title: Behavioral and Psychosocial Correlates of HIV Testing Among Male Clients of Female Sex Workers in Tijuana, Mexico.
abstract: We use data collected from a sample of 400 male clients of female sex workers (FSW) to examine their HIV testing behavior. We present frequencies of HIV testing and used bivariate and multivariable analyses to assess its socio-demographic, behavioral, and psychosocial correlates. We found that the majority (55 %) of male clients of FSW in Tijuana, Mexico had never had an HIV test and the prevalence of HIV testing within the past year was low (9 %). In multivariable analyses, significant correlates of having ever tested for HIV were higher age, higher HIV knowledge score, lower sexual compulsiveness score, lower misogynistic attitudes score, having a condom break during sex with a FSW, and higher frequency of sex with a FSW while she was high. Our findings represent an important starting point for developing effective interventions to address the need to promote HIV testing among this population.
authors: Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA, USA. pauljf@umich.edu.|Department of Health Behavior & Health Education, University of Michigan, 1415 Washington Heights, Ann Arbor, MI, 48109, USA. pauljf@umich.edu.
authors: Paul J
authors: PJ
authors: Fleming
authors: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors: Thomas L
authors: TL
authors: Patterson
authors: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors: Claudia V
authors: CV
authors: Chavarin
authors: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors: Shirley J
authors: SJ
authors: Semple
authors: Centro Nacional para la Prevención y Control del VIH/SIDA (CENSIDA), Mexico City, Mexico.
authors: Carlos
authors: C
authors: Magis-Rodriguez
authors: Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA, USA.
authors: Eileen V
authors: EV
authors: Pitpitan
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D015999:Multivariate Analysis; D015995:Prevalence; D012309:Risk-Taking; D011477:Sex Work / Q000706:statistics & numerical data*; D060386:Sex Workers; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: FSW; Female sex worker; HIV testing; Mexico; Non-commercial partner; Steady partner; Substance use