Clients of Indoor Commercial Sex Workers: Heterogeneity in Patronage Patterns and Implications for HIV and STI Propagation Through Sexual Networks

Objectives: To determine whether "high-risk" clients occupied important sociometric positions in sexual networks of commercial sex workers and to estimate whether they were more likely to be HIV and STI infected. Goal: To determine whether a classification of high-risk clients could be val...

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Veröffentlicht in:Sexually transmitted diseases 2007-10, Vol.34 (10), p.754-760
Hauptverfasser: REMPLE, VALENCIA P., PATRICK, DAVID M., JOHNSTON, CAITLIN, TYNDALL, MARK W., JOLLY, ANN M.
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container_end_page 760
container_issue 10
container_start_page 754
container_title Sexually transmitted diseases
container_volume 34
creator REMPLE, VALENCIA P.
PATRICK, DAVID M.
JOHNSTON, CAITLIN
TYNDALL, MARK W.
JOLLY, ANN M.
description Objectives: To determine whether "high-risk" clients occupied important sociometric positions in sexual networks of commercial sex workers and to estimate whether they were more likely to be HIV and STI infected. Goal: To determine whether a classification of high-risk clients could be validated by network analysis. Study Design: We used proxy data on clients collected from a cross-sectional survey of 49 indoor female sex workers. Results: Two types of clients were categorized as high risk, including those who created sexual bridges between sex establishments and those who had sex with most or all the FSW at an establishment. High-risk clients were significantly more central and were more likely to be members of cohesive subgroups than were lower-risk clients. The few known HIV and STI infections were in high-risk clients. Conclusions: It is possible to identify theoretically high-risk commercial sex clients from the network perspective using simple data collection and categorization approaches.
doi_str_mv 10.1097/01.olq.0000261327.78674.cb
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subjects Adult
Biological and medical sciences
Canada - epidemiology
Condoms
Contact Tracing
Cross-Sectional Studies
Data collection
Demography
Epidemiology. Vaccinations
Female
Females
General aspects
HIV
HIV Infections - epidemiology
HIV Infections - transmission
HIV Infections - virology
Human immunodeficiency virus
Human infectious diseases. Experimental studies and models
Humans
Infectious diseases
Male
Medical sciences
Middle Aged
Risk factors
Risk-Taking
Sex Education
Sex industry
Sex Work
Sexual Behavior
Sexual Partners
Sexually Transmitted Diseases - epidemiology
Sexually Transmitted Diseases - transmission
Sexually Transmitted Diseases - virology
title Clients of Indoor Commercial Sex Workers: Heterogeneity in Patronage Patterns and Implications for HIV and STI Propagation Through Sexual Networks
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