Department of Epidemiology and Health Statistics, Tianjin Medical University, Tianjin, China.
STD & AIDS Control and Prevention Section, Tianjin Center for Disease Control and Prevention, Tianjin, China.
HIV Med. 2019 Aug;20(7):473-484. doi: 10.1111/hiv.12746. Epub 2019 Apr 22.
Internet-based venue sex-seeking is prevalent among money boys (MBs), as is a high degree of mobility, which is crucial for HIV transmission in key populations with high risks of HIV infection. However, correlation studies in MBs are scarce because of the secretive nature of this hard-to-reach subpopulation. We conducted this project to explore the characteristics of MBs.
This survey was conducted from December 2014 to June 2015 in Tianjin; a total of 330 MBs were recruited by convenience sampling. Demographic and behavioural data were collected for analysis.
Among the investigated MBs, 38 (11.52%) were HIV positive, 147 (44.55%) reported using internet-based venues to seek sexual partners and 257 (77.88%) had travelled to two or more destinations in the past 6 months. Compared with non-internet-based venue-using MBs, internet-based venue-using MBs were more likely to have part-time employment as MBs, to have a longer duration of working in the sex trade, to engage in finger intercourse and to present a history of substance abuse and sexually transmitted infections. However, internet-based venue-using MBs were less likely to exhibit consistent condom usage and undergo HIV testing. Origin of residence data showed that most MBs were from northern China, with Tianjin, Beijing and Shanghai as the main travel destinations. Mobile MBs were characterized as a group who were fully engaged in the sex trade and frequently took part in sexual activities but had a weak sense of self-protection.
Internet-based venue sex-seeking and mobility are prevalent in MBs. Renewed efforts in internet-based health promotion and school-based primary health examination programmes may benefit more mobile and/or internet-based venue sex-seeking MBs.
网络寻性是男妓(MBs)中普遍存在的现象,而且他们高度流动,这对于感染艾滋病毒风险高的关键人群中的艾滋病毒传播至关重要。然而,由于这个难以接触的亚人群的秘密性质,对 MBs 的相关研究很少。我们开展了这项研究,以探索 MBs 的特征。
本研究于 2014 年 12 月至 2015 年 6 月在天津进行,采用便利抽样法共招募了 330 名 MBs。收集人口统计学和行为数据进行分析。
在所调查的 MBs 中,38 人(11.52%)艾滋病毒检测呈阳性,147 人(44.55%)报告使用网络场所寻找性伴侣,257 人(77.88%)在过去 6 个月内去过两个或两个以上目的地。与非网络场所使用的 MBs 相比,网络场所使用的 MBs 更有可能兼职做 MBs,从事性交易的时间更长,有手指性交行为,有滥用药物和性传播感染史。然而,网络场所使用的 MBs 更不可能坚持使用安全套和进行艾滋病毒检测。原籍地数据显示,大多数 MBs 来自中国北方,天津、北京和上海是主要的旅行目的地。流动 MBs 的特点是完全从事性交易,经常参与性活动,但自我保护意识薄弱。
网络寻性和流动在 MBs 中很普遍。在网络上开展促进健康的活动和在学校开展基本的初级卫生检查方案,可能会使更多的流动和/或网络场所寻性的 MBs 受益。