Drug use and sexual behaviors among MSM in China.

Drug use and sexual behaviors among MSM in China.
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DOI:
10.3109/10826084.2014.962048
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发表时间:
2015-01
影响因子:
2
通讯作者:
Wong FY
Wong FY
中科院分区:
医学4区
文献类型:
--
作者:
Nehl EJ;He N;Lin L;Zheng T;Harnisch JA;Ding Y;Wong FY

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本研究探讨了中国男男性行为者(MSM)和男性性交易者(又称“金钱男孩”)的吸毒模式及其相关性。数据收集自中国上海的MSM和金钱男孩(MB),使用社区民意领袖(CPOL)的研究设计与自我管理的横断面调查:(1)描述药物使用和药物使用的相关性和(2)检查药物使用和一般MSM和MB的性行为之间的关系。样本包括402名MSM(203名MBs),居住在中国上海。使用描述性统计和回归分析来探讨药物使用和性行为之间的关联,并在MB和一般MSM之间进行比较。男男性行为者在最近一周、3个月及以往的吸毒次数、吸毒后性行为次数、吸毒后无保护性行为次数均高于一般男男性行为者。此外,许多MB报告从客户那里获得免费药物,而那些确实获得免费药物的人很可能报告有无保护措施的性行为。加强研究并将中国MSM及其药物使用纳入中国政策对话至关重要。这些数据表明,中国男男性接触者的吸毒和吸毒后的性行为存在很大差异,基于出卖性行为,单独的干预策略可能是适当的。
This study explores patterns of drug use and related correlates among a sample of men who have sex with men (MSM) and men who sell sex to other men (aka “money boys”) in China. Data were collected from MSM and money boys (MBs) in Shanghai, China using a Community Popular Opinion Leader (CPOL) research design with a self-administered cross-sectional survey to: (1) describe drug use and drug use correlates and (2) examine relationships between drug use and sexual behaviors in general MSM and MBs. The sample consisted of 402 MSM (203 MBs) who live in Shanghai, China. Descriptive statistics and regression analyses were used to explore associations between drug use and sexual behaviors and make comparisons between MBs and general MSM. MBs reported using more drugs in the last week, 3 months and ever; sex after using drugs, and unprotected sex after using drugs more frequently than general MSM. Additionally, many MBs reported receiving free drugs from their clients and those who did receive free drugs were very likely to report having unprotected sex. It is crucial to increase research and include Chinese MSM and their drug use in the Chinese policy conversation. These data suggest that drug use and sexual behaviors after drug use among Chinese MSM differ widely based upon selling sex and separate intervention strategies may be appropriate.
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