Kramer M A, van Veen M G, de Coul E L M Op, Geskus R B, Coutinho R A, van de Laar M J W, Prins M
Department of Research, Cluster Infectious Diseases, Health Service of Amsterdam, PO Box 2200, 1000 CE Amsterdam, The Netherlands.
Sex Transm Infect. 2008 Dec;84(7):554-5. doi: 10.1136/sti.2008.032094. Epub 2008 Jul 24.
By having unprotected heterosexual contact in both The Netherlands and their homeland, migrants who travel to their homeland might form a bridge population for HIV and sexually transmitted infection (STI) transmission. We studied the determinants for such a population in two large migrant communities in The Netherlands.
From 2003 to 2005, 1938 people of Surinamese and Antillean origin were recruited at social venues in two large cities, interviewed and their saliva samples tested for HIV antibodies. We used multivariate multinomial logistic regression to explore characteristics of groups with four risk levels (no, low, moderate and high) for cross-border transmission.
1159/1938 (60%) participants had travelled from The Netherlands to their homeland in the previous 5 years and 1092 (94%) of them reported partnerships and condom use in both countries. Of these 9.2% reported having unprotected sex with partners in both countries. People in this high-risk or bridge population group were more likely to be male, frequent travellers and older compared with people who had no sex or had sexual contact solely in one country in the past 5 years.
Older male travellers of Surinamese and Antillean origin are at high risk for cross-border heterosexual transmission of HIV/STIs. They should be targeted by prevention programmes, which are focused on sexual health education and HIV/STI testing, to raise their risk awareness and prevent transmission.
前往祖籍国的移民在荷兰及其祖籍国都有不安全性行为，这可能成为艾滋病毒和性传播感染（STI）传播的桥梁人群。我们研究了荷兰两个大型移民社区中这类人群的决定因素。
2003年至2005年，在两个大城市的社交场所招募了1938名苏里南裔和安的列斯裔人士，对他们进行访谈，并检测其唾液样本中的艾滋病毒抗体。我们使用多变量多项逻辑回归来探究具有四种跨境传播风险水平（无、低、中、高）的人群特征。
1159/1938（60%）的参与者在过去5年中从荷兰前往过祖籍国，其中1092人（94%）报告在两国都有性伴侣并使用避孕套。在这些人中，9.2%报告在两国都与性伴侣发生过无保护性行为。与在过去5年中没有性行为或仅在一个国家有性接触的人相比，这个高风险或桥梁人群组中的人更可能是男性、经常旅行者且年龄较大。
苏里南裔和安的列斯裔年龄较大的男性旅行者面临艾滋病毒/性传播感染跨境异性传播的高风险。预防项目应以他们为目标，重点是性健康教育和艾滋病毒/性传播感染检测，以提高他们的风险意识并预防传播。
