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[目的]了解上海市男男商业性服务人群(money boy,MB)的基本特征、艾滋病(AIDS)相关行为、健康和感染情况,探索适合该人群的AIDS宣传教育和行为干预措施。[方法]通过艾滋病自愿咨询检测(VCT)门诊、网络及同志关爱小组动员共招募124名男男性行为者(MSM),分为MB组和非MB组,采用匿名问卷调查和血清学检测方法获取两组的AIDS相关健康、行为以及感染状况。[结果]MB组平均年龄26.0岁,初/高中及以下文化水平者占76.9%,非沪户籍者占92.3%;非MB组平均年龄29.3岁,大学及以上文化水平者占71.4%,非沪户籍者占61.2%。MB组性取向以双性恋为主,占80.8%,异性性伴侣较多;非MB组中73.5%为同性恋,62.3%的人仅和男性发生性行为。MB组首次与男性发生性行为的平均年龄为20.8岁,不安全性行为发生率可达31.2%~68.8%,疾病风险意识较非MB组低。MB组HIV和梅毒的感染率均为4.5%;非MB组中HIV和梅毒感染率分别为5.6%和6.7%,两组间差异无统计学意义(P>0.05)。[结论]MB人群具有更多的艾滋病传播危险因素,有关部门应重视加强与非政府组织合作,深入地开展宣传教育和行为干预工作,提高该群体对AIDS风险和安全性行为的认识。
[Objective] To understand the basic characteristics of male and female commercial men and women (MB) in Shanghai, AIDS-related behaviors, health and infection and to explore AIDS publicity and education and behavioral interventions suitable for this population. [Methods] A total of 124 MSM patients were enrolled in the Voluntary Counseling and Testing (VCT) clinic, network and gay care team. They were divided into MB group and non-MB group. Anonymous questionnaire and serological test were used to acquire MSM AIDS related health, behavior and infection status in both groups. [Results] The average age of MB group was 26.0 years old, 76.9% of whom had junior high school education and below education level, 92.3% of non-Shanghai residents, 29.3 years non-MB group, and 71.4% of students with college or above education level. Households accounted for 61.2%. MB group orientation mainly bisexual, accounting for 80.8%, more heterosexual partners; 73.5% of non-MB group was homosexual, 62.3% of men and men only had sex. The average age of first sexual behavior with male in MB group was 20.8 years, the incidence of unsafe sexual behavior was up to 31.2% -68.8%, and the awareness of disease risk was lower than that of non-MB group. The prevalence of HIV and syphilis in MB group was 4.5%. The prevalence of HIV and syphilis in non-MB group was 5.6% and 6.7%, respectively. There was no significant difference between the two groups (P> 0.05). [Conclusion] The MB population has more risk factors for AIDS transmission. Relevant departments should attach importance to strengthening cooperation with non-governmental organizations, carry out propaganda, education and behavioral interventions in an in-depth manner, and raise their awareness of AIDS risk and safety behaviors.