Demographic and behavioral correlates of HIV risk among men and transgender women recruited from gay entertainment venues and community-based organizations in Thailand: implications for HIV prevention.
Demographic and behavioral correlates of HIV risk among men and transgender women recruited from gay entertainment venues and community-based organizations in Thailand: implications for HIV prevention.
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DOI：
10.1007/s11121-012-0275-4
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发表时间：
2012-10
影响因子：
3.5
通讯作者：
Tepjan, Suchon
中科院分区：
文献类型：
--
作者：
Newman, Peter A.;Lee, Sung-Jae;Roungprakhon, Surachet;Tepjan, Suchon
泰国男男性行为者和变性妇女中艾滋病毒的高流行率表明，亟需采取有针对性的干预措施。我们进行了一项横断面调查，以检查和比较性风险行为，人口和行为风险的相关性，男男性接触者和跨性别妇女从同性恋娱乐场所的工作人员和社区组织（CBO）的参与者招募。我们在曼谷和清迈的九个地点使用了基于场地的采样。在260名参与者中（57.3%为同性恋，26.9%为异性恋/双性恋，15.8%为变性人;平均年龄=26.7岁），近五分之一（18.5%）报告了无保护的肛交（UAS），一半（50.4%）以金钱为交换的性行为，五分之一（20.0%）的STI诊断（过去一年）。近四分之一（23.1%）报告使用口服勃起功能障碍药物，近五分之一（19.2%）报告使用非法药物（过去3个月）。总体而言，43.1%的人表示医疗服务提供者对他们表现出敌意。同性恋娱乐场所的工作人员更有可能自我认同为异性恋/双性恋（相对于同性恋或变性女性），并且具有低于高中学历，更高的月收入，从事性行为以换取金钱，与女性发生性关系和无保护的阴道性行为，但从事UAS的可能性明显低于CBO参与者。针对年轻男男性行为者和变性妇女、非同性恋男性的有针对性的干预措施，以及解决风险的结构性决定因素的战略，包括教育程度低和医疗保健提供者的歧视，可以支持男男性行为者和变性妇女的艾滋病毒预防，并为泰国更广泛的国家艾滋病毒预防工作服务。
High HIV prevalence among men who have sex with men (MSM) and transgender women in Thailand suggest a vital need for targeted interventions. We conducted a cross-sectional survey to examine and compare sexual risk behaviors, and demographic and behavioral correlates of risk, among MSM and transgender women recruited from gay entertainment venue staff and community-based organization (CBO) participants. We used venue-based sampling across nine sites in Bangkok and Chiang Mai. Among 260 participants (57.3% gay-identified, 26.9% heterosexual/bisexual-identified, 15.8% transgender; mean age=26.7 years), nearly one-fifth (18.5%) reported unprotected anal sex (UAS), half (50.4%) sex in exchange for money, and one-fifth (20.0%) STI diagnosis (past year). Nearly one-fourth (23.1%) reported oral erectile dysfunction medication use and nearly one-fifth (19.2%) illicit drug use (past 3 months). Overall, 43.1% indicated that healthcare providers exhibited hostility towards them. Gay entertainment venue staff were significantly more likely to self-identify as heterosexual/bisexual (versus gay or transgender female), and to have less than high school degree education, higher monthly income, to have engaged in sex in exchange for money, sex with women and unprotected vaginal sex, but were significantly less likely to have engaged in UAS than CBO participants. Targeted interventions for younger MSM and transgender women, for non gay-identified men, and strategies to address structural determinants of risk, including low education and discrimination from healthcare providers, may support HIV prevention among MSM and transgender women, and serve broader national HIV prevention efforts in Thailand.
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影响因子：
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