title: Clients of female sex workers in Lima, Peru: a bridge population for sexually transmitted disease/HIV transmission?
abstract: OBJECTIVE
  The objectives of this study were to determine the prevalence of risk behaviors, gonorrhea, and chlamydia in clients of female sex workers, and to compare them with men selected from the general population.
  
  
  METHODS
  We conducted a cross-sectional study of men recruited from commercial sex venues in Lima, Peru from January to February 2002. Subjects answered a survey and provided a urine sample.
  
  
  RESULTS
  Men reported that in the recently concluded commercial sex encounter, 95.8% used condoms, and 85.8% always used condoms with female sex workers. Only 16% reported always using condoms with their stable partners; 50.8% always used condoms with casual, noncommercial partners; and 59.6% always used condoms for homosexual anal sex. There were 8 (2%) cases of chlamydia and no cases of gonorrhea.
  
  
  CONCLUSIONS
  Clients of female sex workers report high rates of condom use with sex workers and a low prevalence of chlamydia and gonorrhea. It is unlikely that they constitute a bridging population.
authors.affiliation: University of California San Francisco, San Francisco, California, USA. greggmiller@hotmail.com
authors.forename: Gregg A
authors.initials: GA
authors.lastname: Miller
authors.forename: Walter
authors.initials: W
authors.lastname: Mendoza
authors.forename: Melissa R
authors.initials: MR
authors.lastname: Krone
authors.forename: Rena
authors.initials: R
authors.lastname: Meza
authors.forename: Carlos F
authors.initials: CF
authors.lastname: Caceres
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Coates
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Klausner
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010568:Peru / Q000453:epidemiology; D015995:Prevalence; D012309:Risk-Taking; D011477:Sex Work / Q000706:statistics & numerical data*; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control* / Q000652:urine; D011795:Surveys and Questionnaires; D016387:Women's Health