ArticleIsrael journal of health policy research2018
Heterosexual men who purchase sex and attended an STI clinic in Israel: characteristics and sexual behavior.
Article in Israel journal of health policy research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis 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.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- The burden of HIV infection among men who purchase sex in low- and middle-income countries - a systematic review and meta-analysis.PloS one · 2020Pooled it
- Sexually Transmitted Infections in Male Patients with Urethritis.Pathogens (Basel, Switzerland) · 2023Article
- Coinfection and repeat bacterial sexually transmitted infections (STI) - retrospective study on male attendees of public STI clinics in an Asia Pacific city.Epidemiology and infection · 2023Article
- Paid sex among men in sub-Saharan Africa: Analysis of the demographic and health survey.SSM - population health · 2020Article
- Community Vs. hospital HIV testing sites in Jerusalem, Israel - who's tested and who's at risk?Israel journal of health policy research · 2020Article
- The Dark Tetrad and Male Clients of Female Sex Work.Frontiers in psychology · 2020Review
- Proven prevention tools for addressing STI epidemics.Israel journal of health policy research · 2018Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommercial sex shares a role in HIV and sexually transmitted infections (STI) transmission. Men who pay for sex (MPS) may transmit HIV/STI to other populations which are low-risk. This study aimed to test our hypothesis that MPS engage in high-risk sexual behaviors associated with HIV/STI transmission more so than non-MPS.
methodsThis cross-sectional study included heterosexual men who attended an STI clinic between 2003 and 2010. Demographic, clinical, behavioral and laboratory data were compared between MPS and non-MPS to identify factors associated with high-risk sexual behavior and STI-burden.
resultsOf the first visits of 6156 heterosexual men who attended the STI-clinic during the study period, 1649 (26.7%) were MPS. MPS were more commonly older, married and non-Israeli born compared with non-MPS. MPS were more likely to engage in risk-behaviors associated with HIV/STI-transmission, including a greater number of lifetime sexual partners, substance use and previous STI diagnoses. Determinants associated with STI-diagnoses at the current visit included being non-Israeli born, presenting with STI symptoms, reporting a greater number of lifetime sexual partners and having sexual encounters with non-Israeli individuals.
conclusionsApproximately 25% of all men who attended the clinic were MPS. They were more likely to engage in risk-behaviors associated with HIV/STI transmission compared to non-MPS. These findings highlight the need to establish interventions for MPS that both continue to encourage condom use and address the potential perils pertaining to risky sexual behaviors.
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