To understand the current situation and characteristics of
commercial sexual behavior among old male clients in Guangxi, and to explore
the associated risk factors of HIV infection.
The areas in Guangxi where more old male HIV cases were
reported followed by survey on those male clients who were over 60 years of
age, were selected. A total of 5 ml blood sample was collected to test
antibodies of HIV and syphilis. Risk factors were calculated by the
multivariate logistic analysis method.
A total of 1 236 questionnaires were completed in the
survey. 65.61% of the old male clients were from low-grade venues with 53.64%
of them never using a condom when engaging in commercial sex behavior. 47.33%
of them patronized sex workers for around 10 years. 53.32% of them patronized
prostitutes not less than 2 times in the last 30 days. Thirty subjects were HIV
positive (2.43%) and 40 were syphilis positive (3.24%). Factor as 'having fixed
partners' appeared protective for the old male
clients of HIV infection, with a history of patronizing sex workers from 1 to 5
years. Frequency of patronizing sex workers
not less than 4 times in the last 30 days seemed the high risk factor of HIV infection.
Older-aged male clients showed high HIV and syphilis
infection rates in Guangxi, and most of them were using the low-grade venues.
Commercial sexual behaviors in the areas would include early and, frequent
exposure, but with poor protections. High risk factors of HIV infection might
relate to "no fixed sexual partners" and "frequently commercial
sexual behavior"
Via:
By:
- 1Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, Nanning 530028, China.
- 2Guigang City People's Hospital. Email: ggzhuyujia@163.com.
- 3Guigang City Center for Disease Control and Prevention.
- 4Binyang Center for Disease Control and Prevention.
- 5Luzhai Center for Disease Control and Prevention.
- 6Qintang Center for Disease Control and Prevention.
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