Transactional Sex among Men Who Have Sex with Men: Differences by Substance Use and HIV Status
Transactional Sex among Men Who Have Sex with Men: Differences by Substance Use and HIV Status
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DOI：
10.1007/s11524-018-0309-8
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发表时间：
2019-06-01
影响因子：
6.6
通讯作者：
Gorbach, Pamina M.
中科院分区：
文献类型：
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作者：
Javanbakht, Marjan;Ragsdale, Amy;Gorbach, Pamina M.
以金钱、毒品和其他物品换取性行为与性风险行为和性传播感染/艾滋病毒的增加有关。虽然对女性性工作的描述很好，但关于以性换取金钱或商品的男子的数据则较为有限。本文研究了男男性行为者中性交易的流行率和相关性，特别关注物质使用和艾滋病毒状况。我们对2014年8月至2017年12月在加利福尼亚州洛杉矶招募的511名参与者进行了一项队列研究。合格的参与者包括：（1）年龄在18 - 45岁之间;（2）男性;（3）如果HIV阴性，则在过去6个月内报告与男性伴侣无安全套肛交。根据设计，一半是艾滋病毒呈阳性，一半是艾滋病毒呈阴性。在基线和每半年一次的随访访视时，使用计算机辅助自我访谈收集人口统计学、性行为（包括交易性行为，定义为交换金钱、毒品或肛交的住宿场所）的信息。对目前的性传播感染/艾滋病毒状况进行了实验室检测。参与者的平均年龄为31.4岁，其中43%为非洲裔美国人，其次是36%的西班牙裔/拉丁裔。在1486次研究访视中，最近发生性交易的患病率为17%（n=255），其中74%的人报告以性换取毒品。在那些报告住房不稳定的人中，交易性行为的发生率更高（32%对11%; p值
Exchanging money, drugs, and other goods for sex has been associated with sexual risk behaviors and increased STIs/HIV. While female sex work is well described, data on men who exchange sex for money or goods are more limited. This paper examined the prevalence and correlates of transactional sex among young men who have sex with men, especially focusing on substance use and HIV status. We conducted a cohort study of 511 participants recruited between August 2014 and December 2017 in Los Angeles, CA. Eligible participants were: (1) between 18 and 45years of age; (2) male; and (3) if HIV-negative, reported condomless anal intercourse with a male partner in the past 6months. By design, half were HIV-positive and half HIV-negative. At baseline and semi-annual follow-up visits, computer-assisted self-interviews were used to collect information on demographics, sexual behaviors including transactional sex which was defined as exchange of money, drugs, or a place to stay for anal intercourse. Laboratory testing was conducted for current STI/HIV status. The average age of participants was 31.4years with 43% identifying as African American, followed by 36% as Hispanic/Latino. The prevalence of recent transactional sex across 1486 study visits was 17% (n=255), with 74% of those reporting exchanging sex for drugs. The prevalence of transactional sex was higher among those who reported unstable housing (32 vs. 11%; p value