title: Psychosocial pathways to inconsistent condom use among male sex workers: personality, drug misuse and criminality.
abstract: BACKGROUND
  This research compared street male sex workers in Santo André, Brazil, that reported consistent condom use with those that revealed inconsistent condom use with their clients, concerning personality aspects, impulsiveness, alcohol and drug consumption, depressive symptoms, sociodemographic data and criminal involvement.
  
  
  METHODS
  Eighty-six male sex workers were evaluated in face-to-face interviews at their place of work. A 'snowball' sampling procedure was used to access this hard-to-reach population.
  
  
  RESULTS
  Male sex workers with inconsistent condom use showed greater involvement with criminal activities, higher reward dependence level and more frequent self-report of being HIV-positive.
  
  
  CONCLUSIONS
  Conceptualisation of male sex workers' psychological characteristics may be required where HIV risk is not only attributed to sex work per se, but to other aspects such as personality-related factors and negative identity.
authors.affiliation: Interdisciplinary Group of Studies on Alcohol and Drugs of the Psychiatric Institute of the Clinical Hospital, Department of Psychiatry of the University of São Paulo, São Paulo 05403-903, Brazil. cestaro@gmail.com
authors.forename: Fernanda C Prado
authors.initials: FC
authors.lastname: Cortez
authors.forename: Douglas P
authors.initials: DP
authors.lastname: Boer
authors.forename: Danilo A
authors.initials: DA
authors.lastname: Baltieri
mesh_terms: D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000453:epidemiology* / Q000523:psychology*; D001938:Brazil; D002605:Character; D015897:Comorbidity; D017280:Condoms / Q000706:statistics & numerical data*; D003415:Crime / Q000523:psychology* / Q000706:statistics & numerical data*; D003431:Cross-Cultural Comparison; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000523:psychology* / Q000706:statistics & numerical data*; D006801:Humans; D007175:Impulsive Behavior / Q000453:epidemiology* / Q000523:psychology*; D007389:Internal-External Control; D008297:Male; D009042:Motivation; D011477:Sex Work / Q000523:psychology* / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology*; D055815:Young Adult