Collumbien Martine, Chow Jaime, Qureshi Ayaz Ahmed, Rabbani Aliya, Hawkes Sarah
Centre for Population Studies, London School of Hygiene and Tropical Medicine, London, UK.
J LGBT Health Res. 2008;4(2-3):71-9. doi: 10.1080/15574090902913651.
Using data from a qualitative study and a subsequent quantitative survey among 918 male and transgender sex workers (MTSW), we explore the context of multiple risks they face. We show that over one-fifth of MTSW have sex with IDU clients. Combined with high levels of risk behavior and very low levels of risk reduction and knowledge, the extent of sexual networking with men who inject drugs contributes further to the sex workers' health risks. Our findings suggest that isolated interventions with single-risk groups are unlikely to be sufficient to control the spread of the epidemic in Pakistan. We highlight the need for integrated approaches to risk reduction programs among MTSW and IDUs.
利用一项定性研究以及随后对918名男性和变性性工作者（MTSW）进行的定量调查数据，我们探究了他们所面临的多种风险的背景情况。我们发现，超过五分之一的MTSW与注射吸毒者客户发生性行为。再加上高风险行为水平以及极低的风险降低和认知水平，与注射吸毒男性的性网络范围进一步增加了性工作者的健康风险。我们的研究结果表明，对单一风险群体进行孤立干预不太可能足以控制巴基斯坦的疫情传播。我们强调需要对MTSW和注射吸毒者实施综合的风险降低项目方法。
