Institute for Media and Communication Sciences, Ilmenau University of Technology (TU Ilmenau)Institute for Global Health, University College LondonInstitute of Medical Biometry and Epidemiology, University Medical Center Hamburg-EppendorfInstitute for Sexual Research, Sexual Medicine and Forensic Psychiatry, University Medical CenterHamburg-Eppendorf.
Dtsch Arztebl Int. 2022 Mar 25;119(12):201-207. doi: 10.3238/arztebl.m2022.0107.
Men who pay for sex (MPS) are a vulnerable bridging population for spreading sexually transmitted infections (STI). However, their prevalence and sexual health are unknown in Germany.
We analyzed data from 2336 men aged 18-75 years resident in Germany who completed the German Health and Sexuality Survey (GeSiD), a populationbased probability sample survey undertaken 2018-2019, using face-to-face interviews (participation rate: 30.2%).
26.9% (95% confidence interval [24.7; 29.2]) of all men reported ever paying for sex. On average, MPS had M = 19.9 [16.8; 22.9] lifetime sexual partners, among them M = 7.3 [5.3; 9.4] paid partners. MPS described their paid sex predominantly as vaginal intercourse in domestic brothels. Regarding socio - demographic characteristics, MPS differed from men not paying for sex (MNPS) in terms of age, immigration status, and sex education. Compared to MNPS, MPS reported significantly more HIV/STI risk-taking, including multiple sex partners in the past year (OR adjusted for age, immigration status, sex education; AOR 3.55) and STI diagnosis in the past 5 years (AOR 1.96) as well as more prevention behaviors (e.g., condom use in the past year: AOR 3.13).
The prevalence of MPS suggests physicians should address the topic with their patients to protect and improve the sexual health of MPS and their paid and unpaid partners.
花钱买性的男性（MPS）是传播性传播感染（STI）的脆弱桥梁人群。然而，他们在德国的流行率和性健康状况尚不清楚。
我们分析了 2018-2019 年通过面对面访谈完成的德国健康和性行为调查（GeSiD）中居住在德国的 2336 名 18-75 岁男性的数据，该调查采用了基于人群的概率抽样方法（参与率：30.2%）。
所有男性中有 26.9%（95%置信区间[24.7; 29.2]）报告曾花钱买性。平均而言，MPS 有 M = 19.9 [16.8; 22.9] 名终身性伴侣，其中 M = 7.3 [5.3; 9.4] 名为付费性伴侣。MPS 将其有偿性描述为在国内妓院进行的阴道性交。在社会人口统计学特征方面，MPS 在年龄、移民身份和性教育方面与不花钱买性的男性（MNPS）有所不同。与 MNPS 相比，MPS 报告了更多的 HIV/性传播感染风险行为，包括过去一年中有多个性伴侣（调整年龄、移民身份、性教育后的比值比[OR]；AOR 3.55）和过去 5 年中诊断出的性传播感染（AOR 1.96），以及更多的预防行为（例如，过去一年中使用安全套：AOR 3.13）。
MPS 的流行率表明，医生应该与患者讨论这个问题，以保护和改善 MPS 及其有偿和无偿性伴侣的性健康。
