HIV-related risk behaviors and history of sexually transmitted diseases among male migrants who patronize commercial sex in China
HIV-related risk behaviors and history of sexually transmitted diseases among male migrants who patronize commercial sex in China
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DOI：
10.1097/01.olq.0000222668.95038.03
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发表时间：
2007-01-01
影响因子：
3.1
通讯作者：
Mao, Rong
中科院分区：
文献类型：
--
作者：
Wang, Bo;Li, Xiaoming;Mao, Rong
背景和目的：支付性服务费用的男子感染艾滋病毒/性传播疾病的风险增加。数据的社会人口学和行为特征，这样的男人在China.Study设计：两个横断面调查，使用类似的工具，在中国移民在北京，上海和南京在2002年完成。共有1304农村到城市的流动男子从社区设置（“社区样本”）和465流动男子参加性病门诊（“性病门诊样本”）被纳入本study.Results：10%的男性在社区样本和32.7%的男性在性病门诊样本报告曾支付性服务。近20%的客户从社区样本和60%的客户从性病诊所样本报告的性病史。对于社区和性病，诊所样本，在工业或建筑部门工作，多个性伴侣，经常性伴侣与他人发生性关系，吸毒史与男性客户有关。此外，感知同伴性风险和感知的性病的脆弱性与男性客户在社区样本，性病史和正在进行STD/HIV检测与男性客户在STD sample.Conclusion：男性流动人口谁支付的性在中国是容易感染艾滋病毒/性病。艾滋病毒预防工作应针对在工厂和建筑部门工作的年轻移徙男子。性病诊所可能是在男性客户中开展外联和干预工作的重要场所。
Background and Objective: Men who pay for sexual services are at increased risk for HIV/sexually transmitted disease. Data on the sociodemographic and behavioral characteristics of such men in China are limited.Study Design: Two cross-sectional surveys, using similar instruments, were completed among Chinese migrants in Beijing, Shanghai, and Nanjing in 2002. A total of 1304 rural-to-urban migrant men from community settings ("community sample") and 465 migrant men attending sexually transmitted disease clinics ("STD clinic sample") were included in the current study.Results: Ten percent of men in the community sample and 32.7% of men in the STD clinic sample reported having ever paid for sex. Nearly 20% of clients from the community sample and 60% of clients from the STD clinic sample reported a history of STDs. For both the community and STD, clinic samples, working at industrial or construction sectors, multiple sexual partners, regular sex partner having sex with others, and a history of drug use were associated with being a male client. In addition, perceived peer sexual risk and perceived vulnerability to STD were associated with being a male client in the community sample, and a history of STD and being tested for STD/HIV were associated with being a male client in the STD sample.Conclusion: Male migrants who paid for sex in China were vulnerable to HIV/STDs. HIV prevention efforts should target young migrant men who work at factory and construction sectors. STD clinics may be important sites for outreach and intervention efforts among male clients.