钦州市男性嫖客商业性行为特点及HIV感染相关危险因素

发布时间：2018-12-11 03:18

【摘要】：目的了解钦州市男性嫖客商业性行为的特点,初步评估嫖客人群感染艾滋病病毒(HIV)可能相关的危险因素。方法在钦州市的暗娼场所内,对男性嫖客开展问卷调查,获取人口学和商业性行为学等信息,采集5mL全血标本用于HIV和梅毒抗体检测,使用SPSS 18.0软件进行统计分析。结果共调查1196名嫖客,65.05%来自低档场所,74.92%的嫖客从不使用或很少使用安全套,22.07%的人在嫖娼时使用"壮阳药",79.52%的人近30天内嫖娼次数2次,平均花费为40元/次(中位数),商业性行为方式主要是阴道性交(97.32%)和手淫(28.18%)。HIV和梅毒阳性检出率分别为1.42%(17/1196)和9.95%(119/1196)。离婚/丧偶/分居[比值比(OR)=5.552,95%可信区间(CI):1.792~17.201]、未婚(OR=5.653,95%CI:1.329~24.054)、在城郊农舍嫖娼(OR=3.333,95%CI:1.189~9.341)、使用壮阳药(OR=4.027,95%CI:1.456~11.135)和梅毒阳性(OR=9.042,95%CI:3.232~25.293),是嫖客感染HIV的危险因素。结论钦州市男性嫖客HIV和梅毒感染率较高,商业性行为具有消费低档、形式多样、频繁暴露、使用药物和缺乏防护等特点,其感染HIV的相关危险因素可能包括离婚/丧偶/分居、未婚、使用壮阳药物、梅毒阳性和在城郊低档场所嫖娼。
[Abstract]:Objective to investigate the characteristics of commercial sex among male clients in Qinzhou, and to evaluate the risk factors of HIV (HIV) infection among clients. Methods A questionnaire survey was carried out among male clients in Qinzhou City to obtain demography and commercial behavior information. 5mL blood samples were collected for detection of HIV and syphilis antibodies. SPSS 18.0 software was used for statistical analysis. Results A total of 1196 clients were investigated, 65.05% of them came from low-grade places, 74.92% of them never used or rarely used condoms, 22.07% used "aphrodisiac" in the course of visiting, and 79.52% used twice in 30 days. The average cost was 40 yuan per time (median). The main forms of commercial sex were vaginal intercourse (97.32%) and masturbation (28.18%). The positive rates of). HIV and syphilis were 1.42% (17 / 1196) and 9.95% (119 / 1196) respectively. Divorce / widowhood / separation [ratio of (OR) = 5.552% 95% confidence interval (CI): 1.792% 17.201], unmarried (OR=5.653,95%CI:1.329~24.054), in suburban farmhouses (OR=3.333,95%CI:1.189~9.341), Positive syphilis (OR=9.042,95%CI:3.232~25.293) and OR=4.027,95%CI:1.456~11.135 are the risk factors of HIV infection. Conclusion the infection rates of HIV and syphilis among male clients in Qinzhou City are high. Commercial sex has the characteristics of low consumption, various forms, frequent exposure, drug use and lack of protection. Risk factors for HIV infection may include divorce / widowed / separation, unmarried, use of aphrodisiac drugs, syphilis positive, and prostitution in low-grade suburban areas.
【作者单位】：钦州市疾病预防控制中心;广西壮族自治区疾病预防控制中心;
【基金】：广西自然科学基金(2013GXNSFAA019225) 艾滋病防治适宜技术推广普及(1346008-8) 广西医疗卫生重点科研课题(2012052)~~
【分类号】：R512.91

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