title: A qualitative study on commercial sex behaviors among male clients in Sichuan Province, China.
abstract: Males who seek commercial sex have been identified as an important "bridging population" in the transmission of HIV. There is little information on the HIV-related risk perceptions and behaviors among commercial sex male clients (CSMCs) in China. This study reports qualitative findings from six focus groups and 41 in-depth interviews with CSMCs in Sichuan Province, China. Commercial sex visits were described as a group activity and associated with patterns of social-network specific interactions and norms. Primary motivations for visiting female sex workers included peer pressure, stress reduction, and fulfilling a need for an intimate and emotional support. Male clients' decisions about condom use were influenced by their perceived norms of condom use, susceptibility of HIV infection, and the condom policy and availability in the establishments. Implications of these findings for further research and interventions are discussed.
authors.affiliation: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. cyang@jhsph.edu
authors.forename: Cui
authors.initials: C
authors.lastname: Yang
authors.forename: Carl A
authors.initials: CA
authors.lastname: Latkin
authors.forename: Peng
authors.initials: P
authors.lastname: Liu
authors.forename: Kenrad E
authors.initials: KE
authors.lastname: Nelson
authors.forename: Cunlin
authors.initials: C
authors.lastname: Wang
authors.forename: Rongsheng
authors.initials: R
authors.lastname: Luan
mesh_terms: D000328:Adult; D002681:China; D017280:Condoms; D003268:Contraception Behavior; D017144:Focus Groups; D015658:HIV Infections / Q000523:psychology / Q000635:transmission; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012309:Risk-Taking; D011477:Sex Work; D012725:Sexual Behavior; D012941:Social Responsibility; D012944:Social Support; D055815:Young Adult
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