Men Who Pay For Sex: Prevalence and Sexual Health
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Men Who Pay For Sex: Prevalence and Sexual Health : Results from the German Health and Sexuality Survey (GeSiD). / Döring, Nicola; Walker, Roberto; Mercer, Catherine; Wiessner, Christian; Matthiesen, Silja; Briken, Peer.
in: DTSCH ARZTEBL INT, Jahrgang 119, Nr. 12, 25.03.2022, S. 201-207.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Men Who Pay For Sex: Prevalence and Sexual Health
T2 - Results from the German Health and Sexuality Survey (GeSiD)
AU - Döring, Nicola
AU - Walker, Roberto
AU - Mercer, Catherine
AU - Wiessner, Christian
AU - Matthiesen, Silja
AU - Briken, Peer
PY - 2022/3/25
Y1 - 2022/3/25
N2 - Background: Men who pay for sex (MPS) are a vulnerable bridging population for spreading sexually transmitted infections (STI). However, their prevalence and sexual health are unknown in Germany.Methods: We analyzed data from 2336 men aged 18-75 years resident in Germany who completed the German Health and Sexuality Survey (GeSiD), a populationbased probability sample survey undertaken 2018-2019, using face-to-face interviews (participation rate: 30.2%).Results: 26.9% (95% confidence interval [24.7; 29.2]) of all men reported ever paying for sex. On average, MPS had M = 19.9 [16.8; 22.9] lifetime sexual partners, among them M = 7.3 [5.3; 9.4] paid partners. MPS described their paid sex predominantly as vaginal intercourse in domestic brothels. Regarding socio - demographic characteristics, MPS differed from men not paying for sex (MNPS) in terms of age, immigration status, and sex education. Compared to MNPS, MPS reported significantly more HIV/STI risk-taking, including multiple sex partners in the past year (OR adjusted for age, immigration status, sex education; AOR 3.55) and STI diagnosis in the past 5 years (AOR 1.96) as well as more prevention behaviors (e.g., condom use in the past year: AOR 3.13).Conclusion: The prevalence of MPS suggests physicians should address the topic with their patients to protect and improve the sexual health of MPS and their paid and unpaid partners.
AB - Background: Men who pay for sex (MPS) are a vulnerable bridging population for spreading sexually transmitted infections (STI). However, their prevalence and sexual health are unknown in Germany.Methods: We analyzed data from 2336 men aged 18-75 years resident in Germany who completed the German Health and Sexuality Survey (GeSiD), a populationbased probability sample survey undertaken 2018-2019, using face-to-face interviews (participation rate: 30.2%).Results: 26.9% (95% confidence interval [24.7; 29.2]) of all men reported ever paying for sex. On average, MPS had M = 19.9 [16.8; 22.9] lifetime sexual partners, among them M = 7.3 [5.3; 9.4] paid partners. MPS described their paid sex predominantly as vaginal intercourse in domestic brothels. Regarding socio - demographic characteristics, MPS differed from men not paying for sex (MNPS) in terms of age, immigration status, and sex education. Compared to MNPS, MPS reported significantly more HIV/STI risk-taking, including multiple sex partners in the past year (OR adjusted for age, immigration status, sex education; AOR 3.55) and STI diagnosis in the past 5 years (AOR 1.96) as well as more prevention behaviors (e.g., condom use in the past year: AOR 3.13).Conclusion: The prevalence of MPS suggests physicians should address the topic with their patients to protect and improve the sexual health of MPS and their paid and unpaid partners.
KW - Female
KW - HIV Infections/diagnosis
KW - Humans
KW - Male
KW - Prevalence
KW - Risk-Taking
KW - Sexual Behavior
KW - Sexual Health
KW - Sexually Transmitted Diseases/diagnosis
U2 - 10.3238/arztebl.m2022.0107
DO - 10.3238/arztebl.m2022.0107
M3 - SCORING: Journal article
C2 - 35019837
VL - 119
SP - 201
EP - 207
JO - DTSCH ARZTEBL INT
JF - DTSCH ARZTEBL INT
SN - 1866-0452
IS - 12
ER -