In 2004, Arran Stibbe published an analysis of a well-known men's-health magazine in 2000. According to Stibbe, although the magazine ostensibly focused on health it also promoted traditional masculine behaviors such as excessive consumption of convenience foods and meat, alcohol consumption and unsafe sex. Masculinity and sexual health is also a complex issue in the Global South, as well. In South Africa, HIV transmission was one of the significant reasons for the development of masculinities research. Risky actions commonly representative of toxic masculinity are also present in Western and Chinese male clients’ attitudes and behaviors toward female sex workers in China's commercial sex industry. While many male clients frequently exhibited physical violence toward the female workers, in order to more overtly display their manliness, some men also admitted to being more sexually aggressive at times and purposefully having unprotected sex without the worker's knowledge.