[Question #2612] Massage Parlor Workers or Bar Pickups

42 months ago
This question was previously asked on a different forum on a different website: bar pickups have a higher likelihood of having HIV or any other STD than a $100 CSW by appointment or a massage parlor CSW, right?

Dr. H. Hunter Handsfield answered: "Maybe, yes.  But there are no data to be certain.  That's why I cannot give you a definite answer."

My only question is this: I understand that you cannot be certain and give a definite answer.  However, if you have to choose or guess based on your expert medical opinion and what you think, you would agree that bar pickups have a higher likelihood of having HIV or any other STD than a $100 CSW by appointment or a massage parlor CSW, right?

Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago
As a generalization this  statement makes sense and is one I would agree with.  A casual sex partner picked up for a one-night stand in a bar may behave in that way regularly and may not have regular sexual health check ups and testing.  In contrast, a CSW has a business interest in not antagonizing customers and promoting return customers.  Further, in general, as CSWs appreciate the potential risks associated with their work, they are more likely to take steps to avoid harming themselves on the job through becoming infected.  There are, obviously exceptions to this generalization - CSWs in abusive circumstances may not have access to regular health care.  Conversely, in some places $100 has a lot more buying power than others.   Thus generalizations have many exceptions and as you and Dr. Handsfield have pointed out, there are no good scientific data to give you an evidence based answer.

Equally importantly, I would point out to you that the best way to avoid STIs in any new relationship is to use condoms correctly and consistently.  EWH. 
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