Satisfaction with encounters was high. Receptive unprotected anal intercourse was associated with greater satisfaction in bivariate analyses but not in multivariable analyses. In a multivariable model, having receptive anal sex whether protected or not and rating the financial cost of the encounter as "worth it" were significantly associated with greater satisfaction.
This study contributes to a scarce literature regarding clients of male sex workers and, in particular, provides information on the characteristics of men hiring men for sexual services, behavioral event-level data about their encounters, and analysis of factors directly associated with client satisfaction.
Figures Male Clients of Male Escorts: Receptive unprotected anal intercourse was associated with greater satisfaction in bivariate analyses but not in mul- tivariable analyses. The number and scope of published studies on male sex work, although inter- national in nature, has yet to fully address the complex interpersonal situations that occur when men are paid for sex by other men.
Also, thanks to H. Jonathon Rendina for his guidance in programming the online survey, and to the participants who took part in this study. If the literature on male sex workers MSWs appears rather sparse, fewer studies still have examined their clients. With few exceptions Goldenberg et al. From the perspective of MSWs, studies in Australia, Argentina, and the United States have described clients as ranging in age from their 30 s to their 60 s Marino et al.
Even though the large majority of encounters involved some type of sexual activity, typically oral sex and masturbation Minichiello et al. Hiring an MSW may not be a rare event among men having sex with other men. In a community-based survey of sexually active nonmonogamous gay and bisexual men in New York City, Koken, Parsons, Severino, and Bimbi found that Koken and colleagues compared drug use in men who had paid for sex to those with no experience with sex work.
They found that clients were no different in terms of the number of drugs used in their lifetime or substance use in the past three months.
In both Argentinian and Australian studies of escorts, client drug use was reported to be low Marino et al. Although not a completely analogous comparison, one might examine the larger body of published research on men hiring FSWs to better understand the character- istics of men hiring MSWs. However, with few excep- tions, surprisingly little information has been collected about the clients of FSWs.
The proportion of men hiring sex workers seems to differ substantially from study to study and from region to region. The Pitts and colleagues study included sex with female, transgender, and male sex workers; however, the authors did not divide their analyses by the gender of the sex worker. Sometimes these tips can be substantial e. Whatever the value, MSWs perceived tips as an indication of client satisfaction. One might again turn to the research on men hiring FSWs for additional insight into customer satisfaction among those hiring a sex worker.
However, even in this larger research literature, proportionally few studies have focused on client perceptions regarding FSW encounters. In a second Aust ralian study, few clients seemed to endorse any one motiva- tional category, with the large majority expressing multiple reasons for hiring a FSW Pitts et al.
However, as with the research on MSWs, lit- tle work has directly explored the degree of client satis- faction with FSWs. Current Study By focusing on sex worke r perceptions of client char- acteristics and satisfaction, research examining clients has described only one side of a complicated story.
Research is needed to directly examine men hiring other men with information collected from the cli- ents themselves—not from secondary sources. Although one might expect similarities among men hiring women compared to those engaging men e. Collection and analysis of behavioral event-level data is necessary to obtain a more accurate understanding of the reasons for hiring a male escort and outcomes from the encounter.
As such, this study focused on two goals. In so doing, we report on a sample of clients collected using an online survey advertised on the website Daddys Reviews.