title: Male Escorts' and Male Clients' Sexual Behavior During Their Last Commercial Sexual Encounter: Comparing and Contrasting Findings from Two Online Studies.
abstract: Much of what is known about commercial sexual encounters between men is based on data gathered from escorts. With few exceptions, studies have not compared male clients' reports of behavior during commercial sexual encounters with male escorts'. The present study draws from two datasets, a 2012 survey of clients (n = 495) and a 2013 survey of escorts (n = 387)--both used virtually identical measures of sexual behavior during the most recent commercial sexual encounter. For clients and escorts, the majority eschewed having sex without a condom, and kissing and oral sex were among the most common behaviors reported. Using logistic regression, both samples were compared across 15 sexual behaviors, finding significant differences in six--the escort sample had greater odds of reporting their last commercial sexual encounter involved watching the client masturbate, viewing porn, role play (dad/son, dominant/submissive), and having prior sexual experience with their commercial partner. The escort sample had lower odds of reporting that the client watched the escort masturbate, and being told partner's HIV status. In multivariable modeling, both samples did not significantly differ in reports of condomless anal sex. Male-male commercial sexual encounters appear to be involved in a wide range of sexual behaviors, many of which convey low-to-no risk of HIV transmission.
authors.affiliation: Department of Health and Nutrition Sciences, Brooklyn College of the City University of New York (CUNY), 2900 Bedford Avenue, Brooklyn, NY, 11210, USA. cgrov@brooklyn.cuny.edu.|Doctoral Program in Public Health, The Graduate Center of CUNY, New York, USA. cgrov@brooklyn.cuny.edu.|Center for HIV/AIDS Educational Studies and Training (CHEST), New York, USA. cgrov@brooklyn.cuny.edu.
authors.forename: Christian
authors.initials: C
authors.lastname: Grov
authors.affiliation: Department of Social Sciences, School of Public Health, University of Puerto Rico, San Juan, Puerto Rico.|Center for Sexual Health Promotion and Health Equity, School of Public Health, University of Puerto Rico, San Juan, Puerto Rico.
authors.forename: Carlos E
authors.initials: CE
authors.lastname: Rodríguez-Díaz
authors.affiliation: Center for Sexual Health Promotion and Health Equity, School of Public Health, University of Puerto Rico, San Juan, Puerto Rico.
authors.forename: Gerardo G
authors.initials: GG
authors.lastname: Jovet-Toledo
mesh_terms: D000328:Adult; D001727:Bisexuality; D017280:Condoms / Q000706:statistics & numerical data; D018451:Homosexuality, Male; D006801:Humans; D016015:Logistic Models; D008297:Male; D008418:Masturbation; D008875:Middle Aged; D012309:Risk-Taking; D011477:Sex Work / Q000706:statistics & numerical data*; D060386:Sex Workers / Q000706:statistics & numerical data*; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Clients; Escorting; Gay and bisexual men; Sex work; Sexual behavior