移民男性：巴基斯坦艾滋病毒控制的重点对象？
Migrant men: a priority for HIV control in Pakistan?
作者信息
Faisel A, Cleland J
机构信息
Centre for Population Studies, London School of Hygiene and Tropical Medicine, 49-50 Bedford Square, London WC1B 3DP, UK.
出版信息
Sex Transm Infect. 2006 Aug;82(4):307-10. doi: 10.1136/sti.2005.018762.
OBJECTIVES
To assess sexual risk behaviour and prevalence of treatable sexually transmitted infections (STI) in migrant male workers in Lahore, Pakistan.
METHODS
Behavioural interviews were conducted on a representative sample of 590 migrant men aged 20-49 years. Biological samples were collected from a subsample of 190 and tested for chlamydia, gonorrhoea, and syphilis.
RESULTS
Over half (55%) of single men were sexually experienced and 36% of married men reported premarital sex. The median ages at first intercourse and first marriage were 21 years and 28 years, respectively. In the total sample (including virgins), 13% reported any female non-marital partner in the past 12 months, 7% contact with a female sex worker, and 2% sex with a man. Only 10% reported using a condom during most recent contact with a sex worker. STI symptoms in the past 3 months were reported by 8% of men. Laboratory tests disclosed that STI prevalence was 3.2%.
CONCLUSIONS
If and when HIV infection spreads among sex workers in Lahore, the reported behaviour of migrant men suggests that they may act as a conduit for further transmission to the general population. Condom promotion focused on the sex trade is likely to be the most effective way of reducing this risk.
目的
评估巴基斯坦拉合尔市男性 migrant 工人的性风险行为及可治疗性传播感染（STI）的患病率。
方法
对590名年龄在20至49岁的男性 migrant 工人的代表性样本进行行为访谈。从190人的子样本中采集生物样本，检测衣原体、淋病和梅毒。
结果
超过一半（55%）的单身男性有性经历，36%的已婚男性报告有婚前性行为。首次性交和首次结婚的中位年龄分别为21岁和28岁。在总样本（包括处女）中，13%的人报告在过去12个月中有任何女性非婚性伴侣，7%与女性性工作者有接触，2%与男性发生过性行为。只有10%的人报告在最近一次性接触性工作者时使用了避孕套。8%的男性报告在过去3个月中有性传播感染症状。实验室检测显示性传播感染患病率为3.2%。
结论
如果艾滋病毒感染在拉合尔的性工作者中传播，这些男性 migrant 工人的报告行为表明他们可能成为向普通人群进一步传播的渠道。针对性交易推广避孕套可能是降低这种风险的最有效方法。
Zotero 插件