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The male street prostitute: A vector for transmission of HIV infection into the heterosexual world

Author

Listed:
  • Morse, Edward V.
  • Simon, Patricia M.
  • Osofsky, Howard J.
  • Balson, Paul M.
  • Gaumer, H. Richard

Abstract

Two hundred and eleven New Orleans male street prostitutes were interviewed and tested for antibodies to the human immunodeficiency virus (HIV). The subjects' lifestyle characteristics and their sex and drug use practices were evaluated to determine the prostitutes' potential to function as a vector for transmission of HIV into populations with currently low infection rates. Information about the customers of the male prostitutes was also obtained from the sample. The period prevalence of HIV in the sample was 175/1000. Many of the male prostitutes reported having wives or girlfriends, some of whom were prostitutes themselves. The prostitutes perceived a majority of their male customers to be heterosexual or bisexual (indicating sexual contact with women as well as men), many (39%) were thought to be married. Results from the study support the argument that male prostitutes serve as a bridge of HIV infection into populations with currently low infection rates through contact with both non-customer sexual partners and customers and thus indirectly to spouses and sexual partners of these individuals.

Suggested Citation

  • Morse, Edward V. & Simon, Patricia M. & Osofsky, Howard J. & Balson, Paul M. & Gaumer, H. Richard, 1991. "The male street prostitute: A vector for transmission of HIV infection into the heterosexual world," Social Science & Medicine, Elsevier, vol. 32(5), pages 535-539, January.
    • Handle: RePEc:eee:socmed:v:32:y:1991:i:5:p:535-539
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    Citations

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    Cited by:

    1. M Reuel Friedman & Chongyi Wei & Mary Lou Klem & Anthony J Silvestre & Nina Markovic & Ron Stall, 2014. "HIV Infection and Sexual Risk among Men Who Have Sex with Men and Women (MSMW): A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-12, January.
    2. Adeline Delavande & Dana Goldman & Neeraj Sood, 2007. "Criminal Prosecution and HIV-related Risky Behavior," NBER Working Papers 12903, National Bureau of Economic Research, Inc.
    3. Adeline Delavande & Dana Goldman & Neeraj Sood, 2010. "Criminal Prosecution and Human Immunodeficiency Virus-Related Risky Behavior," Journal of Law and Economics, University of Chicago Press, vol. 53(4), pages 741-782.
    4. Jessica McCann & Gemma Crawford & Jonathan Hallett, 2021. "Sex Worker Health Outcomes in High-Income Countries of Varied Regulatory Environments: A Systematic Review," IJERPH, MDPI, vol. 18(8), pages 1-16, April.
    5. Collins, Alan & Judge, Guy, 2008. "Client participation in paid sex markets under alternative regulatory regimes," International Review of Law and Economics, Elsevier, vol. 28(4), pages 294-301, December.
    6. Alan Collins & Guy Judge, 2010. "Differential enforcement across police jurisdictions and client demand in paid sex markets," European Journal of Law and Economics, Springer, vol. 29(1), pages 43-55, February.

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