Male sex workers: Are we ignoring a risk group in Mumbai, India?
Male sex workers: Are we ignoring a risk group in Mumbai, India?
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DOI：
10.4103/0378-6323.45219
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发表时间：
2009-01-01
影响因子：
2.9
通讯作者：
Jerajani, Hemangi
中科院分区：
文献类型：
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作者：
Shinde, Santosh;Setia, Maninder Singh;Jerajani, Hemangi
背景：男性性工作者（MSW）最近被认为是性传播感染（STI）包括人类免疫缺陷病毒（HIV）感染的重要危险群体。尽管全球范围内都有关于都市生活工人的研究，但很少有此类研究描述印度这一人群的行为模式和性传播感染。方法：Humsafar 信托基金对城市固体废物进行了评估，这是一家位于印度孟买郊区的社区组织。我们报告这些性工作者的人口统计、性行为和性传播感染（包括艾滋病毒）。结果：在 75 名 MSW 中，24 名是男性，51 名是跨性别者。该组的平均年龄为 23.3 (+ 4.9) 岁。大约 15% 已婚或与永久伴侣同居。在这些人中，85% 的人将性工作作为主要收入来源，15% 的人将性工作作为额外收入来源。所有个体均报告了肛交（87% 为肛交接受性行为，13% 为肛交插入性行为）。大约 13% 的城市固体工人从未使用过安全套。 HIV 感染率为 33%（男性为 17%，跨性别者为 41%，P = 0.04）。性传播感染的患病率为 60%（男性为 58%，跨性别者为 61%，P = 0.8）。梅毒是这些城市工人中最常见的性传播感染 (28%)。 HIV 与跨性别者（41 vs 17%，P = 0.04）、年龄 > 26 岁（57 vs 28%，P = 0.04）、一年以上性工作（38 vs 8%，P = 0.05）以及收入 < 卢比相关。每月 2000（62 vs 27%，P = 0.02）。结论：MSW 具有高危行为、安全套使用一致性低、STI/HIV 感染率高。这些群体应成为强化公共卫生干预措施的重点，旨在减少危险性行为以及性传播感染/艾滋病毒预防和护理。
Background: Male sex workers (MSWs) have recently been recognized as an important risk group for sexually transmitted infections (STIs) including human immunodeficiency virus (HIV) infection. Although there are global studies on MSWs, few such studies describe the behavioral patterns and STIs among this population in India. Methods: MSWs were evaluated at the Humsafar trust, a community based organization situated in suburban Mumbai, India. We report on the demographics, sexual behaviors, and STIs including HIV of these sex workers. Results: Of the 75 MSWs, 24 were men and 51 were transgenders. The mean age of the group was 23.3 (+ 4.9) years. About 15% were married or lived with a permanent partner. Of these individuals, 85% reported sex work as a main source of income and 15% as an additional source. All the individuals reported anal sex (87% anal receptive sex and 13% anal insertive sex). About 13% of MSWs had never used a condom. The HIV prevalence was 33% (17% in men vs 41% in transgenders, P = 0.04). The STI prevalence was 60% (58% in men vs 61 % in transgenders, P = 0.8). Syphilis was the most common STI (28%) in these MSWs. HIV was associated with being a transgender (41 vs 17%, P = 0.04), age > 26 years (57 vs 28%, P = 0.04), more than one year of sex work (38 vs 8%, P = 0.05), and income < Rs. 2000 per month (62 vs 27%, P = 0.02). Conclusions: The MSWs have high-risk behaviors, low consistent condom use, and high STI/HIV infections. These groups should be the focus of intensive public health interventions aimed at reduction of risky sexual practices, and STI/HIV prevention and care.