title: Transactional Sex and the HIV Epidemic Among Men Who have Sex with Men (MSM): Results From a Systematic Review and Meta-analysis.
abstract: Engagement in transactional sex has been hypothesized to increase risk of HIV among MSM, however conflicting evidence exists. We conducted a systematic review and meta-analysis comparing HIV prevalence among MSM who engaged in transactional sex to those who did not (33 studies in 17 countries; n = 78,112 MSM). Overall, transactional sex was associated with a significant elevation in HIV prevalence (OR 1.34, 95 % CI 1.11-1.62). Latin America (OR 2.28, 95 % CI 1.87-2.78) and Sub-Saharan Africa (OR 1.72, 95 % CI 1.02-2.91) were the only regions where this elevation was noted. Further research is needed to understand factors associated with sex work and subsequent HIV risk in Latin America and Sub-Saharan Africa.
authors: Department of Epidemiology, Harvard School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA. ceo242@mail.harvard.edu.
authors: Catherine E
authors: CE
authors: Oldenburg
authors: Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.
authors: Amaya G
authors: AG
authors: Perez-Brumer
authors: Department of Epidemiology, Harvard School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.|The Fenway Institute, Fenway Community Health, Boston, MA, USA.
authors: Sari L
authors: SL
authors: Reisner
authors: Department of Epidemiology, Harvard School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.|The Fenway Institute, Fenway Community Health, Boston, MA, USA.|Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
authors: Matthew J
authors: MJ
authors: Mimiaga
mesh_terms: D017954:Africa South of the Sahara / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology*; D018451:Homosexuality, Male; D006801:Humans; D007843:Latin America / Q000453:epidemiology; D008297:Male; D011477:Sex Work; D000072339:Sexual and Gender Minorities
keywords: HIV; Men who have sex with men; Meta-analysis; Transactional sex
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