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Updated: Feb 5, 2026

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Published on: March 5, 2020
Sexual Risk, Behavior, and HIV Testing and Status among Male and Transgender Women Sex Workers and their Clients in
Aleksandra Degtyar1, Paul E George1, Patricia Mallma2
1David Geffen School of Medicine, University of California, Los Angeles, United States.
Objectives –:
To determine the socio-demographics, sexual practices, and HIV prevalence of male sex workers (MSWs), transwomen sex workers (TSWs), and their male clients in Lima, Peru.
Methods –:
Following ethnographic mapping of sex work venues, we revisited randomly selected venues to survey MSWs, TSWs and their clients.
Results –:
MSWs and TSW clients are more educated than MSW clients and TSWs. Only 50% of TSW clients have received HIV testing. Self-reported HIV positivity is highest among MSW clients and TSWs.
Conclusion –:
Notable differences exist between MSWs and TSWs and their clients that can affect the health of these groups and warrant intervention.
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