The association of commercial sex with mobile men has been well described, and has been thought to play a part in the geographic dispersion of HIV. Specifically, we included an indicator for serious partners vs. De-stigmatized delivery of service is more likely to be encountered in settings dedicated to sex workers, rather than through piecemeal access to mainstream services for sexual health, drug rehabilitation or housing. In terms of network influences, it should be noted that all of the homeless men in this study were exposed to some extent to a larger social environment that normalized high-risk behavior.
Journal of Urban Health. Development of screeners for depressive disorders and substance disorder history. In contrast, are those who are driven into commercial sex work through drug addiction or coercion, and have little autonomy. Internet enabled mobile phones mean that clients can find a sex worker almost anywhere in the world instantly, and they can also read online reviews of individual sex workers that are regularly posted on punters' websites. The sex industry is diverse in the ethnic origins of sex workers, many of whom are economic migrants and include women trafficked and coerced into sex work by organized crime networks [ 4 ]. The second goal of the study was to better understand why homeless men might choose to have sex with FSWs. Further, although there is evidence from other studies that homeless FSWs the type most likely to be approached by homeless men are especially likely to report that their male clients refuse to use condoms and are prone to violence El-Bassel et al. Sex with a FSW was also more likely among men with a greater number of sex partners, as well as those who held more negative attitudes about condoms. It was also not the case that men who lacked emotional support from others were more likely to seek out FSWs, despite some qualitative research suggesting that this might be the case Goldenberg et al. Nordic J International Law — Soc Sci Med — Chronic infection with hepatitis B or C can give rise to liver cirrhosis and hepatocellular carcinoma, while cervical and other anogenital neoplasia are associated with certain subtypes of the human papilloma virus. Correlates of Having Sex with a FSW Table 2 shows results from logistic regression analyses to identify factors associated with having sex with a FSW during the past 6 months. Trafficked women and children who have been groomed and coerced into sex work are important exceptions to the paradigm that indoor sex work offers greater protection [ 4 ]. In terms of commercial sex work, both groups are usually male-to-female transgenders. Partner type and condom use. Impact of methods for reducing respondent burden on personal network structural measures. Successful programmes are based on sound knowledge of the local sex industry and context, include sex workers as advisers, combine outreach, health promotion and quality STI diagnostic and treatment services. This article has been cited by other articles in PMC. These women were more likely to be single, to have come from dysfunctional families and never to have held a legal job. Criminalization affects access to services and the job market while also hampering the efforts of outreach workers in delivering services to those who are most vulnerable. Men with probable depression in the past year, as well as crack users and binge drinkers, were 2. The Sex Workers in Sexual Health Project in Coventry reported on 10 CSW who had successfully exited over 2 years [ 60 ], but few services exist owing to funding constraints and lack of multi-agency co-operation, with the majority concentrating on harm reduction rather than exiting. In contrast, among those wishing to exit the industry, provision of safe house and hostel accommodation, counselling services and peer support groups were highlighted. Other gaps in service provision included dedicated exiting programmes, outreach services, treatment for depression, support following sexual assault, education programmes and community safety strategies [ 19 , 24 , 51 ]. Men were also somewhat more inclined to report that they had ever wanted to use a condom with FSWs compared to non-FSWs.
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