Journal
AIDS AND BEHAVIOR
Volume 19, Issue 12, Pages 2177-2183Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-015-1010-5
Keywords
Men who have sex with men; HIV; Transactional sex; Meta-analysis
Funding
- National Institute of Allergy and Infectious Disease T32 NRSA Grant [T32AI007535]
- National Institute on Drug Abuse T32 NRSA Grant [T32DA013911]
- Eunice Kennedy Shriver National Institute of Child Health & Human Development T32 NRSA Grant [T32HD049339]
- National Institutes of Health
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Engagement in transactional sex has been hypothesized to increase risk of HIV among MSM, however conflicting evidence exists. We conducted a systematic review and meta-analysis comparing HIV prevalence among MSM who engaged in transactional sex to those who did not (33 studies in 17 countries; n = 78,112 MSM). Overall, transactional sex was associated with a significant elevation in HIV prevalence (OR 1.34, 95 % CI 1.11-1.62). Latin America (OR 2.28, 95 % CI 1.87-2.78) and Sub-Saharan Africa (OR 1.72, 95 % CI 1.02-2.91) were the only regions where this elevation was noted. Further research is needed to understand factors associated with sex work and subsequent HIV risk in Latin America and Sub-Saharan Africa.
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