title: Interventions in the commercial sex industry during the rise in syphilis rates among men who have sex with men (MSM).
abstract: OBJECTIVE
  Describe sexually transmitted disease/human immunodeficiency virus prevention interventions targeting men who have sex with men (MSM) in commercial sex venues (CSV).
  
  
  METHODS
  Compilation of descriptive and evaluation data from the CDC 8-city MSM Syphilis Response on interventions conducted in bathhouses/sex clubs, circuit parties, the Internet, male sex workers, and the adult film industry.
  
  
  RESULTS
  Interventions in the commercial sex industry (CSI) often involved multiple collaborative efforts between public health departments (PHD), community-based organizations (CBO), and CSV owners and managers. Education and condoms were provided at multiple venues, including circuit parties, bathhouses, and sex clubs. CBO staff reported one-on-one street and CSV outreach to engage MSM at risk. Evaluation data demonstrate that MSM exposed to media campaigns were more aware of syphilis and more likely to have been tested for syphilis than MSM who did not see the campaigns.
  
  
  CONCLUSIONS
  PHD and CBO are using multiple means of reaching MSM in the CSI. Evaluations are needed to determine which of these efforts decreases syphilis transmission.
authors.affiliation: Division of STD Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, USA. metaylor@dhs.co.la.ca.us
authors.forename: Melanie
authors.initials: M
authors.lastname: Taylor
authors.forename: Jorge A
authors.initials: JA
authors.lastname: Montoya
authors.forename: Russell
authors.initials: R
authors.lastname: Cantrell
authors.forename: Samuel J
authors.initials: SJ
authors.lastname: Mitchell
authors.forename: Mark
authors.initials: M
authors.lastname: Williams
authors.forename: Lori
authors.initials: L
authors.lastname: Jordahl
authors.forename: Millicent
authors.initials: M
authors.lastname: Freeman
authors.forename: James
authors.initials: J
authors.lastname: Brown
authors.forename: Dawn
authors.initials: D
authors.lastname: Broussard
authors.forename: Eric
authors.initials: E
authors.lastname: Roland
mesh_terms: D002947:Cities; D003159:Community-Institutional Relations; D004196:Disease Outbreaks; D006266:Health Education / Q000379:methods*; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D011314:Preventive Health Services / Q000706:statistics & numerical data; D015397:Program Evaluation; D011634:Public Health; D011477:Sex Work; D013587:Syphilis / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control*; D014481:United States