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Perceived risk and condomless sex practice with commercial and non-commercial sexual partners of male migrant sex workers in London, UK [version 2; peer review: 1 approved, 1 approved with reservations]

Ruiz-Burga, Elisa; (2023) Perceived risk and condomless sex practice with commercial and non-commercial sexual partners of male migrant sex workers in London, UK [version 2; peer review: 1 approved, 1 approved with reservations]. F1000Research , 10 , Article 1033. 10.12688/f1000research.73248.2. Green open access

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Abstract

Background: Since the emergence of HIV and the AIDS pandemic, the majority of risk-reduction interventions have been centred on the use of condoms in sex workers. Methods: This qualitative study recruited 25 male migrant sex workers in London to understand their risk perception and condomless sex experiences within the context of sex work and private life. The data was collected using face-to-face interviews, analysed using thematic analysis, and the findings interpreted through the theory of planned behaviour. Results: The themes explain that condomless sex with clients occurred when participants consciously accepted to perform this service deploying a risk assessment of clients, faulty strategies, and sexual practices to reduce their risk; or when they lost control because of recreational drugs, feeling attraction to clients, were in precarious circumstances, or were victims of violence. Conversely, condomless sex with non-commercial partners occurred according to the type of relationship, with formal partners it was rationalised through emotional aspects attached to this kind of relationship, while with casual partners it was connected to sexual arousal and the use of alcohol and drugs. Conclusions: Reinforce educational interventions to deliver STI-HIV information, enhance the use of condoms, and to address specific contextual factors that facilitate condomless practice with commercial and non-commercial sexual partners.

Type: Article
Title: Perceived risk and condomless sex practice with commercial and non-commercial sexual partners of male migrant sex workers in London, UK [version 2; peer review: 1 approved, 1 approved with reservations]
Open access status: An open access version is available from UCL Discovery
DOI: 10.12688/f1000research.73248.2
Publisher version: https://doi.org/10.12688/f1000research.73248.2
Language: English
Additional information: Copyright: © 2023 Ruiz-Burga E. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: HIV, STI, male migrants, sex work, condomless sex
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10179732
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