Behavioral Surveillance of Heterosexual Exchange-Sex Partnerships in San Francisco: Context, Predictors and Implications
Behavioral Surveillance of Heterosexual Exchange-Sex Partnerships in San Francisco: Context, Predictors and Implications
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DOI：
10.1007/s10461-010-9677-0
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发表时间：
2011-01-01
影响因子：
4.4
通讯作者：
Raymond, H. Fisher
中科院分区：
文献类型：
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作者：
Chen, Yea-Hung;McFarland, Willi;Raymond, H. Fisher
利用2006年全国艾滋病行为监测（NHBS）的旧金山弗朗西斯科当地数据，我们发起了一项关于男女异性恋者参与交换性行为（金钱或商品交换性行为）的研究。我们研究了从事交换性行为的风险因素，以及交换和非交换性伙伴关系中风险行为的普遍性。总体而言，13.2%的女性和7.6%的男性在过去6个月内进行了交换性行为; 1，230个异性伴侣中有130个（10.6%）涉及交换。社会经济地位低的妇女和注射毒品的妇女更有可能从事交换性行为。在年龄、社会经济地位、婚姻状况、吸毒、监禁史或性传播疾病史方面，参与交换性行为的男性与那些没有参与交换性行为的男性没有什么不同。在交换伴侣关系中，高或醉酒的性行为比无保护措施的性行为更常见。交换伴侣的风险性行为较少。与交换伴侣关系相比，非交换伴侣关系中无保护阴道性行为的次数是交换伴侣关系的四倍，而高或醉酒阴道性行为的次数是交换伴侣关系的两倍。针对性交易的预防工作需要解决药物使用问题。今后需要进行研究和监测，以更好地了解艾滋病毒风险的来源，并衡量和跟踪性伴侣和网络内的风险趋势。
Using San Francisco local data from the 2006 National HIV Behavioral Surveillance (NHBS), we initiated a study of male and female heterosexuals' involvement in exchange sex (money or goods for sex). We examined risk factors for engaging in exchange sex and the prevalence of risk behaviors amongst exchange and non-exchange partnerships. Overall, 13.2% of women and 7.6% of men engaged in exchange sex in the past 6 months; 130 of 1,230 (10.6%) opposite-sex partnerships involved exchange. Women of low socioeconomic status and those who inject drugs were more likely to engage in exchange sex. Men involved in exchange sex were no different from those who did not by age, socio-economic status, marital status, drug use, or history of incarceration or sexually transmitted diseases. Within exchange partnerships, high or drunk sex was more common than unprotected sex. Exchange partnerships had fewer instances of risky sex. In comparison to exchange partnerships, non-exchange partnerships had four times as many episodes of unprotected vaginal sex and twice as many episodes of high or drunk vaginal sex. Prevention efforts addressing exchange sex need to address substance use. Future research and surveillance are needed to better understand the sources of HIV risk and measure and track trends in risk within sexual dyads and networks.