Genitourinary medicine · 1991
Homosexual prostitution among male drug users and its risk for HIV infection.
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van den Hoek J A, van Haastrecht H J, Coutinho R A
Аннотация
OBJECTIVE: to assess whether male prostitution is an independent risk factor for HIV infection among male (intravenous and nonintravenous) drug users.
DESIGN: a cross-sectional study.
SETTING: various low-threshold methadone clinics and the sexually transmitted diseases clinic of the Municipal Health Service in Amsterdam and a drug-treatment centre in The Hague.
PARTICIPANTS: 343 male intravenous drug users and 106 male non-intravenous drug users.
MAIN OUTCOME MEASURES: characteristics concerning drug use behaviour, sexual behaviour, and sociodemography, related to prostitution and HIV-antibodies.
RESULTS: of the 449 study participants, 88 (20%) reported a history of prostitution; no differences were found between intravenous and non-intravenous drug users. Younger age, West German nationality, and having had private homosexual sex contacts, were independent predictors of a history of prostitution. Independent predictors of HIV infection were (1) longer residency in Amsterdam; (2) having had predominantly homosexual private sex contacts; (3) longer duration of intravenous drug use; and (4) frequent needle sharing.
CONCLUSION: no evidence was found to suggest that male prostitution in itself contributed to the risk of HIV infection.
DESIGN: a cross-sectional study.
SETTING: various low-threshold methadone clinics and the sexually transmitted diseases clinic of the Municipal Health Service in Amsterdam and a drug-treatment centre in The Hague.
PARTICIPANTS: 343 male intravenous drug users and 106 male non-intravenous drug users.
MAIN OUTCOME MEASURES: characteristics concerning drug use behaviour, sexual behaviour, and sociodemography, related to prostitution and HIV-antibodies.
RESULTS: of the 449 study participants, 88 (20%) reported a history of prostitution; no differences were found between intravenous and non-intravenous drug users. Younger age, West German nationality, and having had private homosexual sex contacts, were independent predictors of a history of prostitution. Independent predictors of HIV infection were (1) longer residency in Amsterdam; (2) having had predominantly homosexual private sex contacts; (3) longer duration of intravenous drug use; and (4) frequent needle sharing.
CONCLUSION: no evidence was found to suggest that male prostitution in itself contributed to the risk of HIV infection.