Transactional sex, HIV and health among young cisgender men and transgender women who have sex with men in Thailand

被引：8

作者：

Weir, Brian W. ^{[1
,2
]}

Dun, Chen ^{[1
]}

Wirtz, Andrea L. ^{[2
]}

Mon, Sandra Hsu Hnin ^{[2
]}

Qaragholi, Noor ^{[2
]}

Chemnasiri, Tareerat ^{[3
,4
]}

Pattanasin, Sarika ^{[3
,4
]}

Sukwicha, Wichuda ^{[3
,4
]}

Varangrat, Anchalee ^{[3
,4
]}

Dunne, Eileen F. ^{[3
,4
]}

Holtz, Timothy H. ^{[3
,4
,5
]}

Janyam, Surang ^{[9
]}

Jin, Harry ^{[2
]}

Linjongrat, Danai ^{[10
]}

Mock, Philip A. ^{[4
]}

Thigpen, Michael C. ^{[3
,4
]}

Rooney, James F. ^{[8
]}

Sullivan, Patrick S. ^{[7
]}

Hickey, Andrew C. ^{[3
,4
]}

Sirivongrangson, Pachara ^{[6
]}

Beyrer, Chris ^{[2
]}

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD USA

[2] Johns Hopkins Bloomberg Sch Publ Hlth, Ctr Publ Hlth & Human Rights, Dept Epidemiol, Baltimore, MD USA

[3] US Ctr Dis Control & Prevent, Div HIV Prevent, Atlanta, GA USA

[4] Thailand Minist Publ Hlth US Ctr Dis Control & Pr, Nonthaburi, Thailand

[5] NIH, Off AIDS Res, Bldg 10, Bethesda, MD 20892 USA

[6] Thailand Minist Publ Hlth, Dept Dis Control, Nonthaburi, Thailand

[7] Emory Univ, Dept Epidemiol, Rollins Sch Publ Hlth, Atlanta, GA 30322 USA

[8] Gilead Sci, Med Affairs, Foster City, CA USA

[9] Serv Workers Grp Fdn SWING, Bangkok, Thailand

[10] Rainbow Sky Assoc Thailand RSAT, Bangkok, Thailand

[11] Asia Pacific Coalit Male Sexual Hlth Fdn APCOM, Bangkok, Thailand

来源：

ANNALS OF EPIDEMIOLOGY | 2022年 / 72卷

基金：

美国国家卫生研究院;

关键词：

Public health; Global Health; Epidemiology; HIV; Prevention; Pre-Exposure Prophylaxis; MSM; Transgender persons; Sex work; Thailand; BRIEF SCREEN; RISK; BANGKOK; COHORT;

D O I：

10.1016/j.annepidem.2022.03.012

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Purpose: To examine how recent sex work is identified and the HIV risk factors and service needs among Thai cisgender men who have sex with men (MSM) and transgender women (TGW) who exchange sex. Methods: MSM and TGW in Bangkok and Pattaya who exchanged sex in the last year (n = 890) were recruited through social media, outreach, and word-of-mouth. Recent sex exchange was based on the primary question, "In the last 30 days, have you sold or traded sex"; secondary questions (regarding income source and client encounters) were also investigated. Results: Overall, 436 (48%) participants engaged in sex work in the last 30 days; among those, 270 (62%) reported exchanging sex by the primary question, and 160 (37%) based on secondary questions only. Recent sex exchange was associated with gonorrhea, syphilis, discussing PrEP with others, and using condoms, alcohol, methamphetamine, amyl nitrate, and Viagra. Exchanging sex based on secondary questions only was associated with being in a relationship, social media recruitment, less recent anal intercourse, and not discussing PrEP. Conclusions: Thai MSM and TGW who exchange sex need regular access to HIV/STI prevention, testing, and treatment services, and multiple approaches to assessing sex work will help identify and serve this diverse and dynamic population. (C) 2022 The Author(s). Published by Elsevier Inc.

引用

页码：1 / 8

页数：8

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