title: Male clients' behaviours with and perspectives about their last male escort encounter: comparing repeat versus first-time hires.
abstract: Research on men who have sex with men suggests that condomless anal intercourse occurs more frequently in established sexual relationships. While comparable data regarding male-for-male escorting is unavailable, research implies that many clients seek emotional as well as physical connections with the men they hire. In 2012, 495 male clients, recruited via daddysreviews.com completed an online survey about their last hiring experience. Most participants were from the USA (85.7%), the UK and Canada (3.2% each). In total, 75% of encounters involved an escort hired for the first time; 25% were with a previously hired escort ('repeat encounter'). The client's age, lifetime number of escorts hired and number hired in the past year were positively associated with the last encounter being a repeat encounter. Cuddling, sharing a meal, drinking alcohol, taking a walk, watching a show and shopping were also positively associated with repeat encounters. Conversely, none of the sexual behaviours were significantly associated with repeat encounters. Repeat encounters were significantly more likely to include non-sexual behaviours alongside sexual activities, but no more likely to involve condomless anal intercourse. Moreover, clients' knowledge of escorts' HIV status was not significantly associated with engaging in condomless anal intercourse with repeat encounters.
authors.affiliation: a Graduate Center of the City University of New York , New York , USA.
authors.forename: Margaret M
authors.initials: MM
authors.lastname: Wolff
authors.forename: Christian
authors.initials: C
authors.lastname: Grov
authors.forename: Michael D
authors.initials: MD
authors.lastname: Smith
authors.forename: Juline A
authors.initials: JA
authors.lastname: Koken
authors.forename: Jeffrey T
authors.initials: JT
authors.lastname: Parsons
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003625:Data Collection; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011477:Sex Work / Q000523:psychology*; D060386:Sex Workers / Q000523:psychology; D047568:Unsafe Sex / Q000523:psychology; D055815:Young Adult
keywords: anal sex; clients; escorts; gay and bisexual men; repeat hires; sex work