ABSTRACT

Gay and bisexual men (GBM) who report engagement in transactional sex are at increased risk for HIV acquisition. The current study aimed to assess the prevalence of transactional sex and its association with demographic characteristics, social marginalization, HIV sexual risk behaviors, psychosocial health problems, and access to healthcare services among a multi-site sample of GBM in Nigeria. Bivariate and multivariable logistic regression were used to examine factors associated with engagement in transactional sex in the previous 3 months. More than a third (39.6%) of the participants reported engagement in transactional sex in the previous 3 months. In the multivariable model, factors associated with engagement in transactional sex included: reporting a monthly income of 30,000 Naira [adjusted odds ratio (aOR) 1.98; 95% CI: 1.12 to 3.35], compared to 30,000 or more Naira monthly income, reporting 4 or more receptive anal sex acts in the previous 30 days (aOR 2.45; 95% CI: 1.31 to 4.57) compared to reporting none, and having depressive symptoms (aOR 1.82; 95% CI: 1.06 to 3.14). There is an urgent need for interventions that address the economic disenfranchisement and psychosocial problems experienced by GBM in Nigeria, which has implications for sexual health.

摘要

报告从事性交易的男同性恋和双性恋男性 (GBM) 感染 HIV 的风险增加。目前的研究旨在评估尼日利亚多地点 GBM 样本中性交易的流行及其与人口特征、社会边缘化、艾滋病毒性风险行为、社会心理健康问题以及获得医疗保健服务的关系。双变量和多变量逻辑回归用于检查与过去 3 个月内从事性交易相关的因素。超过三分之一 (39.6%) 的参与者报告在过去 3 个月内从事过性交易。在多变量模型中，与性交易相关的因素包括：报告月收入 30,000 奈拉 [调整优势比 (aOR) 1.98；95% CI：1.12 至 3.35]，与 30,000 或更多奈拉月收入相比，在过去 30 天内报告 4 次或更多接受性肛交（aOR 2.45；95% CI：1.31 至 4.57）与没有报告且有抑郁症状（aOR 1.82；95% CI）相比: 1.06 至 3.14)。迫切需要采取干预措施来解决尼日利亚 GBM 经历的经济剥夺权利和心理社会问题，这对性健康有影响。