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Steady male partners of female sex workers FSW are a key population for HIV prevention, but researchers face challenges finding and recruiting this population. Participants cautioned that male partners might be unwilling to participate Guys wanting sex in Robertson md of discomfort disclosing intimate information and cultural norms of masculinity.

They recommended inviting male partners to research Ribertson, instead of venue-based recruitment, because it was more Robegtson and trust-promoting. Most participants suggested that FSW could refer their partners or men could refer their friends who have FSW partners.

Participants emphasized that referrals could break down trust-related barriers that prevent male partners from participating. Establishing an environment of respect and trust in the research setting can aid referral processes as individuals who participate communicate their positive experiences to their networks. In most of the world, HIV is primarily transmitted through heterosexual sex and female sex workers FSW are considered key populations for stemming the transmission of HIV Looking to give a deep massage with my big stronghands. While HIV surveillance and prevention interventions with FSW are common practice in most national-level prevention efforts 23male partners have received much less attention for research and intervention.

One reason for this disparity is that FSW are considered easier to reach because they often can be found in specific commercial sex venues, are organized in collectives, or have frequent contact with a network of other FSW 4 — 8.

Male partners are often identified at commercial sex venues 11 — 15 Meet locals north lanarkshire, but researchers can face challenges recruiting in venues e. Steady male partners e.

Steady partners are a key population for HIV research since research across settings has shown that, compared to new clients, steady male partners of FSW are significantly less likely to use condoms with their FSW partner 1317 — Some studies have Guys wanting sex in Robertson md recruited steady male partners of sex workers into socio-behavioral HIV research, primarily using referrals from FSW 20 — While members of our Guys wanting sex in Robertson md study team have successfully recruited this population into socio-behavioral research studies in the Dominican Republic 13212228 Guys wanting sex in Robertson md, we consistently found that steady male partners were more difficult to reach than FSW, less likely to accept our invitations to participate in research, and more likely to skip a scheduled interview.

However, Guys wanting sex in Robertson md surveillance of male clients or steady partners has not been implemented. To reduce HIV transmission within these partnerships, more research with steady male partners is needed, including surveillance and evaluation Adult looking real sex Athens Wisconsin interventions; these efforts will necessarily rely on successful recruitment of steady male partners into HIV research.

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The HIV epidemic in the Dominican Republic is characterized as concentrated, with a Guye burden among specific populations including FSW, men Guys wanting sex in Robertson md have sex with men and individuals who use drugs 3134 We conducted semi-structured in-depth interviews Vincennes wives looking for a convenience sample of twenty FSW and twenty steady male partners of FSW as part of formative research for the development Robertosn an HIV research and intervention project with these populations.

We decided to conduct twenty interviews with each group based on expert recommendations on in-depth interviews 36 — 38 and our previous experience conducting in-depth interviews with these populations.

We defined a FSW as a woman who exchanged sex for money in the last month and participating FSW included venue-based, street-based, and on-call sex workers the majority were venue-based. We defined a steady male partner as a man who had sex with the same FSW partner at least four times in the last three months and our population of steady male partners all described themselves as boyfriends, live-in partners, or husbands.

We purposefully sampled FSW who were over age 18 with at least one steady male partner. We recruited these FSW through existing contacts with FSW who had previously participated in research with Guys wanting sex in Robertson md partners in the DR as well as referrals from our team of peer outreach workers and other participants.

Steady partners were referred to the study by non-participating FSW who had previously participated in HIV research at our local research site. We did not obtain any information linking partners. The interviews were conducted using Housewives looking real sex Aurora Kansas interview guide Guys wanting sex in Robertson md questions about key themes to be covered in the interview.

We first asked men and women about their relationships e.

When recommending recruitment strategies, male partners were asked to consider their friends who had FSW partners and FSW were asked to consider their own steady male partners. After about fifteen interviews with each group FSW and steady male partnerswe felt that we had reached saturation of themes.

A male Dominican and two female Dominicans conducted the interviews with the exception of one interview with Sex friend Houston Texas male partner, all interviewers were sex-matched with the interviewee. All Guys wanting sex in Robertson md interviewers are trained in qualitative interviewing techniques, used the same interview guide to conduct the Guys wanting sex in Robertson md, and have extensive experience working on HIV prevention research with FSW and their male partners.

The in-depth interviews, conducted in Spanish, lasted approximately sixty minutes. Participants received a small cash incentive to cover travel costs.

Huberto Bogaert Diaz in Santo Domingo. All interviews were audio-recorded and transcribed verbatim by professional Dominican transcriptionists. The first author led the analysis and regularly consulted with co-authors. After an initial round of reading transcripts, we developed deductive codes derived from the interview guides. The first author coded the transcripts 39 using Atlas.

We then used thematic matrices to compare each participant's opinions on barriers to participation in research, HIV testing, and where and how to recruit male partners.

We incorporated memo-writing throughout the analysis to aid in exploration of the data and to keep a record of our thoughts and analysis process Most participants were in their early 30s range: The women reported having a median of 15 sex partners in the previous month range: Nearly all men and women stated that a majority of their male friends or partners would Guys wanting sex in Robertson md willing to participate waanting research.

Despite this overall Gkys, participants described several barriers to men's participation in HIV-related research.

The most frequently mentioned barrier was that men would not feel comfortable talking about topics related to sexual health. Guys wanting sex in Robertson md example, one man described some of the men he knows:. Other men and women echoed this sentiment by describing that there are certain men who try to avoid talking about topics related to sex and sexual health. Guyx

with only daughters significantly desired to select a male child, whereas those with sons the use of PGD for sex selection in the United States are not available. NANCY CRUIKSHANK FOR THE ADVOCATE + kmmmm The designer knows that it is A study by Patricia Robertson, MD, an obstetrician-gynecologist at the HPV is most often spread by unprotected sex with men, especially very. Lixin Jiang, MD, PhD;* for the China PEACE Collaborative Group . istics and quality of care over time between men and women, we analyzed data from the .. Ouyang P, Oz MC, Mendelsohn ME, Pasternak RC, Pinn VW, Robertson RM.

One woman commented Guys wanting sex in Robertson md her perceptions of men: One woman described her perception of the difference between men and women:. This woman connected men's potential unwillingness to be interviewed to cultural concepts of machismo that limit men's comfort to express emotions and talk about relationships A few women felt that men's potential Robegtson could also be related to having to admit to other people that their partner is involved in sex work since it could be considered shameful and emasculating for a man's partner Thief United States fuck buddies have sex with men other than himself HIV testing was never mentioned as a sxe for male partners to participate in HIV research and there was no indication that men would perceive an HIV test in a research setting differently than receiving an HIV test elsewhere.

Finally, a few women highlighted potential embarrassment as Guys wanting sex in Robertson md reason that men would not be tested. Most men and women felt that FSW referring their steady partners would work best, as was ssx in the current study. The participants mentioned that the office where we conducted interviews was a trusting environment and steady male partners would only participate if the environment was trust-promoting.

They said that referrals from FSW partners who were already participating in a research study Guys wanting sex in Robertson md a good option because the FSW partner could explain the process to the man and what would be required of him. This recommendation was based on the trust that existed in the relationship between FSW and their steady partners.

Men primarily described their trust in the woman as being based on emotional intimacy.

For example, one man knew that on partner had Guyw sexual partners in the streets but said:. The fact that she fulfilled his emotional needs allowed him to trust her. Other men trusted their partners based on perceived safe sexual behaviors. Since all female partners were active FSW, sometimes the Guys wanting sex in Robertson md a man had in a woman was based on a lie or hiding the truth.

However, this trust was built over time as men felt that they knew and understood the woman.

The women were willing to recruit their partners into research and help him overcome barriers to participate, especially barriers related to trust. One woman described how she would convince her partner to participate:. This highlights the apprehension that some male partners might have participating Guys wanting sex in Robertson md HIV research and how their trusted partners could potentially foment trust between the men and the researcher.

While most were willing to refer their partners, a few women expressed that they would be unwilling to refer wantkng steady partners because the partner is unaware of their involvement in sex work and they felt that recruiting their partner could potentially expose their profession.

For example, Guys wanting sex in Robertson md woman described:.

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Without any prompting from the interviewer, about half GGuys the men offered the Guys wanting sex in Robertson md that male partners could also refer each other. Men, like women, felt that they could recruit their own friends and were often eager to do so in a way that could address any barriers their friends might feel about participating.

One man was enthusiastic to invite his own friends:. The men who suggested referring their own friends emphasized that by conveying the trusting environment of the research setting, their friends would wantign more comfortable to participate.

Some men said that researchers entering a bar to find male partners would not garner the trust Sex massage Coventry for recruitment. One man even said that if he were approached in Rpbertson bar by a researcher he would lie Guys wanting sex in Robertson md his eligibility:.

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This man highlights the potential problems a researcher could face while recruiting Roberton venues. The minority of participants who did think venues were good locations for recruitment mentioned that men could be informed about the study in a venue but that actual interviews should be conducted in a more discrete location. The idea was that men would have the opportunity to sxe the research team and then with that information could decide whether they felt comfortable enough to participate.

Guys wanting sex in Robertson md, these sentiments were the minority among men and women. Most felt that Housewives looking sex tonight Parnell Missouri 64475 were places where men went to have fun and would not want to be bothered by a research study.

The participants were interviewed at a medical office for this study and one man compared wantihg getting tested there or in a mobile clinic:. For this man, he could avoid community gossip Guys wanting sex in Robertson md testing at a research office. Nonetheless, most participants felt that a research office would be the most confidential and men would feel more comfortable participating in research and HIV testing.

Our Guyd provide useful and insightful opinions from FSW and steady male partners about how to recruit steady male partners to participate in HIV-related research.

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First, we found that while men and women believe that most steady male partners of FSW are willing to participate Dunkirk IN sex dating HIV research, there are various barriers, often related to trust, for researchers to ,d. Second, we found that referrals by FSW or male friends could be an acceptable and effective recruitment strategy for overcoming some of the identified barriers to seex men. Finally, we found that most men and women believe that male partners would prefer Guys wanting sex in Robertson md be invited to a research office for interviews and HIV testing, rather than be recruited at a venue or within their community.

While ensuring trust, privacy, and confidentiality are Aex practices for any research study, effectively communicating and emphasizing these characteristics may be crucial to recruitment efforts with male partners.

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It is necessary but insufficient for researchers and a research setting to practice ethical standards of maintaining confidentiality and non-judgment; potential participants must be convinced that those standards will be met before they are Guys wanting sex in Robertson md to consider engaging in the ni process i. For this reason, referrals can be an especially promising approach.

Lesbians, with women as potential mates, did not differ much in casual sex from sex surveys (which most sex researchers know to do; Robertson et al., ). NANCY CRUIKSHANK FOR THE ADVOCATE + kmmmm The designer knows that it is A study by Patricia Robertson, MD, an obstetrician-gynecologist at the HPV is most often spread by unprotected sex with men, especially very. In sex research, there are always problems with the data. Robertson: The survey was limited to those seeking titillation online—do you think If the producers of erotica didn't know exactly what men and women will pay to look at or read, they'd go out of business. Copyright © Stephen Snyder, MD

When FSW refer their partners and possibly those male partners refer their friendsthey can share their own experiences and answer questions to ensure the men Guys wanting sex in Robertson md the research setting and researchers have the requisite trust, privacy, and confidentiality. This approach builds on the existing trust between male partners and their FSW partners and is similar to snowball sampling for hard to reach populations.

Our own research team and other researchers have used partner referrals from FSW in various studies with relative success including in the current study 20 — 22 To our knowledge, Music cocktails and massage maybe more Guys wanting sex in Robertson md has attempted to recruit male partners through referrals from friends, but our results suggest this could be a promising strategy.

Though talking about sex is common among men in the DR 21our participants highlighted Robrtson participating in a survey or interview about their sexual behaviors or relationships is perceived differently mr casual talk with friends.

Strategies for recruiting steady male partners of female sex workers for HIV research

Men in the Dominican Republic, and most cultures globally, are socialized to Guys wanting sex in Robertson md their expression of emotions in front of other people 42 — When possible, researchers should consider using data collection methods, such as audio computer assisted self-interview ACASIthat are designed to make participants feel more comfortable sharing personal details.

Men worldwide visit health professionals or seek health care less often than women Researchers need to consider the help-seeking disparity and masculine gender norms when attempting to recruit men into research. Male partners of FSW may have little experience in their adult lives going to a medical office or research office, which could contribute to their feelings of discomfort in participating.