Transactional sex among men who have sex with men in the French Antilles and French Guiana: frequency and associated factors
| Autor: | André Cabié, Marie-Thérèse Sow, Astrid Van Melle, Mathieu Nacher, Célia Basurko, Justine Klingelschmidt, Barbara Gontier, Bruno Hoen, Marie-Claire Parriault |
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| Přispěvatelé: | Centre d'Investigation Clinique Antilles-Guyane (CIC - Antilles Guyane), Université des Antilles et de la Guyane (UAG)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pointe-à-Pitre/Abymes [Guadeloupe] -CHU de Fort de France-Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française], Service des Maladies Infectieuses et Tropicales[Point-à-Pitre], CHU Pointe-à-Pitre/Abymes [Guadeloupe], COREVIH, Cayenne General Hospital, European INTERREG Caribbean IV Fund (KABP MSM study)Cayenne General HospitalUniversity Medical Center of Guadeloupe, ADENIS, ANTOINE, CHU de Fort de France-Centre Hospitalier Andrée Rosemon [Cayenne, Guyane Française]-CHU Pointe-à-Pitre/Abymes [Guadeloupe] -Institut National de la Santé et de la Recherche Médicale (INSERM)-Université des Antilles et de la Guyane (UAG) |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Health (social science) Social Psychology Sexual Behavior West Indies Population Psychological intervention Transactional sex HIV Infections Logistic regression Men who have sex with men 03 medical and health sciences 0302 clinical medicine 5. Gender equality Acquired immunodeficiency syndrome (AIDS) Medicine Humans Martinique 030212 general & internal medicine Homosexuality Male education Guadeloupe French Antilles and French Guiana education.field_of_study 030505 public health Sex Workers business.industry Public Health Environmental and Occupational Health virus diseases HIV Gender studies Middle Aged medicine.disease Health Surveys French Guiana Snowball sampling Cross-Sectional Studies Logistic Models [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie 0305 other medical science business transactional sex Demography |
| Zdroj: | AIDS Care AIDS Care, Taylor & Francis (Routledge), 2016, Epub ahead of print. ⟨10.1080/09540121.2016.1234680⟩ |
| ISSN: | 0954-0121 1360-0451 |
| Popis: | International audience; The French Antilles (Martinique, Saint Martin and Guadeloupe) and French Guiana are the French territories most affected by the HIV epidemic. Some population groups such as men who have sex with men (MSM), especially those involved in transactional sex, are thought to be particularly vulnerable to HIV but few data exist to help characterize their health-related needs and thus implement relevant prevention interventions. To fill this knowledge gap, we used data collected from an HIV/AIDS Knowledge, Attitudes, Behaviours and Practices survey conducted in 2012 among MSM living in the French Antilles and French Guiana and recruited through snowball sampling. Our objectives were to compare social and demographic characteristics and sexual behaviours between MSM engaging in transactional sex and MSM not engaging in transactional sex and to identify factors associated with transactional sex involvement using a logistic regression model. A total of 733 MSM were interviewed, 21% of whom reported to undergo transactional sex. Their behaviour and social and demographic characteristics were different from other MSMs’ and they were more exposed to factors that are recognized to potentiate HIVvulnerability, at the individual, community, network and structural levels. The variables positively associated with sex trade involvement were having ever consumed drug (OR = 2.84 [1.23–6.52]; p = .002), having a greater number of sex partners than the median (OR = 8.31 [4.84–14.30]; p < .001), having experienced intimate partner violence (OR = 1.72 [0.99–3.00]; p = .053) and having undergone physical aggression because of sexual orientation (OR = 2.84 [1.23–6.52];p = .014). Variables negatively associated with sex trade involvement were being older (OR = 0.93 [0.90–0.97] per year; p = .001), having a stable administrative situation (OR = 0.10 [0.06–0.19]; p < .001), having a stable housing (OR = 0.29 [0.15–0.55]; p < .001) and being employed full-time (OR = 0.29 [1.23–6.52]; p = .002). |
| Databáze: | OpenAIRE |
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