Bauermeister José A, Eaton Lisa, Meanley Steven, Pingel Emily S
1 University of Michigan, Ann Arbor, MI, USA.
2 University of Connecticut, West Hartford, CT, USA.
Am J Mens Health. 2017 May;11(3):498-507. doi: 10.1177/1557988315609110. Epub 2015 Oct 5.
Transactional sex refers to the commodification of the body in exchange for shelter, food, and other goods and needs. Transactional sex has been associated with negative health outcomes including HIV infection, psychological distress, and substance use and abuse. Compared with the body of research examining transactional sex among women, less is known about the prevalence and correlates of transactional sex among men. Using data from a cross-sectional survey of young men who have sex with men (ages 18-29) living in the Detroit Metro Area ( N = 357; 9% HIV infected; 49% Black, 26% White, 16% Latino, 9% Other race), multivariate logistic regression analyses examined the association between transactional sex with regular and casual partners and key psychosocial factors (e.g., race/ethnicity, education, poverty, relationship status, HIV status, prior sexually transmitted infections [STIs], mental health, substance use, and residential instability) previously identified in the transactional sex literature. Forty-four percent of the current sample reported engaging in transactional sex. Transactional sex was associated with age, employment status, relationship status, and anxiety symptoms. When stratified, transactional sex with a regular partner was associated with age, educational attainment, employment status, relationship status, anxiety, and alcohol use. Transactional sex with a casual partner was associated with homelessness, race/ethnicity, employment status, and hard drug use. The implications of these findings for HIV/STI prevention are discussed, including the notion that efforts to address HIV/STIs among young men who have sex with men may require interventions to consider experiences of transactional sex and the psychosocial contexts that may increase its likelihood.
交易性行为是指身体被商品化以换取住所、食物及其他物品和需求。交易性行为与包括艾滋病毒感染、心理困扰以及物质使用和滥用在内的负面健康结果相关。与研究女性交易性行为的大量文献相比，关于男性交易性行为的患病率及其相关因素的了解较少。利用对底特律都会区18至29岁男男性行为者进行的横断面调查数据（N = 357；9%感染艾滋病毒；49%为黑人，26%为白人，16%为拉丁裔，9%为其他种族），多变量逻辑回归分析检验了与固定和临时伴侣进行交易性行为与交易性行为文献中先前确定的关键心理社会因素（如种族/族裔、教育程度、贫困、恋爱状况、艾滋病毒感染状况、既往性传播感染、心理健康、物质使用和居住不稳定）之间的关联。当前样本中有44%报告有过交易性行为。交易性行为与年龄、就业状况、恋爱状况和焦虑症状相关。分层后，与固定伴侣的交易性行为与年龄、教育程度、就业状况、恋爱状况、焦虑和饮酒相关。与临时伴侣的交易性行为与无家可归、种族/族裔、就业状况和使用硬性毒品相关。讨论了这些发现对艾滋病毒/性传播感染预防的意义，包括这样一种观点，即针对男男性行为者中的艾滋病毒/性传播感染开展的防治工作可能需要采取干预措施，以考虑交易性行为的经历以及可能增加其发生可能性的心理社会背景。
