Sexual (Risk) Behavior and Risk-Reduction Strategies of Home-Based Male Sex Workers Who Have Sex with Men (MSW-MSM) in The Netherlands: A Qualitative Study.

Condom use Hepatitis B Male sex workers who have sex with men Risk-reduction strategies STI/HIV Sexual risk behavior

Journal

Archives of sexual behavior
ISSN: 1573-2800
Titre abrégé: Arch Sex Behav
Pays: United States
ID NLM: 1273516

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 12 01 2023
accepted: 09 06 2023
revised: 06 06 2023
pubmed: 8 7 2023
medline: 8 7 2023
entrez: 7 7 2023
Statut: ppublish

Résumé

An understanding of sexual (risk) behavior is necessary to successfully develop prevention and care strategies for the sexually transmitted infections (STI) high-risk group of male sex workers who have sex with men (MSW-MSM). However, limited scientific knowledge is available on sexual (risk) behavior of (home-based) MSW-MSM. This study aimed to gain an understanding of sexual (risk) behavior, factors influencing sexual (risk) behavior, and applied risk-reduction strategies of home-based MSW-MSM. For this qualitative study, semi-structured individual interviews were conducted with 20 home-based MSW-MSM in the Netherlands. The interviews' recordings were transcribed verbatim and thematically analyzed with Atlas.ti 8. Condom use was reported to be high during anal sex, but low during oral sex and mostly determined by STI risk perception, trust in clients, and sexual pleasure. Many experienced condom failure, while few knew what to do after condom failure and were aware of post-exposure prophylaxis (PEP). Many MSW-MSM had chemsex in the past 6 months in order to loosen up and enhance sexual pleasure. Some were not vaccinated against hepatitis B virus (HBV), mainly due to the lack of information and awareness of HBV vaccination and low risk perception of HBV. The results of this study can be used to tailor future STI/HIV risk-reduction strategies for home-based MSW-MSM and to increase awareness and uptake of available STI/HIV prevention strategies such as P(r)EP and HBV vaccination.

Identifiants

DOI: 10.1007/s10508-023-02648-w PMID: 37420090 PMC: PMC10703956
pubmed: 37420090
doi: 10.1007/s10508-023-02648-w
pii: 10.1007/s10508-023-02648-w
pmc: PMC10703956
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3329-3339

Subventions

Organisme : Rijksinstituut voor Volksgezondheid en Milieu
ID : Innovatief Plan 2018 HBV-programma

Commentaires et corrections

Type : ErratumIn

Informations de copyright

© 2023. The Author(s).

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Auteurs

Charlotte M M Peters (CMM)

Department of Social Medicine, Care and Public Health Research Institute, Maastricht University/Maastricht UMC+, PO Box 616, 6200 MD, Maastricht, The Netherlands. c.peters@maastrichtuniversity.nl.
Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health, South Limburg Public Health Service, Heerlen, The Netherlands. c.peters@maastrichtuniversity.nl.
ORCID: 0000-0001-8032-7481

Ymke J Evers (YJ)

Department of Social Medicine, Care and Public Health Research Institute, Maastricht University/Maastricht UMC+, PO Box 616, 6200 MD, Maastricht, The Netherlands.
Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health, South Limburg Public Health Service, Heerlen, The Netherlands.

Nicole H T M Dukers-Muijrers (NHTM)

Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health, South Limburg Public Health Service, Heerlen, The Netherlands.
Department of Health Promotion, Care and Public Health Research Institute, Maastricht University/Maastricht UMC+, Maastricht, The Netherlands.

Christian J P A Hoebe (CJPA)

Department of Social Medicine, Care and Public Health Research Institute, Maastricht University/Maastricht UMC+, PO Box 616, 6200 MD, Maastricht, The Netherlands.
Department of Sexual Health, Infectious Diseases and Environmental Health, Living Lab Public Health, South Limburg Public Health Service, Heerlen, The Netherlands.
Department of Medical Microbiology, Infectious Diseases and Infection Prevention, Care and Public Health Research Institute, Maastricht University Medical Centre, Maastricht, The Netherlands.

Classifications MeSH