Alecrim Denyr Jeferson Dutra, Ceccato Maria das Graças Braga, Dourado Inês, Kerr Ligia, Brito Ana Maria de, Guimarães Mark Drew Crosland
Faculdade de Farmácia, Universidade Federal de Minas Gerais (UFMG). Av. Antonio Carlos 6627, Pampulha. 31270-010, Belo Horizonte, MG, Brasil.
Instituto de Saúde Coletiva, Universidade Federal da Bahia. Salvador, BA, Brasil.
Cien Saude Colet. 2020 Mar;25(3):1025-1039. doi: 10.1590/1413-81232020253.18052018. Epub 2018 Jul 16.
This study aimed to analyze the association between sociodemographic, programmatic and contextual factors and the receipt of money in exchange for sex among men who have sex with men (MSM). This is a multicenter, cross-sectional study conducted in ten Brazilian cities between 2008 and 2009. Adult MSM recruited through the Respondent Driven Sampling (RDS) were interviewed. Weighted Odds Ratio (ORw) was obtained through logistic regression, retaining the variables associated with the event (p < 0.05) in the final model. Of the total sample, 33.3% reported receiving money in exchange for sex in the last 12 months before the interview. The variables that were independently associated with the event were age less than or equal to 25 years, lower education, lower social classes, previous history of syphilis, using sites or services to find sexual partners in the previous month, very high risk behavior, using illicit drugs in the previous six months, self-identifying as heterosexual or bisexual, having suffered physical violence due to sexual orientation and having suicidal thoughts always or most of the time. It was observed that MSM who received money in exchange for sex had greater socioeconomic, programmatic and contextual vulnerability, potentially increasing the risk of HIV infection than the other MSM in the sample.
本研究旨在分析社会人口学、项目及环境因素与男男性行为者（MSM）以性换钱行为之间的关联。这是一项于2008年至2009年在巴西十个城市开展的多中心横断面研究。通过应答者驱动抽样（RDS）招募成年MSM并进行访谈。通过逻辑回归获得加权比值比（ORw），最终模型保留与该事件相关的变量（p < 0.05）。在总样本中，33.3%的人报告在访谈前的过去12个月内有过以性换钱行为。与该事件独立相关的变量包括年龄小于或等于25岁、教育程度较低、社会阶层较低、有梅毒病史、在前一个月使用网站或服务寻找性伴侣、有非常高的风险行为、在过去六个月内使用过非法药物、自我认同为异性恋或双性恋、因性取向遭受过身体暴力以及总是或大部分时间有自杀念头。研究发现，与样本中的其他MSM相比，有以性换钱行为的MSM在社会经济、项目及环境方面的脆弱性更大，这可能会增加其感染艾滋病毒的风险。
