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《Chinese Journal of AIDS & STD》 2011-01
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An innovative approach toward interventions for high risk receptive sex behaviors among male sex workers

ZENG Kai,WANG Shu-guang(HIV Section,A-Ba State CDC,A-Ba,Sichuan 624000 China)  
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,P0.000 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.
【Fund】: 福特基金会资助项目(1035-0300)~~
【CateGory Index】: R512.91
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