墨西哥蒂华纳市女性性工作者男性客户中性风险行为的性心理及社会认知相关因素
Psychosexual and social-cognitive correlates of sexual risk behavior among male clients of female sex workers in Tijuana, Mexico.
作者信息
Semple Shirley J, Strathdee Steffanie A, Gallardo Cruz Manuel, Robertson Angela, Goldenberg Shira, Patterson Thomas L
机构信息
Department of Psychiatry, University of California - San Diego, La Jolla, USA.
出版信息
AIDS Care. 2010 Dec;22(12):1473-80. doi: 10.1080/09540121003758648.
Abstract
Male clients of female sex workers (FSWs) may act as a bridge to the general population contributing to the spread of HIV and other sexually transmitted infections (STIs) in the USA and Mexico. This study used cross-sectional data to identify psychosexual and social-cognitive factors associated with sexual risk behavior in a bi-national sample of 300 male clients of FSWs recruited in Tijuana, Mexico from June to October 2008. In a multiple regression analysis, the number of unprotected vaginal sex acts with FSWs was associated with higher sexual compulsivity scores, lower self-efficacy for condom use, greater use of illicit drugs, and more financial need. Behavioral interventions are urgently needed to assist clients of FSWs in reducing high-risk behaviors in an effort to prevent the spread of HIV/STIs in this high-risk population and their sexual partners.
摘要
女性性工作者（FSW）的男性客户可能成为艾滋病病毒（HIV）和其他性传播感染（STI）在美国和墨西哥向普通人群传播的桥梁。本研究使用横断面数据，在2008年6月至10月于墨西哥蒂华纳招募的300名女性性工作者男性客户的双国籍样本中，确定与性风险行为相关的性心理和社会认知因素。在多元回归分析中，与女性性工作者发生无保护阴道性行为的次数与更高的性强迫得分、更低的使用避孕套自我效能、更多地使用非法药物以及更大的经济需求相关。迫切需要采取行为干预措施，帮助女性性工作者的客户减少高风险行为，以防止HIV/STIs在这一高风险人群及其性伴侣中传播。
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