254550 Concurrent sexual relationship among male clients of female sex workers in China

Wednesday, October 31, 2012 : 12:30 PM - 12:45 PM

Chen Zhang , School of Rural Public Health, Department of Social and Behavioral Health, Texas A&M University, College Station, TX
Xiaoming Li , Department of Pediatrics, Wayne State University, Detroit, MI
Yan Hong, PhD , Department of Social and Behavioral Health, Texas A&M School of Rural Public Health, College Station, TX
Bonita Stanton, MD , Department of Pediatrics, Wayne State University, Detroit, MI
Liying Zhang , Carman and Ann Adams Department of Pediatrics, Wayne State University, Detroit, MI
Bo Wang, PhD , Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI
Yuejiao Zhou, MD , Center for Disease Control and Prevention,Guangxi Autonomous Region, China., Nanning, China
Background: There is growing evidence about the importance of male clients of female sex workers (FSWs) in the trajectory of HIV epidemic in China. Clients who concurrently have sex with noncommercial partners may play as a bridging role to spread HIV and other sexually transmitted diseases (STDs) both to the high-risk population (e.g., FSWs) and to general populations (e.g., spouses). Methods: The data were collected in 2011 from P County, China. One hundred and three male clients with 27-90 years of age were included in a cross-sectional survey with a self-administered questionnaire. Collected information included their demographics, concurrent status, and HIV risk behaviors. Clients provided blood samples to test their HIV, Hepatitis C virus (HCV) and syphilis infection. Results: The prevalence of HIV, HCV and syphilis among the current sample was 1.9%, 1.0% and 19.4%, respectively. Of the total sample, 53.4% concurrently had sex with noncommercial partners. Clients who wanted to “kill boredom” (aOR=6.27, 95%CI=1.07, 36.82) and who thought “seeking FSWs was popular” (aOR=7.22, 95%CI=1.61, 32.30) were significantly associated with the clients having concurrent sexual partners. In addition, HIV knowledge and positive psychological effects on having sex with FSWs were all positively associated with concurrent partners among clients. Discussion: The prevalence of concurrent sexual relationship among clients is alarmingly high in the current sample. Social norms on acceptance of commercial sex and boredom were main motivations for client had concurrent partners. Tailored programs including HIV/STD health education, condom promotion, marriage/partnership counseling and HIV/STD screening services are urgently needed.

Learning Areas:
Implementation of health education strategies, interventions and programs
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
1.Describe high prevalence of concurrent sexual relationships among male clients of FSWs 2.Assess social norms on seeking concurrent sexual relationships among clients 3.Demonstrate the importance of tailored programs targeting both clients and FSWs to curtail the epidemic of HIV in China

Keywords: Sex Workers, HIV Risk Behavior

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: i have been involved in HIV research for multiple years and have plenty of working experience on this population.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.