男男性工作者被插入高危性行为呼吁干预理论实践的创新  

An innovative approach toward interventions for high risk receptive sex behaviors among male sex workers

作　　者：曾凯[1] 王曙光[2,3,4] 

机构地区：[1]阿坝州疾病预防控制中心艾滋病科,四川阿坝州624000 [2]四川社会科学院社会学所 [3]澳大利亚Newcastle大学心理学系 [4]Unicef中国办公室,四川成都610071

出　　处：《中国艾滋病性病》2011年第1期40-44,共5页Chinese Journal of Aids & STD

基　　金：福特基金会资助项目(1035-0300)~~

摘　　要：目的通过探索男男性工作者（Male Sex Workers，MSWs）无保护被插入高危性行为的亚文化实践构成特征，以促进对于Msws干预策略本土创新的更深入理解。方法采用多途径的非随机抽样方法，将420名16～46岁四川成都及周边地区男男性行为者（MsM），根据他们对自己群体性倾向身份的定义划分为3个组：MSM人群，有男男性行为却不认同同性恋身份（多样化性取向）的人群，以及默认作为MSWs，以横断面调查及多元回归分析方法评估不同MSM人群HIV高危易感行为亚文化构成方式。结果特定亚文化实践构成了MSWs人群明显倾向于采取做“被插入”高风险性行为角色位置，无论是与他们商业目的性行为中的固定性伴（β=0．446，P〈0．0001）和临时性伴（β=0．524，P〈0．0001），还是非商业目的性行为中的固定性伴（β=0．187，P〈0．05）和临时性伴（β=0．226，P〈0．01），情况皆是如此。结论发现揭示了在MSM中的MSWs人群开展艾滋病预防需要建立比性学建构主义的公共卫生理念更为深刻的策略理解。Objective To promote an innovative approach toward interventions for unprotected receptive sex behaviors among male sex workers （MSWs） by understanding sub-cultural features of their sex practice. Methods A total of 420 MSWs aged 16-42 years were selected in Chendu. the capital city of Sichuan province,and surrounding areas by multiple regression models with cross sectional design ,and they were assigned to 3 groups in the context of their sub-cultural features： group 1 ,who openly admitted themselves as MSM ;group 2 who admitted having sex with men, but refused to identify themselves as gay （with multiple sex orientation） ; group 3 who acquiesced in their identity as MSWs. Cross-sectional survey and multiple regression analysis were employed to assess sub-cultural context of high risk sex behaviors among different groups of MSWs. Results Specific sub-cultural background of MSWs led them to take high risk receptive anal intercourses , whether in sex trade with regular （β= 0. 446, P〈0. 000 1） and casual （β=0. 524, P〈0. 000 1） sex partners , or in non-commercial sex with regular （β=0. 187, P〈 0.05） and casual （β=0. 226, P〈0.01） sex partners. Conclusions High risk receptive sex behaviors among MSWs highlight the need to adopt an innovative approach toward interventions beyond constructionist-based public health concept.

关 键 词：男男性行为者 男男性工作者 无保护被插入性实践 

分 类 号：R512.91[医药卫生—内科学]