HIV risks among two types of male migrants in Shanghai, China: money boys vs. general male migrants

HIV risks among two types of male migrants in Shanghai, China: money boys vs. general male migrants
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DOI:
10.1097/01.aids.0000304700.85379.f3
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发表时间:
2007-12-01
期刊:
影响因子:
3.8
通讯作者:
Jiang, Qingwu
Jiang, Qingwu
中科院分区:
医学2区
文献类型:
--
作者:
He, Na;Wong, Frank Y.;Jiang, Qingwu

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目的:目的:探讨上海市外来务工人员中“金钱男孩”和一般男性的艾滋病相关知识、态度和行为。采用社区民意领袖和受访者驱动的抽样方法,共招募了239名金钱男孩,并通过基于场所的抽样方法招募了100名普通男性流动人口。与一般男性移民相比,金钱男孩明显更年轻,受教育程度更高,更容易单身,收入更高,承受的压力更大,对上海生活的满意度更低。这两个群体对艾滋病毒/艾滋病都有很大的误解,尽管一般男性移民的信息不那么灵通。此外,这两个群体都报告说,无论他们的性伴侣是谁,避孕套的使用率都很低。金钱男孩更有可能使用酒精,有更多的性伴侣和更多的临时性伴侣,更有可能从事其他性风险。此外,她们很可能成为嫖客的性暴力受害者。一半以上的金钱男孩接受了艾滋病毒检测,3%的人自称艾滋病毒呈阳性,而一般男性移民中只有1%接受过检测,所有人都自称艾滋病毒呈阴性。其他性传播疾病的感染也报告了money boys.Conclusions:这项研究表明,迫切需要实施艾滋病毒/艾滋病预防和干预计划,针对男性流动人口,特别是金钱男孩和他们的客户。最后,提出了对我国男性流动人口进行干预的建议。(c)2007年威科健康-利平科特威廉姆斯&威尔金斯。
Objectives: To examine HIV/AIDS-related knowledge, attitudes and behaviours among 'money boys' and general male migrants in Shanghai, China.Design: A quantitative cross-sectional design with self-administered paper-and-pencil instruments was used.Methods: A total of 239 money boys were enrolled using community popular opinion leader and respondent-driven sampling methods, and 100 general male migrants were enrolled through venue-based sampling.Results: Compared to general male migrants, money boys were significantly younger, better educated, more likely to be single, earned a higher income, suffered greater stress, and were less satisfied with life in Shanghai. Both groups had substantial misconceptions about HIV/AIDS, although general male migrants were less well informed. Furthermore, both groups reported low rates of condom use, regardless of who their sexual partners were. Money boys were more likely to use alcohol, had more sexual partners and more casual sex partners, and were more likely to engage in other sexual risks. Moreover, they were likely to be the victims of sexual violence at the hands of their clients. More than half of the money boys had been tested for HIV and 3% self-reported to be HIV-positive, whereas only 1 % of the general male migrants had ever been tested and all self-reported to be HIV-negative. Infection with other sexually transmitted diseases was also reported by money boys.Conclusions: This study suggests an urgent need to implement HIV/AIDS prevention and intervention programs targeting male migrants, especially money boys and their clients. Some recommendations for conducting interventions among the male migrant population in China are suggested. (c) 2007 Wolters Kluwer Health-Lippincott Williams & Wilkins.