【摘要】 目的了解男男性接触者商业性性行为的特征及其影响因素。方法于2005年7月至11月在北京市对男男性接触者进行问卷调查,调查内容包括社会人口学和高危性行为特征。结果在招募的526名男男性接触者中,10.6%(56/526)的人在近6个月发生过商业性性行为,其中分别有98.2%(55/56)和14.3%(8/56)的人与男性性伴和女性性伴发生过商业性性行为,分别有39.3%(22/56)和14.3%(8/56)的人向男性性伴和女性性伴买淫,分别有80.4%(45/56)和10.7%(6/56)的人向男性性伴和女性性伴卖淫。多因素Logistic回归分析结果显示,年龄≤23岁(OR,1.83;95%CI,1.01~3.33)、高中及以下文化程度(OR,2.72;95%CI,1.37~5.40)、非北京户籍(OR,2.75;95%CI,1.09~6.95)和近6个月总的男性性伴数>2个(OR,3.68;95%CI,1.75~7.71)与男男性接触者近6个月发生商业性性行为的关系有统计学意义。结论有相当比例的男男性接触者发生过商业性性行为,年龄、文化程度、北京户籍和性伴数量为对此行为有影响。需要加大对该人群的行为干预力度以降低感染HIV的危险。更多还原

【Abstract】 Objective To study factors associated with characteristics of commercial sex encounters among men who have sex with men(MSM). Methods During July-November 2005,MSM were investigated to collect information on socio-demographic and high risk sexual behaviors. Results Of 526 MSM,10.6%(56/526)had commercial sex encounters in the past 6 months,of whom 98.2%(55/56)and 14.3%(8/56)had commercial sex encounters with men and women,respectively.39.3%(22/56)and 14.3%(8/56)bought sex from male and female sex partner(s),respectively.80.4%(45/56)and 10.7%(6/56)sold sex to male and female sexual partner(s),respectively.Multiple Logistic regression demonstrated that young age(OR,1.83;95%CI,1.01～3.33),poor education background(OR,2.72;95%CI,1.37～5.40),non Beijing resident(OR,2.75;95%CI,1.09～6.95)and>2 male sexual partner(s)in past 6 months(OR,3.68;95%CI,1.75～7.71)were significantly associated with commercial sex encounters among MSM in past 6 months. Conclusion A considerable proportion of MSM are influenud by age,education,Beijing resident,number of sexual partner(s)and other factors,and intervention to this subgroup of MSM should be strengthened to control HIV transmission.更多还原