柬埔寨金边男男性行为者中的艾滋病毒、性传播感染及性行为
HIV, STIs, and sexual behaviors among men who have sex with men in Phnom Penh, Cambodia.
作者信息
Girault Philippe, Saidel Tobi, Song Ngak, de Lind Van Wijngaarden Jan W, Dallabetta Gina, Stuer Francesca, Mills Stephen, Or Vathanak, Grosjean Pierre, Glaziou Philippe, Pisani Elizabeth
机构信息
Family Health International, IMPACT, Phnom Penh, Cambodia.
出版信息
AIDS Educ Prev. 2004 Feb;16(1):31-44. doi: 10.1521/aeap.16.1.31.27727.
A probability sample of 206 men who have sex with men from 16 sites in Phnom Penh were surveyed about sexual behaviors and tested for HIV and sexually transmitted infections (STIs). HIV and syphilis prevalence was 14.4% and 5.5%, respectively. Out of the total sample, 81% reported anal sex with any male partners in the past 6 months, and 61.2% reported having had vaginal sex. In the past 6 months, 82.8% of the sample reported having male partners who paid them to have sex. Self-reported sexual orientation did not match well with self-reported sexual behavior. Significant risk factors for HIV infection were anal sex with multiple partners, unprotected vaginal sex with commercial female partners in the past month, and any STI. Complex sexual networks indicate that men who have sex with men act as a bridge between higher and lower HIV prevalence populations. Better prevention efforts structured around behaviors rather than sexual identities are needed.
对来自金边16个地点的206名男男性行为者的概率样本进行了性行为调查，并检测了艾滋病毒和性传播感染（STIs）。艾滋病毒和梅毒患病率分别为14.4%和5.5%。在总样本中，81%的人报告在过去6个月内与任何男性伴侣发生过肛交，61.2%的人报告有过阴道性交。在过去6个月中，82.8%的样本报告有男性伴侣付钱与其发生性行为。自我报告的性取向与自我报告的性行为不太相符。艾滋病毒感染的重要风险因素包括与多个伴侣发生肛交、过去一个月内与商业女性伴侣发生无保护阴道性交以及任何性传播感染。复杂的性网络表明，男男性行为者在艾滋病毒高流行人群和低流行人群之间起到了桥梁作用。需要围绕行为而非性身份构建更好的预防措施。
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