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Sex Workers’ Noncommercial Male Partners Who Inject Drugs Report Higher-Risk Sexual Behaviors

Robertson, Angela M. PhD*; Syvertsen, Jennifer L. PhD*; Palinkas, Lawrence A. PhD; Vera, Alicia MPH*; Rangel, Gudelia PhD; Martinez, Gustavo MD§; Strathdee, Steffanie A. PhD*

doi: 10.1097/OLQ.0000000000000016

Female sex workers are less likely to use condoms with noncommercial male partners than clients. We compare noncommercial male partners who do and do not inject drugs in Tijuana and Ciudad Juárez, Mexico. Sexual risk behaviors were more prevalent among injectors, who could promote HIV/sexually transmitted infection transmission in this region.

We compare the demographic and sexual risk profiles of female sex workers’ noncommercial male partners, an understudied population among whom condom use is rare, who do and do not inject drugs.

From the *Division of Global Public Health, Department of Medicine, University of California, San Diego, CA; †School of Social Work, University of Southern California, Los Angeles, CA; ‡El Colegio de la Frontera Norte, Tijuana, México; and §Federación Mexicana de Asociaciones Privadas, Ciudad Juárez, México

Conflicts of Interest and Source of Funding: The authors have no conflicts of interest to disclose. This study was supported by National Institutes of Health Grants R01DA027772, R36DA032376, T32DA023356, and T32AI007384. The authors thank the project staff and participants.

Correspondence: Steffanie A. Strathdee, PhD, Division of Global Public Health, School of Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0507. E-mail:

Received for publication March 26, 2013, and accepted June 7, 2013.

© Copyright 2013 American Sexually Transmitted Diseases Association