男性吸毒者中的同性性交易及其感染艾滋病毒的风险。
Homosexual prostitution among male drug users and its risk for HIV infection.
作者信息
van den Hoek J A, van Haastrecht H J, Coutinho R A
机构信息
Municipal Health Service, Department of Public Health and Environment, Amsterdam.
出版信息
Genitourin Med. 1991 Aug;67(4):303-6. doi: 10.1136/sti.67.4.303.
OBJECTIVE
to assess whether male prostitution is an independent risk factor for HIV infection among male (intravenous and nonintravenous) drug users.
DESIGN
a cross-sectional study.
SETTING
various low-threshold methadone clinics and the sexually transmitted diseases clinic of the Municipal Health Service in Amsterdam and a drug-treatment centre in The Hague.
PARTICIPANTS
343 male intravenous drug users and 106 male non-intravenous drug users.
MAIN OUTCOME MEASURES
characteristics concerning drug use behaviour, sexual behaviour, and sociodemography, related to prostitution and HIV-antibodies.
RESULTS
of the 449 study participants, 88 (20%) reported a history of prostitution; no differences were found between intravenous and non-intravenous drug users. Younger age, West German nationality, and having had private homosexual sex contacts, were independent predictors of a history of prostitution. Independent predictors of HIV infection were (1) longer residency in Amsterdam; (2) having had predominantly homosexual private sex contacts; (3) longer duration of intravenous drug use; and (4) frequent needle sharing.
CONCLUSION
no evidence was found to suggest that male prostitution in itself contributed to the risk of HIV infection.
目的
评估男性卖淫是否为男性（静脉注射和非静脉注射）吸毒者感染艾滋病毒的独立危险因素。
设计
一项横断面研究。
地点
阿姆斯特丹市卫生服务机构的多个低门槛美沙酮诊所和性传播疾病诊所，以及海牙的一个戒毒治疗中心。
参与者
343名男性静脉注射吸毒者和106名男性非静脉注射吸毒者。
主要观察指标
与卖淫和艾滋病毒抗体相关的吸毒行为、性行为及社会人口统计学特征。
结果
在449名研究参与者中，88人（20%）报告有卖淫史；静脉注射吸毒者和非静脉注射吸毒者之间未发现差异。年龄较小、为西德国籍以及有过同性私密性行为是卖淫史的独立预测因素。艾滋病毒感染的独立预测因素为：（1）在阿姆斯特丹居住时间较长；（2）主要有同性私密性行为；（3）静脉注射吸毒时间较长；（4）频繁共用针头。
结论
未发现证据表明男性卖淫本身会增加感染艾滋病毒的风险。
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