Multiple risks among male and transgender sex workers in Pakistan

Using data from a qualitative study and a subsequent quantitative survey among 918 male and transgender sex workers (MTSW), we explore the context of multiple risks they face. We show that over one-fifth of MTSW have sex with IDU clients. Combined with high levels of risk behavior and very low level...

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Bibliographic Details
Published in:	Journal of LGBT health research Vol. 4; no. 2-3; p. 71
Main Authors:	Collumbien, Martine, Chow, Jaime, Qureshi, Ayaz Ahmed, Rabbani, Aliya, Hawkes, Sarah
Format:	Journal Article
Language:	English
Published:	England 2008
Subjects:	Causality Comorbidity Condoms - statistics & numerical data Condoms - utilization Drug Users - statistics & numerical data Health Knowledge, Attitudes, Practice Health Surveys HIV Infections - epidemiology HIV Infections - prevention & control Homosexuality, Male - statistics & numerical data Humans Male Pakistan - epidemiology Qualitative Research Risk Factors Risk-Taking Safe Sex - statistics & numerical data Sex Work - statistics & numerical data Sexual Partners Substance Abuse, Intravenous - epidemiology Transsexualism - epidemiology Unsafe Sex - statistics & numerical data Young Adult
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Summary:	Using data from a qualitative study and a subsequent quantitative survey among 918 male and transgender sex workers (MTSW), we explore the context of multiple risks they face. We show that over one-fifth of MTSW have sex with IDU clients. Combined with high levels of risk behavior and very low levels of risk reduction and knowledge, the extent of sexual networking with men who inject drugs contributes further to the sex workers' health risks. Our findings suggest that isolated interventions with single-risk groups are unlikely to be sufficient to control the spread of the epidemic in Pakistan. We highlight the need for integrated approaches to risk reduction programs among MTSW and IDUs.
ISSN:	1557-4091
DOI:	10.1080/15574090902913651