Department of Epidemiology, Harvard T.H. Chan School of Public Health.
Yale AIDS Prevention Training Program (Y-APT), Center for Interdisciplinary Research on AIDS, School of Public Health/Medicine, Yale University.
J Sex Res. 2021 Jul;58(6):706-712. doi: 10.1080/00224499.2020.1854649. Epub 2020 Dec 7.
Gay and bisexual men (GBM) who report engagement in transactional sex are at increased risk for HIV acquisition. The current study aimed to assess the prevalence of transactional sex and its association with demographic characteristics, social marginalization, HIV sexual risk behaviors, psychosocial health problems, and access to healthcare services among a multi-site sample of GBM in Nigeria. Bivariate and multivariable logistic regression were used to examine factors associated with engagement in transactional sex in the previous 3 months. More than a third (39.6%) of the participants reported engagement in transactional sex in the previous 3 months. In the multivariable model, factors associated with engagement in transactional sex included: reporting a monthly income of 30,000 Naira [adjusted odds ratio (aOR) 1.98; 95% CI: 1.12 to 3.35], compared to 30,000 or more Naira monthly income, reporting 4 or more receptive anal sex acts in the previous 30 days (aOR 2.45; 95% CI: 1.31 to 4.57) compared to reporting none, and having depressive symptoms (aOR 1.82; 95% CI: 1.06 to 3.14). There is an urgent need for interventions that address the economic disenfranchisement and psychosocial problems experienced by GBM in Nigeria, which has implications for sexual health.
男同性恋和双性恋者（GBM）报告有过交易性行为的，艾滋病毒感染风险增加。本研究旨在评估尼日利亚多地点 GBM 样本中，交易性行为的流行情况及其与人口统计学特征、社会边缘化、艾滋病毒性风险行为、心理健康问题和获得医疗保健服务之间的关联。采用双变量和多变量逻辑回归分析来检查与过去 3 个月内发生交易性行为相关的因素。超过三分之一（39.6%）的参与者报告过去 3 个月内有过交易性行为。在多变量模型中，与交易性行为相关的因素包括：报告每月收入为 30,000 奈拉（调整后的优势比[aOR]为 1.98；95%可信区间[CI]为 1.12 至 3.35），而不是每月收入为 30,000 奈拉或更多；报告过去 30 天内有 4 次或更多次接受肛交（aOR 为 2.45；95%CI 为 1.31 至 4.57），而不是报告没有；以及有抑郁症状（aOR 为 1.82；95%CI 为 1.06 至 3.14）。尼日利亚 GBM 面临着经济剥夺和心理社会问题，迫切需要采取干预措施来解决这些问题，这对性健康具有重要意义。
