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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<0.000 1)和临时性伴(β=0.524,P<0.000 1),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 explore a more in-depth understanding of indigenous innovations in MSWs intervention strategies by exploring subcultures of male Sex Workers (MSWs) unprotected to be at high risk of sexual behavior. Methods A total of 420 male MSMs aged 16-46 years in Chengdu and its surrounding area were divided into three groups based on their multi-channel non-random sampling method according to their definition of sexual orientation: MSM population, MSM does not agree with the homosexuality (diversity orientation) of the population, and by default as MSWs, cross-sectional survey and multiple regression analysis to assess the high-risk behavior of HIV-susceptible MSM sub-culture composition. As a result, specific sub-cultural practices constituted a clear predisposition for MSWs to take “high risk” roles in their “commercial” sexual behavior, both as fixed partners (β = 0.446, P <0.0001) (Β = 0.247, P <0.05), temporary partners (β = 0.524, P <0.0001), and non-commercial sexual partners (β = 0.187, P < That’s all. Conclusion The findings reveal that HIV prevention among MSWs in MSM requires a deeper strategic understanding than the sexist constructivist public health philosophy.