McFarland Willi, Chen Sanny, Weide Darlene, Kohn Robert, Klausner Jeffrey
San Francisco Department of Public Health, San Francisco, CA 94102-6033, USA.
AIDS Educ Prev. 2004 Feb;16(1):13-8. doi: 10.1521/aeap.16.1.13.27723.
Worldwide, studies of men who have sex with men (MSM) report increases in HIV risk-related behavior. Less is known about trends within minority subpopulations of MSM, particularly those of Asian and Pacific Islander (A&PI) ethnicity. A&PI MSM are underrepresented among AIDS cases (2.7%) with respect to their estimated makeup in the gay community of San Francisco (4.5%). However, recent trends in unprotected anal intercourse (UAI) and sexually transmitted diseases suggest a reversal in the relative risk for HIV among A&PI MSM compared with White MSM. Starting from lower levels in 1999, UAI with multiple partners, UAI with multiple partners of unknown HIV serostatus, the incidence of male rectal gonorrhea, and the incidence of early syphilis among A&PI MSM surpassed levels among White MSM by 2002. A window of opportunity to prevent further spread of HIV among A&PI MSM may be closing.
在全球范围内，对男男性行为者（MSM）的研究报告显示，与艾滋病病毒感染风险相关的行为有所增加。对于男男性行为者中的少数族裔亚群体，尤其是亚太岛民（A&PI）族裔的趋势，我们了解得较少。在旧金山同性恋社区中，亚太岛民男男性行为者在艾滋病病例中所占比例（2.7%）低于其估计占比（4.5%）。然而，近期无保护肛交（UAI）和性传播疾病的趋势表明，与白人男男性行为者相比，亚太岛民男男性行为者感染艾滋病病毒的相对风险出现了逆转。从1999年的较低水平开始，到2002年，亚太岛民男男性行为者中与多个性伴进行无保护肛交、与多个艾滋病病毒血清学状态不明的性伴进行无保护肛交、男性直肠淋病发病率以及早期梅毒发病率均超过了白人男男性行为者中的水平。预防艾滋病病毒在亚太岛民男男性行为者中进一步传播的机会之窗可能正在关闭。
