Payment for Sexual Intercourse and Condom Use

 

Percentage of men who ever paid for sexual intercourse, percentage who paid for sexual intercourse in the past 12 months, and percentage reporting using a condom at last paid sexual intercourse (legacy indicator)

 

Definition

 

1)      Percentage of men age 15-49 who ever paid for sexual intercourse.

2)      Percentage of men age 15-49 who paid for sexual intercourse in the past 12 months.

3)      Percentage of men age 15-49 reporting using a condom at last paid sexual intercourse in the past 12 months.

 

Coverage:

Population base: Men age 15-49 (MR file)

Time period: At any time prior to the survey. In the 12 months preceding the survey

 

Numerators:

1)      Number of men age 15-49 who respond “Yes” in response to the question, “Have you ever paid anyone in exchange for having sexual intercourse?” (mv791 = 1)

2)      Number of men age 15-49 who either:

a)       In response to a question about the relationship to each of their last three sexual partners in the past 12 months, reported that any of the three partners was a sex worker, or

b)      If no sex workers were reported in the detailed partner history, responds “Yes” to the question “In the last 12 months, did you pay anyone in exchange for having sexual intercourse?” (mv793 = 1)

3)      Number of men age 15-49 who had paid for sex in the past 12 months and who either:

a)       Reported they used a condom at last sex with a sex partner in the sexual partner history who was reported to be a sex worker, or

b)      If no sex workers were reported in the detailed partner history, responded “Yes” to the question “The last time you paid someone in exchange for having sexual intercourse, was a condom used?” (mv793 = 1 & mv793a = 1)

 

Denominators:

a)       Number of men age 15-49

b)      Number of men age 15-49

c)       Number of men age 15-49 who paid for sex in the past 12 months (mv793 = 1)

 

Variables: MR file.

mv791

Have ever paid anyone in exchange for sex

mv793

Paid for sex in last 12 months

mv793a

Condom used last time paid for sex in last 12 months

mv005

Man’s individual sample weight

 

Calculation

 

The numerator divided by the denominator, expressed as a percentage.

 

Data for these indicators is collected in one of two ways: from the detailed questions about relationship to partner and condom use at last sex with each partner in the history of sexual partners in the past 12 months, or from direct questions on payment for sex and condom use at last paid sex for respondents did not report these events in the sexual partner history. Men are asked the direct question on paying for sexual intercourse in the past 12 months even if they reported it has been more than 12 months since the last time they had sex.

 

Handling of Missing Values

 

Men with missing values on the payment for sex question are considered not to have paid for sex. Men with missing values on the use of condom at last paid sex question are considered not to have used a condom with paid sex.

 

Notes and Considerations

 

These indicators pertain only to payment of money for sex. Transactional sex involving exchange of goods or services is not addressed.

 

Changes over Time

 

This indicator is no longer measured in DHS-8 and the relevant questions have been removed from the standard DHS-8 questionnaire.

 

References

 

Stephenson, R., A. Winter, and M. Elfstrom. 2013. "Community environments shaping transactional sex among sexually active men in Malawi, Nigeria, and Tanzania." AIDS care 25, no. 6: 784-792.

 

Resources

 

DHS-8 Tabulation plan: No longer presented in DHS reports.

 

API Indicator IDs:

HA_PYSX_M_EPD, HA_PYSX_M_PD1, HA_PYSX_M_CLS

(API link, STATcompiler link)