Young Clients of Hotel-Based Sex Workers in Bangladesh: Vulnerability to HIV, Risk Perceptions, and Expressed Needs for Interventions.

A qualitative study was conducted among key informants and 53 young clients (15 to 24 years of age) of commercial sex workers from nine hotels in Dhaka, Bangladesh. Respondents reported first sexual encounter before 18 years of age, and reasons for purchasing sex were to prove masculinity or to reduce wet dreams and masturbation, thought to be detrimental to health. Limited knowledge of HIV and sexually transmitted infections was linked to high-risk sexual practices. Condom use was related to perceptions of cleanliness, status, and trust in the sex worker. A hotel-based, confidential intervention program promoting safe sex practices among clients of sex workers is warranted. [ABSTRACT FROM AUTHOR]