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Sociodemographic characteristics and HIV risk behaviour patterns of male sex workers in Madrid, Spain.

机译：西班牙马德里男性性工作者的社会人口统计学特征和HIV风险行为模式。

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摘要

This paper describes the sociodemographic and work characteristics, prevalence of HIV infection and associated risk behaviours among male sex workers (MSWs) in Madrid (Spain). Using an anonymous semi-structured questionnaire, educators attached to a mobile unit under a street-based prostitution programme surveyed 84 MSWs from several Madrid areas. Of the total surveyed: 35% were immigrants, mean age was 23 years, mean period in prostitution was four years; 21% had no primary education; 16% had injected drugs at some time; 11% reported private sexual relationships exclusively with women; 89% always used condoms in anal practices with clients; and 41% were in sexual relationships with their partners. Only 11% had ever used fortified condoms. In the preceding month, 37% had experienced condom failure, 82% without having used any lubricant. In all, 67% reported having undergone HIV testing, with a higher percentage of positive results among injecting (60%) versus non-injecting drug users (17%). Immigrants had a lower level of education, made less use of condoms, had more condom failures and, in their private lives, a greater proportion reported sexual relationships exclusively with women. In Spain, MSWs should be included in HIV prevention programmes, which ought to be specifically adapted to immigrants. Priority should be given to reducing the condom failure rate in anal intercourse, by improving access to fortified condoms.
机译：本文描述了西班牙马德里的男性性工作者的社会人口统计学和工作特征，艾滋病毒感染率以及相关的危险行为。使用匿名的半结构化问卷，在街头卖淫计划下，隶属于一个流动单位的教育工作者对马德里几个地区的84名MSW进行了调查。在所有调查对象中：35％为移民，平均年龄为23岁，平均卖淫时间为4年; 21％的人没有初等教育; 16％的人曾经注射过药物; 11％的人表示只与女性发生私人性关系; 89％的人经常在与客户的肛门练习中使用避孕套;和41％与伴侣发生性关系。只有11％的人曾经使用过强化安全套。在前一个月中，有37％的人发生了避孕套故障，82％的人未使用任何润滑剂。总体而言，有67％的人报告接受了HIV检测，注射剂（60％）中阳性结果的比例高于未注射毒品者（17％）。移民的文化程度较低，使用避孕套的次数较少，避孕套的使用失败率更高，而且在私人生活中，更大比例的人报告完全与妇女发生性关系。在西班牙，应将MSW纳入艾滋病毒预防计划，该计划应特别适合移民。应优先考虑通过增加使用强化安全套来减少肛门性交中的避孕套失败率。

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