Transactional Sex With Regular and Casual Partners Among Young Men Who Have Sex With Men in the Detroit Metro Area.
Transactional Sex With Regular and Casual Partners Among Young Men Who Have Sex With Men in the Detroit Metro Area.
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在底特律都会区与男人发生性关系的年轻人中的常规和休闲伴侣的交易性行为。
DOI：
10.1177/1557988315609110
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发表时间：
2017-05
期刊：
影响因子：
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通讯作者：
UHIP Partnership
中科院分区：
文献类型：
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作者：
Bauermeister JA;Eaton L;Meanley S;Pingel ES;UHIP Partnership
交易性行为指的是身体的商品化，以换取住所、食物和其他物品和需求。交易性行为与消极的健康后果有关，包括艾滋病毒感染、心理困扰、药物使用和滥用。与调查女性交易性行为的大量研究相比，人们对男性交易性行为的流行率及其相关性知之甚少。利用底特律大都会地区与男性(18-29岁)发生性行为的年轻男性(N=357；9%艾滋病毒感染者；49%黑人，26%白人，16%拉丁裔，9%其他种族)的横断面调查数据，多元Logistic回归分析研究了分别与常规伴侣和临时伴侣发生交易性行为与先前在交易性行为文献中确定的关键心理社会因素(例如，种族/民族、教育、贫困、关系状况、艾滋病毒状况、既往性传播感染、心理健康、药物使用和居住不稳定)之间的关系。在我们的样本中，44%的人报告参与了交易性行为。交易性行为与年龄、就业状况、关系状况和焦虑症状有关。当分层时，与固定伴侣的交易性行为与年龄、教育程度、就业状况、关系状况、焦虑和饮酒有关。与临时伴侣的交易性行为与无家可归、种族/民族、就业状况和硬毒品使用有关。讨论了这些发现对艾滋病毒/性传播感染预防的影响，包括这样一个概念，即在YMSM中解决艾滋病毒/性传播感染的努力可能需要干预措施，以考虑交易性行为的经历和可能增加其可能性的心理社会背景。
Transactional sex refers to the commodification of the body in exchange for shelter, food, and other goods and needs. Transactional sex has been associated with negative health outcomes including HIV infection, psychological distress, and substance use and abuse. Compared to the body of research examining transactional sex among women, less is known about the prevalence and correlates of transactional sex among men. Using data from a cross-sectional survey of young men who have sex with men (YMSM; ages 18-29) living in the Detroit Metro Area (N=357; 9% HIV infected; 49% Black, 26% White, 16% Latino, 9% Other race), multivariate logistic regression analyses examined the association between transactional sex with regular and casual partners, respectively, and key psychosocial factors (e.g., race/ethnicity, education, poverty, relationship status, HIV status, prior STIs, mental health, substance use, and residential instability) previously identified in the transactional sex literature. Forty-four percent of our sample reported engaging in transactional sex. Transactional sex was associated with age, employment status, relationship status, and anxiety symptoms. When stratified, transactional sex with a regular partner was associated with age, educational attainment, employment status, relationship status, anxiety, and alcohol use. Transactional sex with a casual partner was associated with homelessness, race/ethnicity, employment status, and hard drug use. The implications of these findings for HIV/STI prevention are discussed, including the notion that efforts to address HIV/STIs among YMSM may require interventions to consider experiences of transactional sex and the psychosocial contexts that may increase its likelihood.