660›Full record

ArticleGlobal health action2018

Social-ecological factors associated with selling sex among men who have sex with men in Jamaica: results from a cross-sectional tablet-based survey.

Carmen H Logie, Ashley Lacombe-Duncan, Kathleen S Kenny, Kandasi Levermore, Nicolette Jones, Stefan D Baral, Ying Wang, Annecka Marshall, Peter A Newman

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global health action, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Mental Health Status and Associated Contributing Factors among Gay Men in China.International journal of environmental research and public health · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Carmen H Logiea Factor-Inwentash Faculty of Social Work , University of Toronto , Toronto , ON , Canada.
Ashley Lacombe-Duncana Factor-Inwentash Faculty of Social Work , University of Toronto , Toronto , ON , Canada.
Kathleen S Kennyc Gillings School of Global Public Health , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
Kandasi Levermored Jamaica AIDS Support for Life , Kingston , Jamaica.
Nicolette Jonesd Jamaica AIDS Support for Life , Kingston , Jamaica.
Stefan D Barale Johns Hopkins Bloomberg School of Public Health , Johns Hopkins University , Baltimore , MD , USA.
Ying Wanga Factor-Inwentash Faculty of Social Work , University of Toronto , Toronto , ON , Canada.
Annecka Marshallf Institute for Gender and Development Studies , Mona Campus, University of the West Indies , Kingston , Jamaica.
Peter A Newmana Factor-Inwentash Faculty of Social Work , University of Toronto , Toronto , ON , Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, men who have sex with men (MSM) experience social marginalization and criminalization that increase HIV vulnerability by constraining access to HIV prevention and care. People who sell sex also experience criminalization, rights violations, and violence, which elevate HIV exposure. MSM who sell sex may experience intersectional stigma and intensified social marginalization, yet have largely been overlooked in epidemiological and social HIV research. In Jamaica, where same sex practices and sex work are criminalized, scant research has investigated sex selling among MSM, including associations with HIV vulnerability.

objectiveWe aimed to examine social ecological factors associated with selling sex among MSM in Jamaica, including exchanging sex for money, shelter, food, transportation, or drugs/alcohol (past 12 months).

methodsWe conducted a cross-sectional survey with a peer-driven sample of MSM in Kingston, Ocho Rios, and Montego Bay. Multivariable logistic regression analyses were conducted to estimate intrapersonal/individual, interpersonal/social, and structural factors associated with selling sex.

resultsAmong 556 MSM, one-third (n = 182; 32.7%) reported selling sex. In the final multivariable model, correlates of selling sex included: individual/intrapersonal (lower safer sex self-efficacy [AOR: 0.85, 95% CI: 0.77, 0.94]), interpersonal/social (concurrent partnerships [AOR: 5.52, 95% CI: 1.56, 19.53], a higher need for social support [AOR: 1.08, 95% CI: 1.03, 1.12], lifetime forced sex [AOR: 2.74, 95% 1.65, 4.55]) and structural-level factors (sexual stigma [AOR: 1.09, 95% CI: 1.04, 1.15], food insecurity [AOR: 2.38, 95% CI: 1.41, 4.02], housing insecurity [AOR: 1.94, 95% CI: 1.16, 3.26], no regular healthcare provider [AOR: 2.72, 95% CI: 1.60, 4.64]).

conclusionsThis study highlights social ecological correlates of selling sex among MSM in Jamaica, in particular elevated stigma and economic insecurity. Findings suggest that MSM in Jamaica who sell sex experience intensified social and structural HIV vulnerabilities that should be addressed in multi-level interventions to promote health and human rights.

Indexed as

Social EnvironmentAdultCross-Sectional StudiesHomosexuality, MaleHumansJamaicaMaleSex WorkSocial StigmaSocial SupportSocioeconomic FactorsSurveys and QuestionnairesYoung AdultHIV preventionHIV riskJamaicaMSMstigma

Identifiers

PMID29338660
PMCPMC5774420

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.