A cross-sectional study of HIV and STIs among male sex workers attending Australian sexual health clinics

Denton Callander, Phillip Read, Garrett Prestage, Victor Minichiello, Eric P F Chow, David A. Lewis, Anna McNulty, Hammad Ali, Margaret Hellard, Rebecca Guy, Basil J Donovan

Research output: Contribution to journalArticleResearchpeer-review

2 Citations (Scopus)

Abstract

Objectives Although sex work is frequently characterised as a practice with high risk for HIV and other STIs, little is known about the epidemiology of these infections among men who sell sex in Australia. This study reports the prevalence of chlamydia, gonorrhoea, infectious syphilis and HIV among men who have sex with men attending Australian publicly funded sexual health clinics and compares prevalence between sex workers and non-sex workers. Methods From 2011 to 2014, de-identified patient data were extracted from 40 sexual health clinics in four Australian jurisdictions. The X 2 and multiple logistic regression analyses were used to compare the prevalence of HIV and STIs among men attending these services who did and did not report sex work in the 12⋯months prior to consultation. All analyses were restricted to men who reported sex with other men and to each patient's first consultation at participating services. Results In total, 27⋯469 gay, bisexual and other men who have sex with men attended participating clinics; 443 (1.6%) reported sex work. At first consultation, 18% of sex workers and 17% of non-sex workers were diagnosed with HIV or an STI (p=0.4): 13% of sex workers were newly diagnosed with chlamydia, 15% with gonorrhoea, 0.5% with infectious syphilis and 0.6% with HIV. After controlling for demographic and behavioural factors, sex work was not independently associated with an HIV or STI diagnosis. Conclusions These findings provide estimates of HIV and STI prevalence among men who sell sex in Australia and they challenge assumptions of sex work as inherently risky to the sexual health of gay bisexual and other men who have sex with men.

Original languageEnglish
Pages (from-to)299-302
Number of pages4
JournalSexually Transmitted Infections
Volume93
Issue number4
DOIs
Publication statusPublished - 1 Jun 2017

Keywords

  • EPIDEMIOLOGY (CLINICAL)
  • GAY MEN
  • HIV
  • PROSTITUTION
  • SEXUAL HEALTH

Cite this

Callander, Denton ; Read, Phillip ; Prestage, Garrett ; Minichiello, Victor ; Chow, Eric P F ; Lewis, David A. ; McNulty, Anna ; Ali, Hammad ; Hellard, Margaret ; Guy, Rebecca ; Donovan, Basil J. / A cross-sectional study of HIV and STIs among male sex workers attending Australian sexual health clinics. In: Sexually Transmitted Infections. 2017 ; Vol. 93, No. 4. pp. 299-302.
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title = "A cross-sectional study of HIV and STIs among male sex workers attending Australian sexual health clinics",
abstract = "Objectives Although sex work is frequently characterised as a practice with high risk for HIV and other STIs, little is known about the epidemiology of these infections among men who sell sex in Australia. This study reports the prevalence of chlamydia, gonorrhoea, infectious syphilis and HIV among men who have sex with men attending Australian publicly funded sexual health clinics and compares prevalence between sex workers and non-sex workers. Methods From 2011 to 2014, de-identified patient data were extracted from 40 sexual health clinics in four Australian jurisdictions. The X 2 and multiple logistic regression analyses were used to compare the prevalence of HIV and STIs among men attending these services who did and did not report sex work in the 12⋯months prior to consultation. All analyses were restricted to men who reported sex with other men and to each patient's first consultation at participating services. Results In total, 27⋯469 gay, bisexual and other men who have sex with men attended participating clinics; 443 (1.6{\%}) reported sex work. At first consultation, 18{\%} of sex workers and 17{\%} of non-sex workers were diagnosed with HIV or an STI (p=0.4): 13{\%} of sex workers were newly diagnosed with chlamydia, 15{\%} with gonorrhoea, 0.5{\%} with infectious syphilis and 0.6{\%} with HIV. After controlling for demographic and behavioural factors, sex work was not independently associated with an HIV or STI diagnosis. Conclusions These findings provide estimates of HIV and STI prevalence among men who sell sex in Australia and they challenge assumptions of sex work as inherently risky to the sexual health of gay bisexual and other men who have sex with men.",
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author = "Denton Callander and Phillip Read and Garrett Prestage and Victor Minichiello and Chow, {Eric P F} and Lewis, {David A.} and Anna McNulty and Hammad Ali and Margaret Hellard and Rebecca Guy and Donovan, {Basil J}",
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Callander, D, Read, P, Prestage, G, Minichiello, V, Chow, EPF, Lewis, DA, McNulty, A, Ali, H, Hellard, M, Guy, R & Donovan, BJ 2017, 'A cross-sectional study of HIV and STIs among male sex workers attending Australian sexual health clinics', Sexually Transmitted Infections, vol. 93, no. 4, pp. 299-302. https://doi.org/10.1136/sextrans-2016-052578

A cross-sectional study of HIV and STIs among male sex workers attending Australian sexual health clinics. / Callander, Denton; Read, Phillip; Prestage, Garrett; Minichiello, Victor; Chow, Eric P F; Lewis, David A.; McNulty, Anna; Ali, Hammad; Hellard, Margaret; Guy, Rebecca; Donovan, Basil J.

In: Sexually Transmitted Infections, Vol. 93, No. 4, 01.06.2017, p. 299-302.

Research output: Contribution to journalArticleResearchpeer-review

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T1 - A cross-sectional study of HIV and STIs among male sex workers attending Australian sexual health clinics

AU - Callander, Denton

AU - Read, Phillip

AU - Prestage, Garrett

AU - Minichiello, Victor

AU - Chow, Eric P F

AU - Lewis, David A.

AU - McNulty, Anna

AU - Ali, Hammad

AU - Hellard, Margaret

AU - Guy, Rebecca

AU - Donovan, Basil J

PY - 2017/6/1

Y1 - 2017/6/1

N2 - Objectives Although sex work is frequently characterised as a practice with high risk for HIV and other STIs, little is known about the epidemiology of these infections among men who sell sex in Australia. This study reports the prevalence of chlamydia, gonorrhoea, infectious syphilis and HIV among men who have sex with men attending Australian publicly funded sexual health clinics and compares prevalence between sex workers and non-sex workers. Methods From 2011 to 2014, de-identified patient data were extracted from 40 sexual health clinics in four Australian jurisdictions. The X 2 and multiple logistic regression analyses were used to compare the prevalence of HIV and STIs among men attending these services who did and did not report sex work in the 12⋯months prior to consultation. All analyses were restricted to men who reported sex with other men and to each patient's first consultation at participating services. Results In total, 27⋯469 gay, bisexual and other men who have sex with men attended participating clinics; 443 (1.6%) reported sex work. At first consultation, 18% of sex workers and 17% of non-sex workers were diagnosed with HIV or an STI (p=0.4): 13% of sex workers were newly diagnosed with chlamydia, 15% with gonorrhoea, 0.5% with infectious syphilis and 0.6% with HIV. After controlling for demographic and behavioural factors, sex work was not independently associated with an HIV or STI diagnosis. Conclusions These findings provide estimates of HIV and STI prevalence among men who sell sex in Australia and they challenge assumptions of sex work as inherently risky to the sexual health of gay bisexual and other men who have sex with men.

AB - Objectives Although sex work is frequently characterised as a practice with high risk for HIV and other STIs, little is known about the epidemiology of these infections among men who sell sex in Australia. This study reports the prevalence of chlamydia, gonorrhoea, infectious syphilis and HIV among men who have sex with men attending Australian publicly funded sexual health clinics and compares prevalence between sex workers and non-sex workers. Methods From 2011 to 2014, de-identified patient data were extracted from 40 sexual health clinics in four Australian jurisdictions. The X 2 and multiple logistic regression analyses were used to compare the prevalence of HIV and STIs among men attending these services who did and did not report sex work in the 12⋯months prior to consultation. All analyses were restricted to men who reported sex with other men and to each patient's first consultation at participating services. Results In total, 27⋯469 gay, bisexual and other men who have sex with men attended participating clinics; 443 (1.6%) reported sex work. At first consultation, 18% of sex workers and 17% of non-sex workers were diagnosed with HIV or an STI (p=0.4): 13% of sex workers were newly diagnosed with chlamydia, 15% with gonorrhoea, 0.5% with infectious syphilis and 0.6% with HIV. After controlling for demographic and behavioural factors, sex work was not independently associated with an HIV or STI diagnosis. Conclusions These findings provide estimates of HIV and STI prevalence among men who sell sex in Australia and they challenge assumptions of sex work as inherently risky to the sexual health of gay bisexual and other men who have sex with men.

KW - EPIDEMIOLOGY (CLINICAL)

KW - GAY MEN

KW - HIV

KW - PROSTITUTION

KW - SEXUAL HEALTH

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SP - 299

EP - 302

JO - Sexually Transmitted Infections

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