Venue Level Risks for HIV/STI among Male Clients of FSWs in Tijuana, Mexico
Funding source: NIDA K01 DA036447-01; PI: Eileen V. Pitpitan
This project is a 5-year National Institute on Drug Abuse-funded Mentored Research Scientist Development Award (K01). It contains both a training and research component. The aims of the training component are to receive training in qualitative methods and multilevel modeling, and to increase understanding of the influence of venue-level factors on drug use in sexual contexts among male clients of female sex workers (FSWs) in Tijuana, Mexico. The aims of the research component are:
- To describe social and structural factors surrounding the role of substance use (i.e., alcohol and illicit drugs) on sexual risk behavior of male clients of FSWs in Tijuana.
- To test client/individual-and venue/context-level influences (i.e., described in Aim 1), and their interactions, on substance use in the context of sex with FSWs among male clients.
- To examine whether and how venue level factors moderate the impact of a sexual risk reduction intervention for male clients of FSWs.
To address these research aims, we will conduct a mixed methods study collecting qualitative data (i.e., in-depth interviews) and quantitative multilevel (i.e., at the individual level and venue level) data from male clients of FSWs in Tijuana. Male clients of FSWs are relatively understudied, and are a bridge population, potentially bridging HIV/STI epidemics between higher (i.e., FSWs) and lower (i.e., their non-commercial steady partners) risk groups. Findings from this study will inform the development of multi-faceted and multi-level HIV prevention interventions for high risk groups in global settings.