Browse > Article
http://dx.doi.org/10.3961/jpmph.2012.45.3.156

Comparison of Sexual Risky Factors of Men Who Have Sex With Men and Sex-buying Men as Groups Vulnerable to Sexually Transmitted Diseases  

Jung, Min-Soo (Health Science Research Institute, Korea University)
Lee, Joong-Yub (Medical Research Collaborating Center, Seoul National University Hospital)
Kwon, Dong-Seok (Korea Federation for HIV/AIDS Prevention)
Park, Byung-Joo (Department of Preventive Medicine, Seoul National University College of Medicine)
Publication Information
Journal of Preventive Medicine and Public Health / v.45, no.3, 2012 , pp. 156-163 More about this Journal
Abstract
Objectives: It is necessary to examine groups carrying out sexually risky behavior because the prevalence of sexually transmitted diseases (STDs) is high among them. In this study, the prevalence of STDs among homosexuals and sexbuying men in South Korea was investigated, along with their sexual risk factors. Methods: Men who have sex with men (MSMs, n=108) were recruited in Seoul and Busan by applying the time location sampling method, while sex-buying men (n=118) were recruited from a john school in Gyeonggi province, the suburbs of Seoul. Dependent variables included past or present infection with syphilis, Chlamydia, gonorrhea, and human immunodeficiency virus. Independent variables included health behavior, social support, sexual behavior, and safe sex. Results: It was found that when the MSMs were non-drunk while having sexual intercourse (odds ratio [OR], 0.132), they showed a higher STD infection rate when they had a higher number of anal sex partners (OR, 5.872), rarely used condoms (OR, 1.980), had lower self-efficacy (OR, 0.229), and were more anxious about becoming infected with an STD (OR, 3.723). However, the men who paid for sex showed high STD infections when they had more sex partners (OR, 2.286) and lower education levels (OR, 3.028). Conclusions: STD infections among the two groups were high when they were engaged with many sex partners and not having protected sex. In other words, there was a gap in risky sex behavior within such groups, which was significantly related to the possibility of developing an STD. Therefore, the preventive intervention against STDs for these groups needs to be expanded to include management of sex behaviors.
Keywords
Sexually transmitted diseases; Sexual behavior; Homosexuality; Prostitution; Korea;
Citations & Related Records
연도 인용수 순위
  • Reference
1 World Health Organization. Global prevalence and incidence of selected curable sexually transmitted infections: overview and estimates. Geneva: World Health Organization; 2001, p. 1.
2 Workowski KA, Berman S; Centers for Disease Control and Prevention (CDC). Sexually transmitted diseases treatment guidelines, 2010. MMWR Recomm Rep 2010;59(RR- 12):1-110.
3 Cho BH. Sexuality risk & HIV/AIDS. Seoul: Nanam Publications; 2008, p. 168, 261-347, 301 (Korean).
4 Laumann EO, Gagnon JH, Michael RT, Michaels S. The social organization of sexuality: sexual practices in the United States. Chicago: University of Chicago Press; 1994, p. 172-224.
5 Aral SO, Lipshutz JA, Douglas JM. Introduction. In: Aral SO, Douglas JM, editors. Behavioral interventions for prevention and control of sexually transmitted diseases. New York: Springer; 2007, p. 9-19.
6 Scorgie F, Chersich MF, Ntaganira I, Gerbase A, Lule F, Lo YR. Socio-demographic characteristics and behavioral risk factors of female sex workers in sub-saharan Africa: a systematic review. AIDS Behav 2012;16(4):920-933.
7 Youm Y, Mackesy-Amiti ME, Williams CT, Ouellet LJ. Identifying hidden sexual bridging communities in Chicago. J Urban Health 2009;86 (Suppl 1):107-120.
8 Jung M, Choi M. The sociodemographic characteristics of concurrent sexual partnerships and their risky sexual behaviors: results of a nationally representative sample of South Korean adults. Sex Disabil 2009;27(3):127-138.
9 Weitzer R. Sociology of sex work. Annu Rev Sociol 2009;35:213-234.
10 Brockerhoff M, Biddlecom AE. Migration, sexual behavior and the risk of HIV in Keyna. Int Migr Rev 1999;33(4):833-856.
11 Muhib FB, Lin LS, Stueve A, Miller RL, Ford WL, Johnson WD, et al. A venue-based method for sampling hard-to-reach populations. Public Health Rep 2001;116 (Suppl 1):216-222.
12 Semaan S, Lauby J, Liebman J. Street and network sampling in evaluation studies of HIV risk-reduction interventions. AIDS Rev 2002;4(4):213-223.
13 Family Health International. Behavioral surveillance surveys (BSS): guidelines for repeated behavioral surveys in populations at risk of HIV. Arlington: Family Health International; 2000, p. 1-9.
14 Basen-Engquist K, Masse LC, Coyle K, Kirby D, Parcel GS, Banspach S, et al. Validity of scales measuring the psychosocial determinants of HIV/STD-related risk behavior in adolescents. Health Educ Res 1999;14(1):25-38.
15 Lee SJ, Ha US, Kim SW, Cho YH, Yoon MS. Prevalence of chlamydial and gonococcal infections and sexual behavior in university students in Korea. Korean J Urol 2004;45(7):707-713 (Korean).
16 Jiang J, Cao N, Zhang J, Xia Q, Gong X, Xue H, et al. High prevalence of sexually transmitted diseases among men who have sex with men in Jiangsu Province, China. Sex Transm Dis 2006;33(2):118-123.
17 Azim T, Islam MN, Bogaerts J, Mian MA, Sarker MS, Fattah KR, et al. Prevalence of HIV and syphilis among high-risk groups in Bangladesh. AIDS 2000;14(2):210-211.
18 Family Health International/Nepal. STD and HIV prevalence survey among female sex workers and truckers on highway routes in the Terai, Nepal; 2000 [cited 2012 May 9]. Available from: http://dspace.cigilibrary.org/ jspui/bitstream/123456789/8560/1/STD%20and%20HIV %20Prevalance%20Survey%20Among%20Female%20Se x%20Workers%20and%20Truckers%20on%20Highway %20Routes%20in%20the%20Terai%20Nepal%202000.pdf?1.
19 Korea Centers for Disease Control and Prevention (KCDC). The improvement of surveillance systems of sexually transmitted diseases (STDs) including antibioticresistant gonorrhea. Seoul: KCDC; 2005, p. 22 (Korean).
20 Kim O, Kim SS, Park MS, Suh SD, Lee MW, Kim KS, et al. Seroprevalence of sexually transmitted viruses in Korean populations including HIV-seropositive individuals. Int J STD AIDS 2003;14(1):46-49.
21 Poon AN, Li Z, Wang N, Hong Y. Review of HIV and other sexually transmitted infections among female sex workers in China. AIDS Care 2011;23 (Suppl 1):5-25.
22 Johnston LG, Sabin K, Mai TH, Pham TH. Assessment of respondent driven sampling for recruiting female sex workers in two Vietnamese cities: reaching the unseen sex worker. J Urban Health 2006;83(6 Suppl):i16-i28.