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牙买加的交易性行为和危险性行为。

Transactional sex and risky sexual practices in Jamaica.

机构信息

Department of Sociology, Psychology and Social Work, University of the West Indies, Kington, Jamaica.

Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.

出版信息

Int J STD AIDS. 2024 Oct;35(11):850-857. doi: 10.1177/09564624241267333. Epub 2024 Aug 2.

DOI:10.1177/09564624241267333
PMID:39095070
Abstract

BACKGROUND

Transactional sex relationships (TSRs) create financial and emotional support for men and women, as well as an increased sexual risk. Studies have reported high HIV and STI transmission rates among young women in transactional sex relationships. However, little is known about TSR prevalence in Jamaica and risky sexual practices among participants. This study investigates the sexual behaviour of Jamaicans in TSR.

METHODS

Secondary data analysis of a national survey revealed that 586 participants (38%) self-reported being in at least one TSR in the last 12 months. We also identified a third category called "Benefluids", who play both roles of benefactor and beneficiary in transactional sex relationships.

RESULTS

59 percent of male Benefluids had two to five transactional sex relationship partners in the last 12 months, compared to 40% of female Benefluids. Twenty-eight percent of female Benefluids reported sexually transmitted infection symptoms in the last 12 months compared to 13.5% of male Benefluids. While females reported more sexually transmitted infection symptoms, young men had the highest sexual risk precursors.

CONCLUSIONS

People in transactional sex relationships often play the role of beneficiaries and benefactors to meet material and sexual needs but this increases the risk of STI symptoms.

摘要

背景

交易性关系(TSR)为男性和女性提供经济和情感支持,同时增加性风险。研究报告称,在交易性关系中,年轻女性的 HIV 和性传播感染(STI)发病率很高。然而,人们对牙买加的 TSR 流行率以及参与者的危险性行为知之甚少。本研究调查了牙买加人的交易性行为。

方法

对一项全国性调查的二次数据分析显示,586 名参与者(38%)自我报告在过去 12 个月中至少有过一次 TSR。我们还确定了第三类称为“Benefluids”的人群,他们在交易性关系中扮演着资助者和受益者的双重角色。

结果

在过去 12 个月中,59%的男性 Benefluids 有 2 到 5 个交易性伴侣,而女性 Benefluids 则为 40%。28%的女性 Benefluids 在过去 12 个月中报告有性传播感染症状,而男性 Benefluids 则为 13.5%。虽然女性报告的性传播感染症状更多,但年轻男性的性风险因素最高。

结论

处于交易性关系中的人们经常扮演受益者和资助者的角色,以满足物质和性需求,但这增加了性传播感染症状的风险。

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