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Poster communications

Facteurs associés à l’intensité de l’engagement dans le travail du sexe HSH selon le Net Gay Baromètre 2013-14

Abstract : Subject: The Net Gay Baromètre 2013 surveyed MSM through online dating sites and social networks on their lifestyles, health and prevention, while addressing new issues and sources of vulnerability. In this communication, we aim to understand what factors predict a deeper commitment to "sex work" in participants reporting having priced at least one sexual relation over the past 12 months. Method: By early 2014, 17,182 MSM had completed the Net Gay Baromètre. 5 % of this sample (n = 849) reported having been paid or rewarded in some other way in exchange for sexual favors. Among them, 667 (group A) states that this activity does not represent a significant portion of their income. Others are then divided into two groups, those reporting less than 30 clients (group B, n = 121) and those reporting 30 clients or more (group C, n = 61). To identify factors associated with a greater commitment to sex work, multivariate multinomial logistic regressions were used, while controlling for socio-demographics, to compare the groups B and C to group A (acting as reference). Results: Groups B and C share common factors: they are more likely (than group A) to be from a visible minority, to negotiate unprotected anal intercourse (UAI) for a financial settlement, use hard drugs, have a detectable viral load and have experienced discrimination related to sex work. Singularities for each group were also identified: while Group B encounter fewer partners and is also distinguished from other groups by a young age, lower self- esteem, lower incomes, tend to develop feelings for their customers, group C is very active sexually. More likely to be HIV-positive , group C is characterized by: a greater sense of belonging to the gay community, monetizing its services against drugs, engaging in marginal sexual practices and regular UAI with their customers, and by the variety and frequency of substance use; results indicating very high adjusted odds ratios. Group C are also more likely to not seek treatment when infected with HIV and to report a detectable viral load. Discussion: Participants charging for sex are not a homogeneous group. Group A, engaging only occasionally in small transactions cannot rightfully be called sex workers in contrast to group B acting probably by necessity, often seeking to extend their affective relationships with their customers while feeling concerned by this activity. For group C, the greater involvement in sex working appears to come from the extension and monetization of an already active sexuality revolving around marginal sexual practices and risk-taking. Targeted intervention and prevention strategies therefore seem to have to adapt to these configurations, moving away from the cliché of professional escorts and targeting, in particular, Group C MSM, exposed with their clients to HIV and HCV.
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Poster communications
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https://halshs.archives-ouvertes.fr/halshs-03749475
Contributor : Alain Leobon Connect in order to contact the contributor
Submitted on : Wednesday, August 10, 2022 - 8:51:46 PM
Last modification on : Tuesday, August 30, 2022 - 3:54:20 AM

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  • HAL Id : halshs-03749475, version 1

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A Léobon, J Otis, Y Chicoine Brathwaite. Facteurs associés à l’intensité de l’engagement dans le travail du sexe HSH selon le Net Gay Baromètre 2013-14. 7e conférence francophone sur le VIH/HEPATITES AFRAVIH2014, Apr 2014, Montpeliier, France. 2014. ⟨halshs-03749475v1⟩

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