Afolaranmi Tolulope O, Dogo Joy M, Adeoye Philip A, Ugwu Raluchukwu A, Omokore Oluseyi A, Wekpe Solomon, Ogunshola Olabanjo O, Zoakah Ayuba I, Kanki Phyillis
Department of Community Medicine, University of Jos. Jos, Plateau State, Nigeria.
Department of Community Medicine, Jos University of Teaching Hospital Jos, Plateau State, Nigeria.
Indian J Community Med. 2025 Aug;50(Suppl 1):S48-S53. doi: 10.4103/ijcm.ijcm_110_24. Epub 2025 Feb 27.
Involvement in transactional sex encompasses a spectrum of activities ranging from casual sex to continual professional exchange of sex for benefits. Transactional sex is driven by economic, structural, social, legal, and psychological vulnerability factors that are common among men who have sex with men (MSM) and could negatively impact the gains and mileage achieved in HIV/AIDS epidemic control. Hence, this study was conducted to assess the prevalence and drivers of transactional sex among the MSM population in Plateau State Northern Central Nigeria.
This was a cross-sectional study conducted among the MSM population between October 2021 and June 2022 using a quantitative data collection method. Respondent-driven sampling (RDS) was used to recruit participants into the study. SPSS version 22 was used for data analysis with crude and adjusted odds ratios as well as 95% confidence interval used as point and interval estimates with a ≤ 0.05 considered statistically significant.
The mean age of the study participants was 26.7 ± 5.4 years with 203 (42.6%) being strictly homosexual and 273 (57.4%) bisexuals. The prevalence of self-reported engagement in transactional sex was 89.9%, which was found to be driven by lack of employment in jobs (adjusted odds ratio [AOR]: 1.4, 95% CI: 1.1-2.3), bisexual orientation (AOR: 2.7, 95% CI: 1.1-6.4), positive family history of same-sex engagement (AOR: 4.6, 95% CI: 1.8-11.6), and being married (AOR: 2.6, 95% CI: 1.1-8.1).
This study found a higher prevalence of engagement in self-reported transactional sex being driven by lack of employment, bisexual orientation, and positive family history of same-sex engagement.
参与交易性行为涵盖了一系列活动，从随意性行为到持续以性换取利益的职业交易。交易性行为由经济、结构、社会、法律和心理脆弱性因素驱动，这些因素在男男性行为者（MSM）中很常见，可能会对艾滋病毒/艾滋病疫情控制所取得的成果产生负面影响。因此，本研究旨在评估尼日利亚中北部高原州男男性行为者人群中交易性行为的患病率及其驱动因素。
这是一项横断面研究，于2021年10月至2022年6月期间在男男性行为者人群中进行，采用定量数据收集方法。采用应答者驱动抽样（RDS）招募研究参与者。使用SPSS 22版进行数据分析，以粗比值比和调整后的比值比以及95%置信区间作为点估计和区间估计，P≤0.05被认为具有统计学意义。
研究参与者的平均年龄为26.7±5.4岁，其中203人（42.6%）为严格同性恋者，273人（57.4%）为双性恋者。自我报告参与交易性行为的患病率为89.9%，发现其驱动因素包括缺乏工作（调整后的比值比[AOR]：1.4，95%置信区间：1.1 - 2.3）、双性恋取向（AOR：2.7，95%置信区间：1.1 - 6.4）、同性性行为的阳性家族史（AOR：4.6，95%置信区间：1.8 - 11.6）以及已婚（AOR：2.6，95%置信区间：1.1 - 8.1）。
本研究发现，自我报告参与交易性行为的患病率较高，其驱动因素包括缺乏工作、双性恋取向以及同性性行为的阳性家族史。
