Clients of Female Sex Workers: A Population-Based Survey of China

The control of HIV and other sexually transmitted infections (STI) is a challenge in China, with female sex workers (FSW) and male clients suspected as bridge groups. This study used a 2006 national probability survey of 2,707 adult men. Among men 15-49 years old, the prevalence of FSW contacts last...

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Bibliographic Details
Published in:The Journal of infectious diseases 2011-12, Vol.204 (suppl_5), p.S1211-S1217
Main Authors: Pan, Suiming, Parish, William L., Huang, Yingying
Format: Article
Language:English
Subjects:
Adolescent
Adult
Biological and medical sciences
Business risks
China - epidemiology
Condoms
Countries
Female
Fundamental and applied biological sciences. Psychology
HIV
Humans
Infectious diseases
Male
Medical sciences
Men
Microbiology
Middle Aged
Predisposing factors
Premarital sex
Prevalence
Risk Factors
Rural Population
Sex Work - statistics & numerical data
Sex Work in Asia: Health, Agency, and Sexuality
Sex Workers
Sexual Behavior
Sexual Partners
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - prevention & control
Social life
Socioeconomic Factors
Surveys and Questionnaires
Travel
Urban Population
Young Adult
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Summary:The control of HIV and other sexually transmitted infections (STI) is a challenge in China, with female sex workers (FSW) and male clients suspected as bridge groups. This study used a 2006 national probability survey of 2,707 adult men. Among men 15-49 years old, the prevalence of FSW contacts last year was 4.2% (95% CI, 3.3-5.2) overall, with 7.2% (CI, 5.9-8.7) in urban and 1.8% (CI, 1.0-3.3) in rural areas. In urban areas, the men most at risk for FSW were high income, often traveled, engaged in business entertaining, ages 25-39, and had early sex histories. When compared to men with only wife or stable sex partner, those most likely to report STI last year also reported FSW sex of any type (aOR, 13.10; CI, 5.87-29.42). Additionally, when compared to men reporting consistent condom use with FSW, men with inconsistent condom use had elevated STI (aOR, 3.71; CI, 1.18-11.66). Additional efforts are needed for high income men in urban areas, and on consistent condom use with FSW.
ISSN:0022-1899
1537-6613
DOI:10.1093/infdis/jir537