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Transactional sex among men who have sex with men in Latin America: Economic, sociodemographic, and psychosocial factors

Author

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  • Oldenburg, C.E.
  • Perez-Brumer, A.G.
  • Biello, K.B.
  • Landers, S.J.
  • Rosenberger, J.G.
  • Novak, D.S.
  • Mayer, K.H.
  • Mimiaga, M.J.

Abstract

Objectives: We assessed factors associated with engagement in transactional sex among men who have sex with men recruited from one of the largest Internet sites for men seeking social or sexual interactions with other men in Latin America. Methods: We constructed multilevel logistic regression models to analyze factors associated with engagement in transactional sex in 17 Latin American countries in 2012. Results: Of 24051 respondents, 1732 (7.2%) reported being paid for sexual intercourse in the past 12 months. In a multivariable model, higher country-level unemployment was associated with increased odds of transactional sex (adjusted odds ratio [AOR]=1.07 per 1% increase in unemployment; 95% confidence interval [CI]=1.00, 1.13). Individual or interpersonal factors associated with increased odds of engagement in transactional sex included self-reported HIV (AOR = 1.33; 95% CI = 1.04, 1.69) or sexually transmitted infection (AOR = 1.33; 95% CI = 1.11, 1.59), childhood sexual abuse history (AOR = 1.75; 95% CI = 1.48, 2.06), intimate partner violence (past 5 years, AOR = 1.68; 95% CI = 1.45, 1.95), and sexual compulsivity (AOR = 1.77; 95% CI = 1.49, 2.11). Conclusions: Structural-level economic interventions and those that address individual and interpersonal factors may improve HIV prevention efforts among men who have sex with men who engage in transactional sex.

Suggested Citation

  • Oldenburg, C.E. & Perez-Brumer, A.G. & Biello, K.B. & Landers, S.J. & Rosenberger, J.G. & Novak, D.S. & Mayer, K.H. & Mimiaga, M.J., 2015. "Transactional sex among men who have sex with men in Latin America: Economic, sociodemographic, and psychosocial factors," American Journal of Public Health, American Public Health Association, vol. 105(5), pages 95-102.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302402_4
    DOI: 10.2105/AJPH.2014.302402
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    Cited by:

    1. Cheick Haïballa Kounta & Luis Sagaon-Teyssier & Pierre-Julien Coulaud & Marion Mora & Gwenaelle Maradan & Michel Bourrelly & Abdoul Aziz Keita & Stéphane-Alain Babo Yoro & Camille Anoma & Christian Co, 2019. "Transactional sex among men who have sex with men participating in the CohMSM prospective cohort study in West Africa," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-18, November.
    2. Elizabeth Kaplun & Richard J. Martino & Kristen D. Krause & Michael Briganti & Paul A. D’Avanzo & Perry N. Halkitis, 2022. "Post-Exposure Prophylaxis and Methamphetamine Use among Young Sexual Minority Men: The P18 Cohort Study," IJERPH, MDPI, vol. 19(2), pages 1-12, January.
    3. Johannes Bullinger & Thijs Reyniers & Bea Vuylsteke & Marie Laga & Christiana Nöstlinger, 2019. "Congruence between Hypothetical Willingness to Use Pre-Exposure Prophylaxis (PrEP) and Eligibility: An Online Survey among Belgian Men Having Sex with Men," IJERPH, MDPI, vol. 16(22), pages 1-15, November.
    4. Pierre Gantner & Michele Treger & Constance De Miscault & Marie-Laure Batard & Claudine Bernard-Henry & Christine Cheneau & Erik De Mautort & Marialuisa Partisani & Michele Priester & David Rey, 2015. "Predictors of Standard Follow-Up Completion after Sexual Exposure to HIV: Five-Year Retrospective Analysis in a French HIV-Infection Care Center," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-9, December.

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