Behavioral surveillance surveys of the male clients of female sex workers in Hong Kong: results of three population-based surveys

Sex Transm Dis. 2003 Aug;30(8):620-8. doi: 10.1097/01.OLQ.0000081393.94426.B4.


Background: Male clients of female sex workers (FSWs) are an important group vulnerable to HIV infection.

Goals: The goal was to administer and assess behavioral surveillance surveys of male clients of FSWs in Hong Kong.

Study design: Three population-based telephone surveys of males aged 18 to 60 were conducted from 1998 to 2001 (n=5159).

Results: Of all respondents, about 10.8% to 14% had patronized FSWs in the previous 6 months. Among male clients of FSWs, about 25% did not always use condoms, 4% to 6% had contracted a sexually transmitted disease, 16% had undergone HIV antibody testing, and 20% or more reported having four or more sex partners in the previous 6 months. There was no improvement in condom use over time. Cross-border (from Hong Kong to mainland China) commercial sex was common.

Conclusion: The level of risk behaviors associated with male clients of FSWs remained substantial. The overall effectiveness and coverage of relevant prevention programs were questioned.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Condoms / statistics & numerical data
  • Female
  • HIV Antibodies / blood
  • HIV Infections / blood
  • HIV Infections / epidemiology
  • HIV Infections / psychology
  • Health Knowledge, Attitudes, Practice
  • Hong Kong / epidemiology
  • Humans
  • Male
  • Middle Aged
  • Population Surveillance / methods*
  • Risk-Taking
  • Sex Factors
  • Sex Work / statistics & numerical data*
  • Sexual Behavior / statistics & numerical data*
  • Sexually Transmitted Diseases / epidemiology
  • Sexually Transmitted Diseases / psychology*
  • Surveys and Questionnaires


  • HIV Antibodies