Semple Shirley J, Strathdee Steffanie A, Gallardo Cruz Manuel, Robertson Angela, Goldenberg Shira, Patterson Thomas L
Department of Psychiatry, University of California - San Diego, La Jolla, USA.
AIDS Care. 2010 Dec;22(12):1473-80. doi: 10.1080/09540121003758648.
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.
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。
