Men Who Pay For Sex
A Retrospective Case-note Study
Tamsin Groom
Men Admitting to Buying Sex
Via the SaHS
• Oct 2002-Feb 2004
• 267 men identified (10% of men asked a
SaHS)
• 261 case notes studied
• 3 men had been paid for sex
themselves…excluded
• Another four had both been paid and paid.
Men Admitting to Buying Sex
Via the SaHS
1.
2.
3.
4.
5.
6.
Age and ethnicity of Client
Location of where sex bought
Type of establishment(street or sauna)
Length of time since paying for sex
Frequency of paying for sex
Gender of prostitute & sexual preference of
Client
7. Nationality of Prostitute
Men Admitting to Buying Sex
Via the SaHS
9.Type(s) of sex paid for
10. Current partner at time of paid sex
Ages of Men Paying for Sex
70
59
Number of Men
60
50
45
39
40
34
28
30
22
20
10
12
7
6
0
6
Age Groups
<20
41-45
20-25
46-50
Average age 34.7 yrs
26-30
51-55
31-35
56-60
36-40
>60
Range 18-76 yrs
Ethnicity
• 216 (92.7) of 233 self identify as white
( 95% of all men attending Sandyford)
• 17(7.3%) Black Minority Ethic groups
• 25 declined to complete form
Where Men Buy Sex
140
120
115
89
100
80
60
26
40
22
20
2
2
2
0
Non UK
UK,Non
Glasgow
Glasgow
UK,non Glasgow & Glasgow &
Not
Glasgow & other UK Non UK recorded
abroad
Sex Tourism
Commonest Destinations
•
•
•
•
•
Holland (36 men)
Thailand (18)
Other SE Asia (10)
Spain (10)
Germany (7)
• 7 clients had paid for sex in Africa…no record of type of sex paid for
in 3 cases, 2 men UPVI in Kenya. 1 had PVI in Congo. The seventh
had given UPOI to a female prostitute in “West Africa”
• 3 of these men were multiple users of prostitutes.
Where Men Pay for Sex in
Glasgow
•
•
•
•
•
Only documented in 49% of records
93 men paid for sex in Glasgow
25 accessed prostitutes in Saunas
21 on the street
Nil recorded in 47
Length of Time Since Paying for
Sex
•
•
•
•
•
•
•
•
Recorded in188 cases (73%)
32%
<1 month
25%
1-6 months
11%
7-12 months
13%
13-24 months
12%
25-60 months
7%
>60 mths
Average 24.5 months, range 2 days-30 yrs
Frequency of Paying for Sex
•
•
•
•
•
Recorded in 173 cases (67%)
39%(100 men) Once
10%(27men) > once,< 5 times
18% (46 men) 5 or more times
NK 33% (85)
Gender of Prostitute
• 240 accessed female prostitutes
-one identifying as homosexual
- two as bisexual
• 10 male -two of these men identified themselves as
heterosexual
-one bisexual
• 1both - identified as homosexual
• 7 Not known
Nationality
of Prostitute
• Nationality only asked in 39 (15%) of cases
- In UK (not Glasgow) 3 men bought sex
from Swedish and Chinese prostitutes in
London
- In Glasgow (6) one “european” rest local.
Nationality of Prostitute
When Sex Purchased Abroad
• 5 men in Holland- 4 Dutch, one “Asian”,One
“African”
• 4 men in Germany- Turkish,Asian,Czech and
African women and 2 German prostitutes
•
•
•
•
•
1 man bought sex from a British prostitute in Spain
Chinese and Russian Prostitutes were found in Dubai
Vietnamese in Cambodia
Swedish in Belgium
Eastern European in Spain
Type of Sex Paid for According to
Risk
6(2%)
11(4%)
79(31%)
19(7%)
4(2%)
4(2%)
32(12%)
103(40%)
Protected Vaginal Intercourse
Unprotected anal Intercourse
Unprotected Oral
Manual Relief
Unprotected Vaginal Intercourse
Protected Anal Intercourse
Protected Oral
Not Recorded
Men Paying for Sex in Glasgow
Risky Sex?
Glasgow
• 46% PVI
• 12% UPVI
• 3% UPAI
• 22% UPOI
• 7% POI
• 13% Not Known
Abroad
• 51% PVI
• 25% UPVI
• 0% UPAI ( 1 client PAI)
• 13% UPOI
• 19% POI
• 35% Not Known
Paid for Sex in a Relationship
100
95
91
90
72
80
70
60
50
40
30
20
10
0
No
Yes
NK
43% men were known to be in a relationship
( av. length 11.2 yrs)
Approx 24% of men paying for sex in a relationship
were multiple users of prostitutes.
(cw 18% of whole cohort where it was possible to
make an assessment)
In Conclusion
• Men who pay for sex are a heterogeneous group
• Asking more questions will identify risk taking
behaviour allowing for health promotion and
opportunity to address underlying emotional issues
• Finding out more about why men pay for sex is a
local priority
• Asking more about the prostitutes involved will
inform us about the changing patterns in the
prostitution industry and may help identify areas of
concern re trafficked women
Men Involved in Prostitution
1
•
•
•
•
•
•
19 yrs, had been paid for sex aged 16
No involvement for 3 yrs
13 partners in 12 months
Having unprotected anal and oral sex
No Partner
No History of Sexual Abuse elicited
Men Involved in Prostitution
2
•
•
•
•
•
•
Aged 36
Long term involvement
Approx 5000 partners in 12mths
Protected oral and anal sex with clients
History of sexual abuse
Partner of 4/12
Men Involved in Prostitution
3
•
•
•
•
Aged 34
Was paid for sex once (15 mths prior)
8 yr relationship, male partner
No History of sexual abuse
Men Involved in Prostitution
4
•
•
•
•
•
•
Aged 33
2 partners in 12 mths
Current male partner 2/12
Unprotected anal intercourse
History of sexual abuse
Nil recorded re extent of involvement
Men Involved in Prostitution
5
•
•
•
•
21 yrs
Current male partner for 1 mth
7 partners in1 yr
Last involved 6 mth prior to initial
consultation, also bought sex.
• No History of SA
Men Involved in Prostitution
6
• 37 yrs
• Female partner for 10 yrs
• Multiple user of male prostitutes in
Glasgow saunas
• UPAI
• 12 partners in 12 months
• History of SA
Men Involved in Prostitution
7
•
•
•
•
•
19 yrs
Female partner for 7 yrs
No history of SA identified
Had paid and been paid for sex
No further info recorded.
Final Thoughts.
Ask the Questions.