男妓中与艾滋病毒感染相关的风险因素。
Risk factors associated with HIV infection among male prostitutes.
作者信息
Elifson K W, Boles J, Sweat M
机构信息
Department of Sociology, Georgia State University, Atlanta 30303.
出版信息
Am J Public Health. 1993 Jan;83(1):79-83. doi: 10.2105/ajph.83.1.79.
OBJECTIVES
This study documents the human immunodeficiency virus (HIV) and sexually transmitted disease seroprevalence rate for male prostitutes, identifies the risk factors for HIV, and provides baseline information for the development and implementation of appropriate prevention and intervention strategies.
METHODS
Structured interviews were conducted with and blood samples were collected from 235 actively working male prostitutes in Atlanta, Georgia, from July 1988 through July 1991.
RESULTS
The HIV seroprevalence was 29.4%; 25.1% of the sample had seromarker for syphilis and 58.3% for hepatitis B. Multivariate logistic regression analysis showed the following significant HIV risk factors: history of receptive anal sex with nonpaying partners, serologic history of hepatitis B or syphilis, and history of childhood physical abuse.
CONCLUSIONS
The reported seroprevalence rates among these male prostitutes indicate they are a high-risk group. The striking difference in HIV seroprevalence by sexual orientation may warrant special attention. Considering the public health consequences, there is a clear need for innovative HIV prevention and intervention among these men.
目的
本研究记录了男妓的人类免疫缺陷病毒（HIV）和性传播疾病血清流行率，确定了HIV的风险因素，并为制定和实施适当的预防及干预策略提供基线信息。
方法
1988年7月至1991年7月期间，对佐治亚州亚特兰大市235名在职男妓进行了结构化访谈并采集了血样。
结果
HIV血清流行率为29.4%；样本中25.1%有梅毒血清标志物，58.3%有乙肝血清标志物。多因素逻辑回归分析显示以下显著的HIV风险因素：与无报酬性伴发生被动肛交史、乙肝或梅毒血清学病史以及童年期身体虐待史。
结论
这些男妓报告的血清流行率表明他们是高危人群。按性取向划分的HIV血清流行率的显著差异可能值得特别关注。考虑到对公共卫生的影响，显然需要对这些男性采取创新的HIV预防和干预措施。
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