巴基斯坦选定城市男性和变性性工作者特征、结构和动态的异质性。
Heterogeneity of characteristics, structure, and dynamics of male and hijra sex workers in selected cities of Pakistan.
机构信息
Department of Community Health Sciences, Centre for Global Public Health, University of Manitoba, , Winnipeg, Manitoba, Canada.
出版信息
Sex Transm Infect. 2013 Sep;89 Suppl 2(Suppl 2):ii43-47. doi: 10.1136/sextrans-2012-050901. Epub 2013 Apr 20.
BACKGROUND
We sought to describe the characteristics and operational dynamics of male sex workers (MSW) and hijra sex workers (HSWs) in 11 cities across Pakistan in 2011.
METHODS
We report descriptive statistics of self-reported sexual behaviour data from cross-sectional mapping and biological and behavioural surveys conducted among 1431 MSWs and 1415 HSWs in four cities across Pakistan in 2011.
RESULTS
While Karachi had the largest numbers of MSWs and HSWs, Quetta had the largest relative population sizes, with 3.6 MSWs per 1000 male adults and 3.3 HSWs per 1000 male adults. There was considerable variability in the proportion of HSWs who operate through deras, ranging from 2.2% in Peshawar to 62.7% in Karachi. The number of HSWs per guru varies by city, from 1.5 in Quetta to 16.5 HSWs per guru in Karachi. Among HSWs, the use of mobile phones for solicitation ranged from 37.6% in Quetta to 83% in Peshawar and among MSWs the use of mobile phones ranged from 27% in Karachi to 52% in Quetta. In Quetta, a large proportion of HSWs (41%) find clients through gurus. Client volume tended to be higher among HSWs and among both MSWs and HSWs in Quetta and Peshawar. Condom use with clients was most consistent in Quetta, with 31% of MSWs and 41% of HSWs reporting always using condoms with clients. Peshawar had the greatest proportion reporting never using condoms.
CONCLUSIONS
There is considerable geographic heterogeneity in the characteristics and operational dynamics of MSWs and HSWs across Pakistan.
背景
我们旨在描述 2011 年在巴基斯坦 11 个城市中男男性工作者（MSW）和跨性别性工作者（HSW）的特征和运营动态。
方法
我们报告了 2011 年在巴基斯坦四个城市中进行的横断面绘图和生物及行为调查中，1431 名 MSW 和 1415 名 HSW 自我报告性行为数据的描述性统计数据。
结果
虽然卡拉奇拥有最多的 MSW 和 HSW，但奎达的相对人口规模最大，每 1000 名成年男性中分别有 3.6 名 MSW 和 3.3 名 HSW。通过 deras 运营的 HSW 比例存在很大差异，从白沙瓦的 2.2%到卡拉奇的 62.7%。每位 guru 的 HSW 数量因城市而异，从奎达的 1.5 名到卡拉奇的 16.5 名。在 HSW 中，通过手机招揽顾客的比例从奎达的 37.6%到白沙瓦的 83%不等，而在 MSW 中，手机的使用率从卡拉奇的 27%到奎塔的 52%不等。在奎达，很大一部分 HSW（41%）通过 guru 寻找客户。在奎达和白沙瓦，客户数量在 HSW 和 MSW 中均较高。与客户使用安全套的一致性最高的是奎达，31%的 MSW 和 41%的 HSW 报告始终与客户使用安全套。白沙瓦报告从不使用安全套的比例最高。
结论
在巴基斯坦，MSW 和 HSW 的特征和运营动态存在相当大的地域差异。
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