Department of Clinical and Basic Psychology and Psychobiology, Universitat Jaume I, Castellón de la Plana, Spain.
AIDS Behav. 2012 May;16(4):960-8. doi: 10.1007/s10461-011-9964-4.
The stigma associated with male sex workers (MSW) hinders the prevention, treatment, and care of HIV infection in this population. These factors make social and public health resources less accessible to MSW. To improve the effectiveness of prevention strategies, this study examines social factors such as educational level, country of origin, and sexual orientation. Semi-structured interviews of 100 MSW in Castellón and Valencia (Spanish cities) indicate that knowledge of HIV transmission is good; nevertheless, MSW significantly overestimate or underestimate some sexual practices. Levels of condom use are high; notably, they are higher during anal sex. Levels of condom use are lower with intimate partners than with clients. MSW do not present differences in terms of the socio-demographic variables analyzed and sexual orientation. Furthermore, regression analyses are not significant. These results offer more accurate profiles of MSW than were previously available, which will ultimately help improve the effectiveness of prevention programs.
男男性行为者（MSW）所面临的污名将阻碍该人群艾滋病毒感染的预防、治疗和护理。这些因素使得 MSW 更难以获得社会和公共卫生资源。为了提高预防策略的有效性，本研究调查了教育水平、原籍国和性取向等社会因素。对卡斯蒂利亚-拉曼恰自治区卡塔赫纳和巴伦西亚（西班牙城市）的 100 名男男性行为者进行的半结构化访谈表明，他们对艾滋病毒传播的了解良好；然而，MSW 对某些性行为的估计过高或过低。安全套的使用水平较高；特别是在肛交时更高。与客户相比，与亲密伴侣发生性行为时使用安全套的比例较低。MSW 在分析的社会人口变量和性取向方面没有差异。此外，回归分析没有显著意义。这些结果提供了比以前更准确的 MSW 概况，这最终将有助于提高预防计划的有效性。
