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Clients were recruited by collaborating local FSWs directly on commercial sex sites. Fifty-nine percent of clients reported always using condoms with FSWs, Clients had a high number of partners; Living in Gonaives, not being Protestant, being employed, and having tried marijuana were associated with syphilis infection. Older clients, residents of Gonaives and Voodoo practitioners were more likely to be infected with HSV These men had many sex partners and condom use differed, depending on the category of partner.
Clients of FSWs likely act as a bridge population, facilitating the spread of STI throughout the general population in Haiti, and should be targeted in prevention programs. A study among clients of sex workers in Haiti found a high STI prevalence and number of sex partners. Condom use was inconsistent and varied with the type of partners. E-mail: marie-claude. The belief that this population is hard to reach may partially explain this.
Although HIV has reached epidemic proportions in Haiti, it remains concentrated within specific groups. HIV prevalence was estimated at 2. To date, no studies on clients of FSWs in Haiti have been conducted.
Therefore, it is essential to learn more about the characteristics and risk behaviors of these men, to devise effective interventions targeting this population. The objectives of this study were to: 1 examine characteristics and risk behaviors of clients of FSWs; and 2 estimate the prevalence of HIV, syphilis, HSV-2 infections, and their associated risk factors. A cross-sectional survey was conducted in commercial sex sites in St-Marc population 62, and Gonaives population , , two port cities located in the Artibonite region in Haiti.
