Zhang A, Yan J, Yang G, Tan X, Wang X, Tan S
The 3rd Xiangya Hospital, Central South University, Tongzipo Road #138, Changsha, Hunan 410013, China.
The 3rd Xiangya Hospital, Central South University, Tongzipo Road #138, Changsha, Hunan 410013, China.
Public Health. 2018 Jan;154:110-117. doi: 10.1016/j.puhe.2017.10.023. Epub 2017 Dec 22.
Money Boy (MB) is a unique term used in China referring to a specialized population of men who sell sex to other men. Life satisfaction can influence one's health-related behaviors. The aim of our study was to find out the situation of MBs' life satisfaction and its associated factors.
A cross-sectional study among MBs was conducted between July and December 2013 in Hunan province, China.
Respondent-driven sampling method was used for recruitment, with the initial seven 'seeds' found from a gay dating website, and 234 participants were enrolled into the study. They were asked to complete a questionnaire about their demographic characteristics, work experience as MB, family environment, health-related behaviors, status of self-esteem, self-stigma, and perceived life satisfaction. Descriptive statistics and multiple linear regression analysis were applied.
There were 205 valid questionnaires collected. The results showed that MBs' life satisfaction score was 17.9 ± 6.3. The multiple linear regression model identified five factors correlated with MBs' life satisfaction. Three factors were found to be positively correlated with life satisfaction, consistent condom use with clients (β = 3.093, P = 0.010), interpersonal relationship (β = 1.027, P = 0.017), and self-esteem (β = 0.253, P = 0.005). And two factors were found to be negatively correlated with life satisfaction, seeking for clients through mommy's arrangement (β = -2.091, P = 0.019) and had ever gotten at least one kind of sexually transmitted disease (STDs) (β = -1.971, P = 0.034).
The present study contributed to a better understanding of MBs' life satisfaction and behavioral and other psychosocial features. It is suggested that comprehensive interventions involving behavioral and psychosocial health promotion approaches are needed for this population. Those programs will be more acceptable among this group and tend to be sustainable.
“男公关”是中国特有的一个术语，指的是向其他男性出卖性服务的特定男性群体。生活满意度会影响一个人的健康相关行为。我们研究的目的是了解男公关的生活满意度状况及其相关因素。
2013年7月至12月在中国湖南省对男公关进行了一项横断面研究。
采用应答者驱动抽样方法进行招募，最初的7名“种子”来自一个同性恋交友网站，共有234名参与者纳入研究。他们被要求填写一份问卷，内容包括他们的人口统计学特征、作为男公关的工作经历、家庭环境、健康相关行为、自尊状况、自我污名化以及感知到的生活满意度。应用描述性统计和多元线性回归分析。
共收集到205份有效问卷。结果显示，男公关的生活满意度得分为17.9±6.3。多元线性回归模型确定了与男公关生活满意度相关的五个因素。发现三个因素与生活满意度呈正相关，与客户始终坚持使用避孕套（β=3.093，P=0.010）、人际关系（β=1.027，P=0.017）和自尊（β=0.253，P=0.005）。发现两个因素与生活满意度呈负相关，通过妈咪安排寻找客户（β=-2.091，P=0.019）以及曾感染至少一种性传播疾病（β=-1.971，P=0.034）。
本研究有助于更好地了解男公关的生活满意度以及行为和其他心理社会特征。建议针对该人群采取包括行为和心理社会健康促进方法在内的综合干预措施。这些项目在该群体中会更易被接受且往往具有可持续性。
