Guadamuz Thomas E, Kunawararak Piyada, Beyrer Chris, Pumpaisanchai Jitrat, Wei Chongyi, Celentano David D
Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, PA, USA.
AIDS Care. 2010 May;22(5):597-605. doi: 10.1080/09540120903280935.
This paper reports demographic characteristics, HIV prevalence, and correlates among male sex workers (MSW) in Chiangmai, Thailand. A behavioral assessment survey was included as part of the Thailand Ministry of Public Health HIV sentinel surveillance conducted during June 2003. A sample of 181 MSW from 14 sex establishments around Chiangmai who self-identified as sex workers were interviewed. Non-Thai MSW made up half of the sample (48.6%), with the majority being of Shan ethnicity (64.7%). Thai MSW were significantly more likely to report having had receptive anal intercourse (38.0% vs. 11.8%, p < 0.001) and to have higher HIV prevalence than non-Thai MSW(11.8% vs. 3.4%, p < 0.001). In multivariate analysis, having one or more than one steady male partner in the past month (Odds Ratio: 5.56, 95% Confidence Intervals: 1.13-27.27 and 8.29, 2.01-34.20, respectively), and being older than 21 years (2.26, 1.04-4.90) were significantly and independently associated with prevalent HIV infection. While Thai MSW had higher HIV prevalence and engage in riskier activities, culturally appropriate education and outreach activities are still needed for the large number of ethnic minority MSW, particularly Shan MSW.
本文报告了泰国清迈男性性工作者的人口统计学特征、艾滋病毒流行率及其相关因素。作为泰国公共卫生部2003年6月开展的艾滋病毒哨点监测的一部分，进行了一项行为评估调查。对清迈周边14家性服务场所中181名自我认定为性工作者的男性性工作者进行了访谈。非泰国男性性工作者占样本的一半（48.6%），其中大多数是掸族（64.7%）。泰国男性性工作者报告接受肛交的可能性显著更高（38.0%对11.8%，p<0.001），且艾滋病毒流行率高于非泰国男性性工作者（11.8%对3.4%，p<0.001）。在多变量分析中，过去一个月有一个或多个固定男性伴侣（优势比分别为：5.56，95%置信区间：1.13 - 27.27；8.29，2.01 - 34.20）以及年龄超过21岁（2.26，1.04 - 4.90）与艾滋病毒感染流行显著且独立相关。虽然泰国男性性工作者艾滋病毒流行率更高且从事风险更高的活动，但对于大量少数民族男性性工作者，尤其是掸族男性性工作者，仍需要开展符合文化特点的教育和外展活动。
