易装男性性接触者亚人群行为状况调查研究

Survey on the sexual behaviors of cross-dressed male sex workers

目的了解易装男性性接触者(MB)亚人群的行为特征。方法横断面调查方法,通过举办小型"家庭式"聚会活动的方式,对符合条件的易装MB亚人群,由培训过的骨干志愿者进行面对面个人访谈和问卷调查。结果调查20人,平均年龄31.15岁(19～55周岁),其中55.0%(11/20)为同性恋者,45.0%(9/20)为双性恋者;最近六个月内与男性性服务者平均19.3人(10～50人),性消费者平均7.1人(1～20人),与女性发生性行为平均1.9人(1～4人)。最近1次同性性行为安全套使用率85.0%,最近六个月坚持每次使用安全套率35.0%。结论男性性接触者(MSM)中MB性伴数高于一般MSM人群,不仅与男性有性行为,还为女性提供性服务,是向一般人群扩散的桥梁。迫切需要采取合理有效地干预方法,提高其艾滋病知晓率和安全套正确使用率。

Objective To investigate the characteristics of sexual behaviors among cross-dressed male sex workers.Methods A cross-sectional design was used for sampling.A face-to-face questionnaire investigation was conducted for cross-dressed male sex workers through family parties.Results 20 subjects were included in the study with an average age of 31.2 years old（aged 19-55 years）.55.0%（11/20） and 45.0%（9/20） of the participants were men who have sex with men（MSM） and bisexual sex workers,respectively.Each of the cross-dressed male sex workers sexually served 19.3 men and was served by 7.1 men on average in the last six months.The average number of heterosexual partners was 1.9 people（1~4） for each participant in the last six months.85.0% and 35.0% of MSM had sex with condoms in the last time and the last six months respectively.Conclusion Cross-dressed male sex workers had sexual activities with both men and women,and usually had more sex partners than MSM did on average.Efficient intervention measures should be developed for preventing HIV transmission among the population.