Correlates of Forced Sex Among Populations of Men Who Have Sex with Men in Thailand
Correlates of Forced Sex Among Populations of Men Who Have Sex with Men in Thailand
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DOI：
10.1007/s10508-009-9557-8
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发表时间：
2011-04-01
影响因子：
3.8
通讯作者：
van Griensven, Frits
中科院分区：
文献类型：
--
作者：
Guadamuz, Thomas E.;Wimonsate, Wipas;van Griensven, Frits
尽管强迫性行为与艾滋病毒感染有关，但在发展中国家的男男性行为者 (MSM) 中，其流行率和相关风险尚未得到很好的描述。 2005 年 3 月至 10 月期间，我们使用基于社区的样本评估了泰国 MSM 人群（包括一般 MSM、男性性工作者和男女变性者）中强迫性行为的发生率及其相关性。参与者是通过场地白天抽样从曼谷、清迈和普吉岛周围的场地招募的。使用手持计算机辅助自我访谈来收集人口和行为数据，并使用逻辑回归评估与强迫性行为相关的因素，强迫性行为的定义是被迫违背自己的意愿进行性交。在 2,049 名参与者（男性年龄，24.8 岁）中，有 376 名（18.4%）男性报告有强迫性行为史，其中大多数是被他们认识的人强迫的（83.8%），强迫不止一次（67.3%），并且第一次发生在青春期（55.1%）。在多变量分析中，有强迫性行为史与在普吉岛被招募、被归类为一般男男性行为者或变性者（相对于被归类为男性性工作者）、吸毒、男性性伴侣数量增加和买性显着相关。我们的评估结果与西方国家的评估结果一致。需要进行纵向研究来了解我们评估中发现的强迫性行为与艾滋病毒感染和传播风险之间关系的机制。
Although forced sex is a correlate of HIV infection, its prevalence and associated risks are not well described among men who have sex with men (MSM) in developing-country settings. Between March and October 2005, we assessed the prevalence of forced sex and correlates among populations of MSM (this includes general MSM, male sex workers, and male-to-female transgender persons) in Thailand using a community-based sample. Participants were enrolled from venues around Bangkok, Chiangmai, and Phuket using venue day-time sampling. Handheld computer-assisted self-interviewing was used to collect demographic and behavioral data and logistic regression evaluated factors associated with forced sex, defined as ever being forced to have sexual intercourse against one's will. Of the 2,049 participants (M age, 24.8 years), a history of forced sex was reported by 376 (18.4%) men and, of these, most were forced by someone they knew (83.8%), forced more than once (67.3%), and had first occurrence during adolescence (55.1%). In multivariate analysis, having a history of forced sex was significantly associated with being recruited in Phuket, classification as general MSM or transgender (versus classification as male sex worker), drug use, increased number of male sexual partners, and buying sex. The findings in our assessment were consistent with assessments from Western countries. Longitudinal studies are needed to understand the mechanisms of the relationships between forced sex correlates found in our assessment and HIV acquisition and transmission risks.