席胜军, 何玉芳, 周晓红. 浙江省杭州市有偿性服务男性人群艾滋病危险行为影响因素分析[J]. 疾病监测, 2009, 24(11): 839-842. DOI: 10.3784/j.issn.1003-9961.2009.11.010
引用本文: 席胜军, 何玉芳, 周晓红. 浙江省杭州市有偿性服务男性人群艾滋病危险行为影响因素分析[J]. 疾病监测, 2009, 24(11): 839-842. DOI: 10.3784/j.issn.1003-9961.2009.11.010
XI Sheng-jun, HE Yu-fang, ZHOU Xiao-hong. Analysis of influencing factors of risk behaviors associated with AIDS among money boys in Hangzhou, Zhejiang[J]. Disease Surveillance, 2009, 24(11): 839-842. DOI: 10.3784/j.issn.1003-9961.2009.11.010
Citation: XI Sheng-jun, HE Yu-fang, ZHOU Xiao-hong. Analysis of influencing factors of risk behaviors associated with AIDS among money boys in Hangzhou, Zhejiang[J]. Disease Surveillance, 2009, 24(11): 839-842. DOI: 10.3784/j.issn.1003-9961.2009.11.010

浙江省杭州市有偿性服务男性人群艾滋病危险行为影响因素分析

Analysis of influencing factors of risk behaviors associated with AIDS among money boys in Hangzhou, Zhejiang

  • 摘要: 目的了解浙江省杭州市为男同性恋者提供有偿性服务的男子(money boy, MB)艾滋病危险行为的影响因素。方法采用国家《艾滋病行为监测问卷》,在会所、浴室、酒吧等场所方便抽样调查206名MB,对年龄、文化程度、知识得分、性取向、商业性伴数等共18个因素与发生商业男男性行为时从不使用或有时使用安全套比率的关系采用单因素分析和多因素logistic回归分析。结果发生商业男男性行为时:最近一次未使用安全套和最近6个月从未使用或有时使用安全套的比率分别为25.2%、52.4%。多因素logistic回归分析显示:在公园寻找性服务对象,未曾检测过HIV,商业性伴数20人,MB人群从不使用或有时使用安全套的比率较高,OR值分别是7.15(95%CI:1.30~39.25),2.48(95%CI:1.11~5.52),2.68(95%CI:1.19~6.02);而自己认为没有感染HIV可能性、第一个性伴为女性,其比率相对较低,OR 值分别是0.41(95%CI:0.18~0.95),0.44(95%CI:0.23~0.86)。结论MB人群艾滋病危险行为发生率高,寻找性服务对象的场所,曾经未检测过HIV和商业性伴数越多是危险因素;而自己认为没有感染HIV可能性和第一个性伴为女性是保护因素,在公园等重点场所持续开展MB人群的艾滋病宣传干预工作,包括咨询检测,提高自我保护意识。

     

    Abstract: ObjectiveTo identify the influencing factors of AIDS-related risk behaviors among money boys (MB), the men providing commercial sex for male homosexuals, in Hangzhou. MethodsA nationally standardized AIDS-related behavior surveillance questionnaire-based survey was conducted among a total of 206 MBs from clubs, bathhouses and bars. Univariate analysis and Logistic regression was performed to determine the correlation between eighteen factors including the age, education level, knowledge score, sexual orientation, the number of commercial sex partners, and the rate of commercial sex behavior where condoms were never or seldom used. Results25.2% of the subjects did not use condoms in the latest commercial sex with men, and 52.4% never or seldom used in the past six months. As shown by the multivariable logistic regression analysis, this rate raised in those seeking for sexual service in the park, having no previous HIV tests, and having more than twenty commercial sex partners, with the OR value of 7.15(95%CI:1.30-39.25),2.48(95%CI:1.11-5.52),and 2.68(95%CI:1.19-6.02), respectively. In contrast, it declined in those who underestimated the possibility of HIV infection or had the first sex partner a female one, with the OR value of 0.41(95%CI:0.18-0.95) and 0.44(95%CI:0.23-0.86), respectively. ConclusionThe occurrence of AIDS-related risk behaviors was prevalent among money boys. Seeking for places where sex service was provided, no previous HIV test results and large amount of commercial sex partners constituted the risk factors, while the assumption of not infected by HIV and the initial sex partner being female were protective factors. Therefore, behavior intervention associated with AIDS among MB should be performed in the key places such as parks in conjunction with counseling and testing to enhance their self-awareness and self-protection.

     

/

返回文章
返回