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An understanding of sexual risk behavior is necessary to successfully develop prevention and care strategies for the sexually transmitted infections STI high-risk group of male sex workers who have sex with men MSWβMSM.
This study aimed to gain an understanding of sexual risk behavior, factors influencing sexual risk behavior, and applied risk-reduction strategies of home-based MSWβMSM. Condom use was reported to be high during anal sex, but low during oral sex and mostly determined by STI risk perception, trust in clients, and sexual pleasure. Many experienced condom failure, while few knew what to do after condom failure and were aware of post-exposure prophylaxis PEP.
Soliciting clients independently of a third party from home as an in-call or out-call escort is often referred to as home-based sex work Aidsfonds, Since many home-based sex workers mostly solicit clients on the internet, they can also be referred to as self-employed internet-based sex workers. As presented above, several studies have quantitatively assessed sexual risk behavior for MSWβMSM, but often no distinction is made between sex work locations. A study among Dutch FSW, however, showed that home-based FSW were significantly more likely to be diagnosed with chlamydia and gonorrhea and had a substantially lower condom use compared to window sex workers van Dulm et al.
Insight into sexual risk behavior and risk-reduction strategies and the rationale and factors underlying this behavior, is important to tailor SHS. To gain a deeper understanding of sexual risk behavior, factors influencing sexual risk behavior and applied risk-reduction strategies of home-based MSWβMSM, we conducted a qualitative descriptive study for which semi-structured in-depth interviews were held.
