Heterosexual men who patronise entertainment establishments versus brothels in an Asian urban setting - which group practises riskier sexual behaviours?

Background: Sex work has shifted from brothels to entertainment establishments (EEs) in Asia. Men who patronise EEs could act as a bridging population for human immunodeficiency virus (HIV) and sexually transmitted infection (STI) transmission through unprotected sex with the female EE workers to their spouses and regular partners. The aim of this study was to compare the prevalence and factors associated with risky sexual behaviours among the heterosexual men who patronised the EEs and brothels in Singapore.

Men seeking sex online practise riskier sexual behaviours than men frequenting brothels: survey findings from Singapore.

Objective: To compare the prevalence of condom use and its associated factors within commercial and casual sex relationships between heterosexual men who seek sex online and those who frequent brothels in Singapore.

Methods: A survey was conducted between 2011 and 2012 among Singaporean heterosexual men aged 21-70 years who reported engaging in sexual intercourse with commercial or casual partners in the past year. Men seeking sex online (n=304) were recruited from the two most frequented local internet sex forums.

Human immunodeficiency virus (HIV) prevention education in Singapore: challenges for the future.

We reviewed the current human immunodeficiency virus (HIV) prevention education programmes in Singapore, discussed the challenges faced and proposed prevention education interventions for the future. Education programmes on HIV prevention have shown some success as seen by reduced visits to sex workers among the general adult population and a marked increase in condom use among brothel-based sex workers. However, we still face many challenges such as low awareness of HIV preventive strategies and high prevalence of HIV stigma in the general population.