Justin Gaffney

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OBJECTIVES To describe changing characteristics of men who sold sex in London between 1994 and 2003. METHODS A baseline survey of 823 male sex workers attending a specialist clinic, plus follow up of 628 men for 1379 person years. RESULTS Men recruited earlier (1994 to 1996) were more likely than those recruited later (2000 to 2003) to be UK born and to(More)
OBJECTIVE To evaluate the effectiveness of a pilot peer education STI prevention programme with male sex workers. DESIGN A process and outcome evaluation of the pilot programme undertaken in three London male escort agencies, using a quasi-experimental design. SUBJECTS Workers in three London escort agencies, including 88 who completed a questionnaire,(More)
BACKGROUND Male sex workers are at risk of blood borne viruses but may have limited access to sexual health services, including vaccination. We explore factors associated with hepatitis B vaccination uptake among male sex workers in London METHODS Follow up study of men attending the Working Men's Project, a specialist health project for men who sell sex,(More)
Lymphogranuloma venereum in the United Kingdom was detected in 2004, following the introduction of enhanced surveillance. This report describes a previously undiagnosed case, detected retrospectively in a sample obtained in 2003 from a male patient with high-risk behaviour, indicating that this previously rare disease in Europe, was present in the UK in(More)
The objective is to provide an overview and analysis of the current discussion of ways to reform the U.S. health care system. A common analytic framework is needed to evaluate the alternative approaches that are being advocated. Such a framework, organized around seven general questions, is developed and discussed. The analytic framework is then applied to(More)
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