Behavioral and Psychosocial Correlates of HIV Testing Among Male Clients of Female Sex Workers in Tijuana, Mexico

AIDS Behav. 2017 Aug;21(8):2322-2331. doi: 10.1007/s10461-016-1531-6.

Abstract

We use data collected from a sample of 400 male clients of female sex workers (FSW) to examine their HIV testing behavior. We present frequencies of HIV testing and used bivariate and multivariable analyses to assess its socio-demographic, behavioral, and psychosocial correlates. We found that the majority (55 %) of male clients of FSW in Tijuana, Mexico had never had an HIV test and the prevalence of HIV testing within the past year was low (9 %). In multivariable analyses, significant correlates of having ever tested for HIV were higher age, higher HIV knowledge score, lower sexual compulsiveness score, lower misogynistic attitudes score, having a condom break during sex with a FSW, and higher frequency of sex with a FSW while she was high. Our findings represent an important starting point for developing effective interventions to address the need to promote HIV testing among this population.

Keywords: FSW; Female sex worker; HIV testing; Mexico; Non-commercial partner; Steady partner; Substance use.

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Condoms / statistics & numerical data
  • Female
  • HIV Infections / diagnosis*
  • HIV Infections / epidemiology
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Mexico / epidemiology
  • Middle Aged
  • Multivariate Analysis
  • Prevalence
  • Risk-Taking
  • Sex Work / statistics & numerical data*
  • Sex Workers
  • Sexual Behavior / statistics & numerical data*
  • Unsafe Sex / statistics & numerical data*
  • Young Adult