Sexual behavior among men who have sex with women, men, and Hijras in Mumbai, India -: Multiple sexual risks
Sexual behavior among men who have sex with women, men, and Hijras in Mumbai, India -: Multiple sexual risks
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DOI：
10.1007/s10461-006-9129-z
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发表时间：
2006-07-01
影响因子：
4.4
通讯作者：
Jerajani, Hema R.
中科院分区：
文献类型：
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作者：
Hernandez, Alexandra L.;Lindan, Christina P.;Jerajani, Hema R.
我们描述了印度孟买性传播感染（STI）诊所男性的同性伴侣关系和性风险行为。在抽样调查的2 381名男子中，艾滋病毒感染率为14%; 62%有记录的性传播感染。几乎所有男性都报告与女性发生性关系;此外，13%的人还报告与其他男性发生性关系，13%的人报告与Hijras（男性到女性的变性人）发生性关系，11%的人与所有3种性别发生性关系。与男性和/或海吉拉以及女性发生性关系的男性报告说，他们有更多的伴侣，包括女性性工作者（FSW），并且更有可能与女性进行插入式肛交和口交。与Hijras发生性关系的男子（14%）或与所有3种性别发生性关系的男子（13%）的艾滋病毒感染率高于与男女发生性关系的男子（8%）。在孟买，到性病诊所就诊的男子中有很大一部分在行为上是双性恋或三性者，并有多个伴侣与他们进行危险的性行为。性传播感染/艾滋病毒预防方案不应假定男子只与妇女发生性关系。
We describe the same-sex partnerships and sexual risk behavior of men attending sexually transmitted infection (STI) clinics in Mumbai, India. The HIV prevalence among 2,381 men sampled was 14%; 62% had a documented STI. Almost all men reported sex with women; additionally, 13% also reported having sex with other men, 13% reported sex with Hijras (male-to-female transgenders), and 11% had sex with all 3 genders. Men who had sex with men and/or Hijras as well as women, reported having greater numbers of partners, including female sex workers (FSW), and were more likely to engage in insertive anal and oral sex with women. The prevalence of HIV was higher among men having sex with Hijras (14%) or with all 3 genders (13%) than among men having sex with men and women (8%). A high proportion of men who attend STI clinics in Mumbai are behaviorally bi- or tri-sexual and have multiple partners with whom they engage in risky sex. STI/HIV prevention programs should not assume that men only have sex with women.