Commercial sex work and risk of HIV infection among young drug-injecting men who have sex with men in San Francisco
Commercial sex work and risk of HIV infection among young drug-injecting men who have sex with men in San Francisco
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DOI：
10.1097/01.olq.0000204914.91923.ad
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发表时间：
2006-04-01
影响因子：
3.1
通讯作者：
Page-Shafer, K
中科院分区：
文献类型：
--
作者：
Bacon, O;Lum, P;Page-Shafer, K
目的：本研究的目的是调查性工作与年轻注射吸毒男男性行为者（MSM-IDU.Study Design）中HIV感染之间的关系：本研究是对2000年1月至2001年11月期间在加州州弗朗西斯科市街头招募的227名MSM-IDU的行为和血清学数据进行横断面分析。68%的参与者报告说，他们曾被另一名男子支付性费用。艾滋病毒感染率为12%（95%置信区间，8-16%）; 42%的血清阳性参与者不知道他们的感染。艾滋病毒与男性伴侣的付费数量和淋病史独立相关，与女性伴侣的数量、教育程度和共享性伴侣呈负相关。一致的安全套使用的整体是41%，但不同类型的partner.Conclusions显着：在旧金山弗朗西斯科的MSM-IDU，与男性的性工作与艾滋病毒感染和避孕套的使用率低。在男男性接触者-注射吸毒者中进行艾滋病毒预防必须针对性地解决与性工作相关的过度风险。
Objective: The objective of this study was to investigate the relationship between sex work and HIV infection among young injection drug-using men who have sex with men (MSM-IDU).Study Design: This study was a cross-sectional analysis of behavioral and serologic data collected from 227 street-recruited MSM-IDU in San Francisco, California, between January 2000 and November 2001.Results: Sixty-eight percent of participants reported being paid by another man for sex. HIV prevalence was 12% (95% confidence interval, 8-16%); 42% of seropositive participants were unaware of their infection. HIV was independently associated with higher number of paying male partners and history of gonorrhea and inversely associated with number of female partners, education, and syringe-sharing. Consistent condom use overall was 41%, but varied significantly by type of partner.Conclusions: Among MSM-IDU in San Francisco, sex work with men is strongly associated with HIV infection and the prevalence of condom use is low. HIV prevention among MSM-IDU must be tailored to address the excess risk associated with sex work.