Safika Iko, Johnson Timothy P, Cho Young Ik, Praptoraharjo Ignatius
University of Illinois at Chicago, Chicago, IL, USA
University of Illinois at Chicago, Chicago, IL, USA.
Am J Mens Health. 2014 Jul;8(4):278-88. doi: 10.1177/1557988313508430. Epub 2013 Nov 7.
This article examined differences in condom use during anal intercourse among men who have sex with men (MSM) and male-to-female transgender women in Jakarta, Indonesia. A cross-sectional design, structured interviews, and hierarchical linear modeling were used to examine condom use among MSM recruited from entertainment places (EPs; e.g., discotheques/dance clubs/karaoke bars), massage parlors (MPs), and among transgender women who congregated and/or sought sexual partners on streets/parks (S/P). The sample consisted of 91, 97, and 114 of MSM-EP, MSM-MP, and transgender-S/P, respectively. Respondents reported on 641 unique sexual partner encounters, which were "nested" within 302 respondents. Reported condom use was high, 66%, 84%, and 83% for MSM-EP, MSM-MP, and transgender-S/P, respectively, and varied across type of respondent. At the individual level, depressive symptoms and history of physical abuse during childhood and adulthood were associated with lower condom use (p < .05). By contrast, having a higher level of education was associated with more condom use (p < .05). At the partner level, condom use was associated with type of partners and the use of club drugs before sex. HIV-prevention efforts should take into account the multilevel determinants of condom use within these populations.
本文研究了印度尼西亚雅加达男男性行为者（MSM）与男变女跨性别女性在肛交时使用避孕套的差异。采用横断面设计、结构化访谈和分层线性模型，对从娱乐场所（如迪斯科舞厅/舞蹈俱乐部/卡拉OK酒吧）、按摩院招募的男男性行为者，以及在街道/公园聚集和/或寻找性伴侣的跨性别女性的避孕套使用情况进行了研究。样本分别包括91名来自娱乐场所的男男性行为者、97名来自按摩院的男男性行为者和114名来自街道/公园的跨性别女性。受访者报告了641次独特的性伴侣接触情况，这些情况“嵌套”在302名受访者中。报告的避孕套使用率较高，来自娱乐场所的男男性行为者、来自按摩院的男男性行为者和来自街道/公园的跨性别女性的使用率分别为66%、84%和83%，且因受访者类型而异。在个体层面，抑郁症状以及童年和成年期的身体虐待史与较低的避孕套使用率相关（p < 0.05）。相比之下，受教育程度较高与更多地使用避孕套相关（p < 0.05）。在伴侣层面，避孕套的使用与伴侣类型以及性行为前使用俱乐部药物有关。艾滋病毒预防工作应考虑这些人群中避孕套使用的多层次决定因素。
