title: Psychosexual and social-cognitive correlates of sexual risk behavior among male clients of female sex workers in Tijuana, Mexico.
abstract: Male clients of female sex workers (FSWs) may act as a bridge to the general population contributing to the spread of HIV and other sexually transmitted infections (STIs) in the USA and Mexico. This study used cross-sectional data to identify psychosexual and social-cognitive factors associated with sexual risk behavior in a bi-national sample of 300 male clients of FSWs recruited in Tijuana, Mexico from June to October 2008. In a multiple regression analysis, the number of unprotected vaginal sex acts with FSWs was associated with higher sexual compulsivity scores, lower self-efficacy for condom use, greater use of illicit drugs, and more financial need. Behavioral interventions are urgently needed to assist clients of FSWs in reducing high-risk behaviors in an effort to prevent the spread of HIV/STIs in this high-risk population and their sexual partners.
authors.affiliation: Department of Psychiatry, University of California - San Diego, La Jolla, USA.
authors.forename: Shirley J
authors.initials: SJ
authors.lastname: Semple
authors.forename: Steffanie A
authors.initials: SA
authors.lastname: Strathdee
authors.forename: Manuel
authors.initials: M
authors.lastname: Gallardo Cruz
authors.forename: Angela
authors.initials: A
authors.lastname: Robertson
authors.forename: Shira
authors.initials: S
authors.lastname: Goldenberg
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Patterson
mesh_terms: D000328:Adult; D005260:Female; D015658:HIV Infections / Q000635:transmission*; D006801:Humans; D008297:Male; D008800:Mexico; D008875:Middle Aged; D012044:Regression Analysis; D012309:Risk-Taking; D011477:Sex Work / Q000523:psychology*; D012725:Sexual Behavior / Q000523:psychology; D012749:Sexually Transmitted Diseases / Q000635:transmission; D047568:Unsafe Sex / Q000523:psychology*