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Behavioral and Psychosocial Correlates of HIV Testing Among Male Clients of Female Sex Workers in Tijuana,Mexico
Authors:Paul J Fleming  Thomas L Patterson  Claudia V Chavarin  Shirley J Semple  Carlos Magis-Rodriguez  Eileen V Pitpitan
Institution:1.Division of Global Public Health, Department of Medicine,University of California,San Diego, La Jolla,USA;2.Department of Health Behavior & Health Education,University of Michigan,Ann Arbor,USA;3.Department of Psychiatry,University of California,San Diego, La Jolla,USA;4.Centro Nacional para la Prevención y Control del VIH/SIDA (CENSIDA),Mexico City,Mexico
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.
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