George Paul E, Bayer Angela M, Garcia Patricia J, Perez-Lu Jose E, Burke Jessica G, Coates Thomas J, Gorbach Pamina M
Division of Infectious Diseases, David Geffen School of Medicine, University of California, Los Angeles, 10833 LeConte Ave., CHS 12-105, Los Angeles, CA, 90095, USA.
Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
AIDS Behav. 2016 Sep;20(9):2078-89. doi: 10.1007/s10461-016-1327-8.
Violence experience can increase HIV risk behaviors; however, literature is scarce on violence among male sex workers (MSWs) globally. In 2014, 210 Peruvian MSWs (median age 24.9) were interviewed about their experience of physical, emotional, and sexual violence and condom use with non-paying intimate partners and clients and were tested for HIV. Multivariable models examined relationships between violence in the past 6 months, condomless anal intercourse (CLAI) in the past 3 months and HIV infection. HIV infection (24 %), CLAI (43 %), being a violence victim (42 %) and perpetrator (39 %) were common. In separate multivariable models, being a violence victim [adjusted prevalence ratio aPR = 1.49 (95 % CI 1.09-2.03)] and perpetrator [aPR = 1.39 (1.03-1.87)] were associated with CLAI. Further, being a victim [aPR = 1.65 (1.04-2.62)] was associated with HIV infection. Violence, which was significantly associated with CLAI and HIV infection, is common among Peruvian MSWs, reinforcing the importance of violence awareness and prevention as HIV risk-reduction strategies.
暴力经历会增加感染艾滋病毒的风险行为；然而，全球范围内关于男性性工作者（MSWs）遭受暴力的文献却很匮乏。2014年，对210名秘鲁男性性工作者（中位年龄24.9岁）进行了访谈，了解他们遭受身体、情感和性暴力的经历，以及与无酬亲密伴侣和客户使用避孕套的情况，并对他们进行了艾滋病毒检测。多变量模型研究了过去6个月内的暴力行为、过去3个月内的无保护肛交（CLAI）与艾滋病毒感染之间的关系。艾滋病毒感染率（24%）、无保护肛交率（43%）、成为暴力受害者（42%）和施暴者（39%）的情况都很常见。在单独的多变量模型中，成为暴力受害者[调整患病率比aPR = 1.49（95%置信区间1.09 - 2.03）]和施暴者[aPR = 1.39（1.03 - 1.87）]与无保护肛交有关。此外，成为受害者[aPR = 1.65（1.04 - 2.62）]与艾滋病毒感染有关。暴力行为在秘鲁男性性工作者中很常见，且与无保护肛交和艾滋病毒感染显著相关，这强化了将提高对暴力行为的认识和预防作为降低艾滋病毒风险策略的重要性。
