Trends in unprotected intercourse among heterosexual men before and after brothel ban in Siem Reap, Cambodia: a serial cross-sectional study (2003-2012)

Following Cambodia's implementation of the 100% condom use program with enforcement of condom use and STI treatment services for sex workers in 2001, sexually transmitted infection and HIV declined markedly. In 2008, Cambodia implemented a law to ban brothel-based sex work. We reported trends i...

Full description

Saved in:
Bibliographic Details
Published in:BMC public health 2018-03, Vol.18 (1), p.411-411, Article 411
Main Authors: Wong, Mee Lian, Teo, Alvin Kuo Jing, Tai, Bee Choo, Ng, Alwyn Mao Tong, Lim, Raymond Boon Tar, Tham, Dede Kam Tyng, Kaur, Nashwinder, Tan, Rayner Kay Jin, Kros, Sarath, Touch, Savun, Chhit, Maryan, Lubek, Ian
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Alcohol
Brothel ban
Buying
Cross-sectional studies
Feasibility studies
Fines & penalties
Health surveillance
Heterosexual men buying sex
HIV
Human immunodeficiency virus
Men
Occupational health
Poisson density functions
Prostitution
Public health
Regression analysis
Serial cross-sectional study (2003–2012)
Sex
Sex industry
Sexually transmitted diseases
Statistical analysis
STD
Studies
Trends
Unprotected vaginal intercourse
Vagina
Workers
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Following Cambodia's implementation of the 100% condom use program with enforcement of condom use and STI treatment services for sex workers in 2001, sexually transmitted infection and HIV declined markedly. In 2008, Cambodia implemented a law to ban brothel-based sex work. We reported trends in unprotected vaginal intercourse with sex workers among heterosexual men buying sex before (2003-2008) and after (2009-2012) the brothel ban in Cambodia. We also determined the association of brothel ban with these men's reports of unprotected intercourse with sex workers. In this serial cross-sectional study, we collected yearly behavioural data on random cross-sectional samples of heterosexual men buying sex who attended the only government health centre in Siem Reap for voluntary confidential counselling and testing (VCCT) between 2003 and 2012. We used multivariable Poisson regression analysis on the 10-year data of 976 men to obtain the adjusted prevalence ratio (aPR) of unprotected intercourse in the last 6 months by brothel closure. Men buying sex from non-brothel-based sex workers increased almost 3-fold from 17% in 2007-2008 before brothel closure to 55% in 2011-2012 after brothel closure (p 
ISSN:1471-2458
1471-2458
DOI:10.1186/s12889-018-5321-0