Men who purchase sex, who are they? an interurban comparison

Danielle C. Ompad, David L. Bell, Silvia Amesty, Alan G. Nyitray, Mary Papenfuss, Eduardo Lazcano-Ponce, Luisa L. Villa, Anna R. Giuliano

Research output: Contribution to journalArticle

Abstract

Most research concerning clients of commercial sex workers (CSWs) relies upon CSW reports of client characteristics and behavior. We describe correlates of ever purchasing sex among 3,829 men from three cities: Sao Paulo, Brazil; Cuernavaca, Mexico; and Tampa, USA. A computer-assisted self-interview collected data on demographics and sexual behavior. There were significant site differences26.5 % paid for sex in Sao Paulo, 10.4 % in Cuernavaca, and 4.9 % in Tampa. In all cities, men who had sex with men and women (versus sex with women only) were more likely to have ever paid for sex. In Sao Paulo and Cuernavaca, CSW clients were older, had higher educational attainment, and were less likely to be married. In Tampa, older age was associated with being a CSW client but not education and marital status. In Sao Paulo and Cuernavaca, CSW clients had more partners than men who had never paid for sex. In Sao Paulo, CSW clients initiated vaginal sex at an earlier age, while in Cuernavaca they were more likely to self-report a sexually transmitted infection. CSW clients varied with respect to demographics across the three cities while the association between paying for sex and risky sexual behavior seems to be somewhat conserved. These findings suggest that interventions among CSW clients should focus on condom use with commercial and non-commercial partners as these men may be at increased risk for transmitting and acquiring sexually transmitted infections to and from their sex partners. Better understanding of client characteristics is needed for targeting interventions and creating culturally appropriate content.

Original languageEnglish (US)
Pages (from-to)1166-1180
Number of pages15
JournalJournal of Urban Health
Volume90
Issue number6
DOIs
StatePublished - Dec 2013

Fingerprint

Sex Workers
purchase
worker
Sexually Transmitted Diseases
Sexual Behavior
Demography
Marital Status
Condoms
Mexico
marital status
Self Report
Brazil
Interviews
Education
interview

Keywords

  • Brazil
  • Clients
  • Commercial sex workers
  • Interurban
  • Men
  • Mexico
  • United States

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Medicine(all)

Cite this

Ompad, D. C., Bell, D. L., Amesty, S., Nyitray, A. G., Papenfuss, M., Lazcano-Ponce, E., ... Giuliano, A. R. (2013). Men who purchase sex, who are they? an interurban comparison. Journal of Urban Health, 90(6), 1166-1180. https://doi.org/10.1007/s11524-013-9809-8

Men who purchase sex, who are they? an interurban comparison. / Ompad, Danielle C.; Bell, David L.; Amesty, Silvia; Nyitray, Alan G.; Papenfuss, Mary; Lazcano-Ponce, Eduardo; Villa, Luisa L.; Giuliano, Anna R.

In: Journal of Urban Health, Vol. 90, No. 6, 12.2013, p. 1166-1180.

Research output: Contribution to journalArticle

Ompad, DC, Bell, DL, Amesty, S, Nyitray, AG, Papenfuss, M, Lazcano-Ponce, E, Villa, LL & Giuliano, AR 2013, 'Men who purchase sex, who are they? an interurban comparison', Journal of Urban Health, vol. 90, no. 6, pp. 1166-1180. https://doi.org/10.1007/s11524-013-9809-8
Ompad DC, Bell DL, Amesty S, Nyitray AG, Papenfuss M, Lazcano-Ponce E et al. Men who purchase sex, who are they? an interurban comparison. Journal of Urban Health. 2013 Dec;90(6):1166-1180. https://doi.org/10.1007/s11524-013-9809-8
Ompad, Danielle C. ; Bell, David L. ; Amesty, Silvia ; Nyitray, Alan G. ; Papenfuss, Mary ; Lazcano-Ponce, Eduardo ; Villa, Luisa L. ; Giuliano, Anna R. / Men who purchase sex, who are they? an interurban comparison. In: Journal of Urban Health. 2013 ; Vol. 90, No. 6. pp. 1166-1180.
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