Transactional sex and prevalence of STIs: a cross-sectional study of MSM and transwomen screened for an HIV prevention trial
被引:20
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作者:
Solomon, Marc M.
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机构:
Univ Calif San Francisco, Dept Med, San Francisco, CA USA
Gladstone Inst, San Francisco, CA USAUniv Calif San Francisco, Dept Med, San Francisco, CA USA
Solomon, Marc M.
[1
,5
]
Nurena, Cesar R.
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机构:
Univ Nacl Mayor San Marcos, Escuela Antropol, Lima, PeruUniv Calif San Francisco, Dept Med, San Francisco, CA USA
Nurena, Cesar R.
[2
]
Tanur, Judith M.
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机构:
SUNY Stony Brook, Dept Sociol, Stony Brook, NY 11794 USAUniv Calif San Francisco, Dept Med, San Francisco, CA USA
Tanur, Judith M.
[3
]
Montoya, Orlando
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机构:
Fdn Ecuatoriana Equidad, Quito, EcuadorUniv Calif San Francisco, Dept Med, San Francisco, CA USA
Montoya, Orlando
[4
]
Grant, Robert M.
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机构:
Univ Calif San Francisco, Dept Med, San Francisco, CA USA
Gladstone Inst, San Francisco, CA USAUniv Calif San Francisco, Dept Med, San Francisco, CA USA
Grant, Robert M.
[1
,5
]
McConnell, Jeff
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机构:
Gladstone Inst, San Francisco, CA USAUniv Calif San Francisco, Dept Med, San Francisco, CA USA
McConnell, Jeff
[5
]
机构:
[1] Univ Calif San Francisco, Dept Med, San Francisco, CA USA
[2] Univ Nacl Mayor San Marcos, Escuela Antropol, Lima, Peru
[3] SUNY Stony Brook, Dept Sociol, Stony Brook, NY 11794 USA
South America;
homosexual;
sexual behaviour;
sex workers;
HIV;
AIDS;
sexually transmitted infections;
epidemiology;
risk factors;
RISK;
MEN;
WORKERS;
TRANSMISSION;
INFECTION;
EPIDEMIC;
D O I:
10.1177/0956462414562049
中图分类号:
R392 [医学免疫学];
Q939.91 [免疫学];
学科分类号:
100102 ;
摘要:
Few studies have characterised the degree of engagement in transactional sex among men and transgender women who have sex with men and explored its association with sexually transmitted infections and human immunodeficiency virus in Ecuador. We screened 642 men who have sex with men and transgender women for a pre-exposure prophylaxis clinical trial (iPrEx) in Guayaquil, Ecuador, 2007-2009. We analysed the association of degree of engagement in transactional sex and prevalence of sexually transmitted infections including human immunodeficiency virus using chi-square and analysis of variance tests. Although just 6.2% of those who screened self-identified as sex workers, 52.1% reported having engaged in transactional sex. Compared to those who had never been paid for sex, those who had been paid were more likely to have a sexually transmitted infection (56.6% vs. 45.0%, p=0.007) and trended towards a higher human immunodeficiency virus prevalence (16.6% vs. 10.4%, p=0.082) at screening. Transgender women compared to other men who have sex with men were more likely to have sexually transmitted infections diagnosed at screening (75.6% vs. 50.0%, p=0.001). Transactional sex is practiced widely but occasionally among the men who have sex with men and transgender women in Guayaquil who screened for the iPrEx study; however, engaging in transactional sex may not lead to a sex worker self-identification. Both transactional sex and being a transgender woman are associated with sexually transmitted infections prevalence.
机构:
Sichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China
Gao, Yun
Chen, Gang
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Prov Hosp, Dept Endocrinol, Fuzhou, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China
Chen, Gang
Tian, Haoming
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机构:
Sichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China
Tian, Haoming
Lin, Lixiang
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Prov Hosp, Dept Endocrinol, Fuzhou, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China
Lin, Lixiang
Lu, Juming
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机构:
Chinese Peoples Liberat Army Gen Hosp, Dept Endocrinol, Beijing, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China
Lu, Juming
Weng, Jianping
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h-index: 0
机构:
Sun Yat Sen Univ, Hosp 3, Dept Endocrinol, Guangzhou 510275, Guangdong, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China
Weng, Jianping
Jia, Weiping
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h-index: 0
机构:
Shanghai Jiao Tong Univ, Dept Endocrinol, Affiliated Peoples Hosp 6, Shanghai 200030, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China
Jia, Weiping
Ji, Linong
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机构:
Peking Univ, Peoples Hosp, Dept Endocrinol, Beijing 100871, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China
Ji, Linong
Xiao, Jianzhong
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h-index: 0
机构:
China Japan Friendship Hosp, Dept Endocrinol, Beijing, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China
Xiao, Jianzhong
Zhou, Zhiguang
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h-index: 0
机构:
Xiangya Second Hosp, Dept Endocrinol, Changsha, Hunan, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China
Zhou, Zhiguang
Ran, Xingwu
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机构:
Sichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China
Ran, Xingwu
Ren, Yan
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机构:
Sichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China
Ren, Yan
Chen, Tao
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机构:
Sichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China
Chen, Tao
Yang, Wenying
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机构:
China Japan Friendship Hosp, Dept Endocrinol, Beijing, Peoples R ChinaSichuan Univ, Dept Endocrinol, West China Hosp, Chengdu 610064, Peoples R China