caa a22 4500 606231862 CHVBK 20210128101223.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s10508-015-0514-4 doi (NATIONALLICENCE)springer-10.1007/s10508-015-0514-4 Behavioral and Psychosocial Correlates of Anal Sex Among Male Clients of Female Sex Workers in Tijuana, Mexico [Elektronische Daten] [Shirley Semple, Steffanie Strathdee, Eileen Pitpitan, Claudia Chavarin, Thomas Patterson] Most studies of heterosexual sex risk practices have focused on condomless vaginal sex despite evidence that condomless anal sex has a significantly higher risk of HIV transmission. The present study focused on male clients' anal sex practices with female sex workers (FSWs) in Tijuana, Mexico, where an HIV epidemic is growing among high-risk groups. Logistic regression analyses were used to identify psychosocial and behavioral correlates of anal sex among male clients. Our sample of HIV-negative men (N=400) was predominantly Latino (87.5%), born in Mexico (78.8%), never married (36.8%) or in a regular or common-law marriage (31.5%), and employed (62.8%), with an average age and education of 37.8 and 9.2years, respectively. Eighty-nine percent identified as heterosexual and 11% as bisexual. By design, 50% of the sample resided in Tijuana and the other 50% in San Diego County. Nearly half (49%) reported at least one incident of anal sex with a FSW in Tijuana in the past 4 months; of those participants, 85% reported that one or more of their anal sex acts with FSWs had been without a condom. In a multivariate model, anal sex with a FSW in the past 4 months was associated with bisexual identification, methamphetamine use with FSWs, repeat visits to the same FSW, higher scores on perceived stigma about being a client of FSWs, and sexual compulsivity. Prevention programs are needed that address the behavioral and psychosocial correlates of heterosexual anal sex in order to reduce HIV/STI transmission risk among male clients, FSWs, and their sexual network members. Springer Science+Business Media New York, 2015 Sex workers nationallicence Clients of sex workers nationallicence Anal sex nationallicence HIV and STI risk practices nationallicence Mexico nationallicence HIV prevention nationallicence Semple Shirley Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, Mail Code 0680, 92093-0680, La Jolla, CA, USA aut Strathdee Steffanie Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA, USA aut Pitpitan Eileen Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA, USA aut Chavarin Claudia Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, Mail Code 0680, 92093-0680, La Jolla, CA, USA aut Patterson Thomas Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, Mail Code 0680, 92093-0680, La Jolla, CA, USA aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/4(2015-05-01), 1025-1033 0004-0002 44:4<1025 2015 44 10508 https://doi.org/10.1007/s10508-015-0514-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-015-0514-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Semple Shirley Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, Mail Code 0680, 92093-0680, La Jolla, CA, USA aut NATIONALLICENCE 700 1- Strathdee Steffanie Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA, USA aut NATIONALLICENCE 700 1- Pitpitan Eileen Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA, USA aut NATIONALLICENCE 700 1- Chavarin Claudia Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, Mail Code 0680, 92093-0680, La Jolla, CA, USA aut NATIONALLICENCE 700 1- Patterson Thomas Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, Mail Code 0680, 92093-0680, La Jolla, CA, USA aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/4(2015-05-01), 1025-1033 0004-0002 44:4<1025 2015 44 10508