Men Who Pay for Sex in Spain and Condom Use: Prevalence and Correlates in a Representative Sample of the General Population
June 16, 2008
The study's objective was to estimate the percentage of men who have paid for heterosexual sex in Spain and the percentage who used condoms. The authors sought to identify the main factors associated with these behaviors and to describe opinions about condoms.
In 2003, 5,153 men ages 18-49 completed a sexual behavior probability sample survey. Computer-assisted face-to-face and self-interviews were used. Bivariate and multivariate logistic regression analyses were completed.
A total of 25.4 percent (n=1,306) of the men had paid for heterosexual sex at some point in their lives; 13.3 percent (n=687) in the last five years and 5.7 percent (n=295) in the previous 12 months. Logistic analysis showed this behavior was associated with older age, lower education, being unmarried, foreign birth, being a practicing member of a religious group, unsatisfactory communication with parents about sex, age under 16 at first sexual intercourse, and having been drunk in the last 30 days. Of the men who reporting having paid for sex in the previous five years, 95 percent (n=653) had used a condom in the most recent paid contact. Multivariate analysis found not using a condom was associated with age over 30 and first sexual intercourse before age 16. Men who did not use condoms in the last commercial intercourse had more negative opinions about condoms.
"The prevalence of paying for heterosexual sex among Spanish men is the highest ever described in developed countries," the study authors concluded. "The many variables associated with paying for sex and condom use permit the characterization of male clients of prostitution and should facilitate targeting HIV prevention policies."
Sexually Transmitted Infection
6.01.2008; Vol. 84; No. 3: P. 207-211; M.J. Belza; L. de la Fuente; M. Suárez; F. Vallejo; M. Garcia; M. López; G. Barrio; Á. Bolea; the Health and Sexual Behavior Survey Group
This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.