Risk of HIV infection among male sex workers in Spain
Risk of HIV infection among male sex workers in Spain
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DOI：
10.1136/sti.2003.008649
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发表时间：
2005-02-01
影响因子：
3.6
通讯作者：
Belza, MJ
中科院分区：
文献类型：
--
作者：
Belza, MJ
目的：评估西班牙男性性工作者的艾滋病病毒感染率和预测因素。方法：在这项研究中，我们分析了 2000 年至 2002 年间西班牙 19 个城市到过艾滋病毒检测诊所的所有男性性工作者。这些信息是在检查过程中通过简短的调查问卷获得的。对于重复测试者，仅考虑最后一次确认的结果。 结果： 418 名男性性工作者纳入分析； 58% 的人是第一次访问这些诊所，42% 的人是重复测试者。 67% 是外国人，其中大部分来自拉丁美洲 (91%)。 96%的人曾与男性发生过性行为，18%的人是易装癖或易性癖者，3.3%的人曾注射过毒品。 HIV 感染率为 12.2%（95% CI，9.3% 至 15.8%），首次检测者的感染率升至 16.9%。注射吸毒者、易装者/变性者和外国男性之间的艾滋病毒感染率没有差异。结论：由于艾滋病毒感染的高风险，男性性工作者应该成为具体预防活动的目标。需要在文化上适应移民的预防和医疗保健策略。
Objective: To assess HIV prevalence and predictive factors for HIV among male sex workers in Spain.Methods: In this study we analysed all male sex workers who visited HIV testing clinics in 19 Spanish cities between 2000 and 2002. The information was obtained during examination by means of a brief questionnaire. For repeating testers, only the last confirmed result was taken into account.Results: 418 male sex workers were included in the analysis; 58% visited these clinics for the first time and 42% were repeating testers. 67% were of foreign origin, mostly from Latin America (91%). 96% had had sex with men, 18% were transvestites or transsexuals, and 3.3% had used injected drugs. HIV prevalence was 12.2% (95% CI, 9.3 to 15.8%), and rose to 16.9% among first time testers. No differences in HIV prevalence were found between injecting drug users, transvestites/ transsexuals, and men from foreign countries.Conclusion: Because of the high risk of HIV infection, male sex workers should be the target of specific preventive activities. Preventive and healthcare strategies that are culturally adapted to migrants are required.