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:

  1. 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.
  2. 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.
  3. 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.