Abstract:
OBJECTIVE:To describe life and work conditions, practices associated with HIV transmission, self-informed HIV status and HIV test coverage in a group of male transgender street prostitutes. METHODS:Case descriptive study of male transgender street prostitutes who attended a mobile unit of a harm reduction programme in 1998 in Madrid, Spain Information on sociodemographic characteristics, work conditions, illegal drug use, sexual behaviours and self-informed HIV status was collected. RESULTS:132 male transgenders were interviewed, of which 56% were Spanish. Median age was 30 years. 50% had primary school education or less. 11% had injected drugs sometime in their lives. Median time in prostitution was 8 years and 66% had worked only in the streets. In the last month, all of them said to use condoms in insertive anal sex with clients, 98% in receptive sex and 49% always used it with their partners in the previous year. 39% referred accidents with condoms within the previous month. 73% had had an HIV test, of which 22% said to be HIV positive (16% in those who had never injected drugs and 58% in the ones who had). CONCLUSIONS:HIV seroprevalence in male transgender street prostitutes is high, even in non-intravenous drug users. They nearly always use condoms with clients but have a high level of accidents. HIV prevention programmes in prostitution should be more specifically adapted to the different groups of commercial sex workers.
journal_name
Gac Sanitjournal_title
Gaceta sanitariaauthors
Belza MJ,Llácer A,Mora R,de la Fuente L,Castilla J,Noguer I,Cañellas Sdoi
10.1016/s0213-9111(00)71490-7subject
Has Abstractpub_date
2000-09-01 00:00:00pages
330-7issue
5eissn
0213-9111issn
1578-1283pii
S0213-9111(00)71490-7journal_volume
14pub_type
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