蔡晓峰, 杨美霞, 刘阳, 宁镇, Sarah Jane Steele, Ted Myers. 上海市男男商业性服务人群健康和行为状况调查[J]. 环境与职业医学, 2012, 29(4): 261-263.
引用本文: 蔡晓峰, 杨美霞, 刘阳, 宁镇, Sarah Jane Steele, Ted Myers. 上海市男男商业性服务人群健康和行为状况调查[J]. 环境与职业医学, 2012, 29(4): 261-263.
CAI Xiao-feng , YANG Mei-xia , LIU Yang , NING Zhen , Sarah Jane STEELE , Ted MYERS . A Survey on Health and Behaviors of Money Boys in Shanghai[J]. Journal of Environmental and Occupational Medicine, 2012, 29(4): 261-263.
Citation: CAI Xiao-feng , YANG Mei-xia , LIU Yang , NING Zhen , Sarah Jane STEELE , Ted MYERS . A Survey on Health and Behaviors of Money Boys in Shanghai[J]. Journal of Environmental and Occupational Medicine, 2012, 29(4): 261-263.

上海市男男商业性服务人群健康和行为状况调查

A Survey on Health and Behaviors of Money Boys in Shanghai

  • 摘要: 目的 了解上海市男男商业性服务人群(money boy,MB)的基本特征、艾滋病(AIDS)相关行为、健康和感染情况,探索适合该人群的AIDS宣传教育和行为干预措施。

    方法 通过艾滋病自愿咨询检测(VCT)门诊、网络及同志关爱小组动员共招募124名男男性行为者(MSM),分为MB组和非MB组,采用匿名问卷调查和血清学检测方法获取两组的AIDS相关健康、行为以及感染状况。

    结果 MB组平均年龄26.0岁,初/高中及以下文化水平者占76.9%,非沪户籍者占92.3%;非MB组平均年龄29.3岁,大学及以上文化水平者占71.4%,非沪户籍者占61.2%。MB组性取向以双性恋为主,占80.8%,异性性伴侣较多;非MB组中73.5%为同性恋,62.3%的人仅和男性发生性行为。MB组首次与男性发生性行为的平均年龄为20.8岁,不安全性行为发生率可达31.2%~68.8%,疾病风险意识较非MB组低。MB组HIV和梅毒的感染率均为4.5%;非MB组中HIV和梅毒感染率分别为5.6%和6.7%,两组间差异无统计学意义(P>0.05)。

    结论 MB人群具有更多的艾滋病传播危险因素,有关部门应重视加强与非政府组织合作,深入地开展宣传教育和行为干预工作,提高该群体对AIDS风险和安全性行为的认识。

     

    Abstract: Objective To identify the general characteristics of money boys (MB, men who provided commercial sexual services to male clients) and their AIDS related behavior, knowledge and infection, and to explore practical health education and behavior interventions.

    Methods A total of 124 men who have sex with men (MSM) subjects were recruited through voluntary counseling testing, internet or a local relevant organization. They were divided into MB group and non-MB group. Their AIDS related behavior, knowledge and infection information were obtained for comparison through anonymous questionnaire and blood testing.

    Results Of the MB group, the average age was 26.0, their education levels lower than senior high school accounted for 76.9%, and 92.3% of them did not possess Shanghai household register. Of the non-MB group, the average age was 29.3, bachelor degrees or higher accounted for 71.4%, and 61.2% of them did not possess Shanghai household register. Bisexual males accounted for 80.8% of MB group, with more female sexual partners. Homosexual males accounted for 73.5% of non-MB group, and 62.3% of them only had sex with men. The average age of first sex with a man was 20.8 in MB group. Their rate of unsafe sexual behaviors was between 31.2%-68.8% and their risk awareness of AIDS was lower than that of the non-MB group. MB's HIV and syphilis infection rates were both 4.5%, and those of the non-MB were 5.6% and 6.7%, with no significant difference between the two groups (P>0.05).

    Conclusion As more HIV risk factors exist in MB group, more attention should be paid to the cooperation with nongovernmental organizations in enhancing education and behavior intervention, in order to raise AIDS risk awareness and promote safe sexual behaviors among MB group.

     

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