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Sexual behaviors, STIs and HIV Among Men Who Have Sex with Men in Phnom Penh, Cambodia: Part 7

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Almost fourteen percent (13.6%) reported anal sex with a regular male partner in the past six months, 37.7% with non-regular male partner, 1.5% reported anal sex with a male sex worker, and 72.7% with a male client.

Figure IV-2.2 Catagories of sex partners in the past 6 months

Bar chart

 Among participants who had anal sex with a male client, 50.7% reported that they had the insertive role at last anal sex, while 24% reported the receptive role and 25.3% reported both roles. One-third of respondents reported male clients as the only catagory of male sexual partner with whom they had had anal sex.

The mean number of female partners reported for the week and the month prior to the interview was 0.82 and 1.9, respectively. The mean number of male partners with whom respondents had had anal sex, during the week and the month before the interview was 1.72 and 5.12, respectively.

Table IV-2.3 Mean, median and range for number of partners over past week and past month

Table

Almost three fourths of those surveyed reported more than one male sexual partner in the past month, while 20% reported that they had not had a male partner in the past month.

Figure IV-2.3 Proportion of respondents with male sex partners in the past month

Pie Chart

Figure IV-2.4 Proportion of Respondents with female sex partners in the past month

Pie Chart

Multiple female sex partners were less common than multiple male partners among MSM. One third of MSM had more than one female partner in the past month, and 42% reported none at all.

While similar proportions of MSM reported a male or female regular partner, condom use at last sex was significantly higher with their male than their female regular partners. In contrast, condom use was less common among male non-regular partners than among the female non-regualr partners. Condom use with female commercial partners was similar, whether they were buying sex from female sex workers (60% last time) or selling sex to women (68% last time). Less than two thirds of the MSM reported that they used a condom the last time they had sex with a client.

Figure IV-2.5 Condom use at last sex act by partner type

Bar chart

There was little difference between last time and consistent condom use among MSM with regular and non-regular partners and female clients, while 58% used a condom every time the bought sex from a female sex worker (in comparison to 70% at last sex). Consistent condom use in the past month fell to 50% and below for MSM with regular and non-regular partners and male clients.