Male sex work and HIV risk among young heroin users in Hanoi, Vietnam
Male sex work and HIV risk among young heroin users in Hanoi, Vietnam
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DOI：
10.1071/sh07018
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发表时间：
2007-12-01
期刊：
影响因子：
1.6
通讯作者：
Yi, Huso
中科院分区：
文献类型：
--
作者：
Clatts, Michael C.;Giang, Le M.;Yi, Huso
本研究描述了一组男性性工作者（n = 79）的复杂的药物和性风险，这些男性性工作者是在越南河内（n = 1270）的年轻海洛因使用者的更大研究背景下招募的。男性性工作者比男性非性工作者更有可能成为移民（P < 0.001）和不稳定的住房（P < 0.001），终生接触大麻（P < 0.001）、3，4亚甲二氧甲基苯丙胺（摇头丸）（P < 0.01）、安非他明（P < 0.05）、可卡因（P < 0.01）和吗啡（P < 0.001）。男性性工作者目前更可能使用MDMA（P < 0.05）、安非他明（P < 0.001）、吗啡（P < 0.05），并以“吸烟”作为其最常见的海洛因给药方式（P < 0.01）。男性性工作者更有可能同时拥有男性和女性性伴侣（P < 0.001），有性功能障碍史（P < 0.001），在过去30天内有3个性伴以上者性伴侣在性行为前注射毒品（P <0.001）和性行为中使用毒品（P <0.01）。在他们与客户伴侣的最后一次性接触中，大约三分之一（31.1%）的人报告说有过接受性肛交。在近四分之三（71.4%）的交换中，没有使用避孕套。同样，在他们与客户伴侣的最后一次性接触中，42.2%的人报告有插入式肛交，其中近一半（47.4%）没有使用避孕套。与该区域其他地方最近的数据一致，迫切需要对东南亚的男性性工作进行更多的研究，以便适当地对该区域的男性性工作者进行行为干预。
The present study describes complex drug and sexual risk in a group of male sex workers (n = 79) who were recruited in the context of a larger study of young heroin users in Hanoi, Vietnam (n = 1270). Male sex workers were significantly more likely than male non-sex workers to be migrants (P < 0.001) and to have unstable housing (P < 0.001), to have lifetime exposure to marijuana (P < 0.001), 3,4 methylenedioxymethamphetamine (MDMA, ecstasy) (P < 0.01), amphetamines (P < 0.05), cocaine (P < 0.01) and morphine (P < 0.001). Male sex workers are more likely to currently use MDMA (P < 0.05), amphetamines (P < 0.001), morphine (P < 0.05) and to 'smoke' as their most frequent mode of heroin administration (P < 0.01). Male sex workers are more likely to have both male and female concurrent sex partners (P < 0.001), to have a history of sexual victimisation (P < 0.001), to have had more than three different sex partners in the past 30 days (P < 0.001), and to have had partners who injected drugs before sex (P < 0.001) or who used drugs during sex (P < 0.01). In their last sexual encounter with a client partner, approximately one-third (31.1%) reported having had receptive anal sex. In nearly three-quarters of these exchanges (71.4%), no condom was used. Similarly, in their last sexual encounter with a client partner, 42.2% reported having had insertive anal sex and in nearly half (47.4%) of these encounters no condom was used. Consistent with recent data from elsewhere in the region, there is an urgent need for additional research on male sex work in South-east Asia in order to properly situate behavioural interventions for male sex workers in this region.