Phillips Abigail M, Jones Alison Graves, Osmond Dennis H, Pollack Lance M, Catania Joseph A, Martin Jeffrey N
Department of Epidemiology and Biostatistics, University of California, San Francisco, CA 94107, USA.
Sex Transm Dis. 2008 Dec;35(12):1011-4. doi: 10.1097/OLQ.0b013e318182c91f.
Despite burgeoning scientific knowledge about Kaposi's sarcoma-associated herpesvirus (KSHV), the etiologic agent of Kaposi's sarcoma (KS), little is known about awareness of this virus in the general community. This is particularly the case for men who have sex with men (MSM), the group at greatest risk for infection.
The California Health Interview Survey was a random digit- dial survey of over 50,000 households. Men aged 18 to 64 years who self-identified as gay or bisexual were subsequently recontacted for a follow-up study of HIV-related knowledge and behavior in which they were asked if they had heard of KS and to describe the cause of KS.
Of 398 MSM interviewed, 73.0% (95% CI 65.0-79.7) had heard of KS. However, only 6.4% (95% CI 4.4-9.2) of participants correctly identified that KS is caused by KSHV or a virus other than HIV. Postgraduate education, urban residence, and concurrent HIV infection were all independently associated with greater awareness of the viral origin of KS.
Awareness of KSHV is very low, overall, among MSM and only somewhat higher, but still unacceptably low, among HIV-infected MSM. Significant efforts are needed to increase awareness of KSHV as a sexually transmitted infection in this population.
尽管关于卡波西肉瘤相关疱疹病毒（KSHV）——卡波西肉瘤（KS）的病原体——的科学知识不断涌现，但普通人群对这种病毒的了解却很少。对于男男性行为者（MSM）这一感染风险最高的群体来说尤其如此。
加利福尼亚健康访谈调查是一项对50000多个家庭进行的随机数字拨号调查。随后，对18至64岁自我认定为同性恋或双性恋的男性进行再次联系，以开展一项关于HIV相关知识和行为的随访研究，询问他们是否听说过KS，并描述KS的病因。
在接受访谈的398名男男性行为者中，73.0%（95%置信区间65.0 - 79.7）听说过KS。然而，只有6.4%（95%置信区间4.4 - 9.2）的参与者正确识别出KS是由KSHV或除HIV之外的其他病毒引起的。研究生学历、城市居住以及同时感染HIV均与对KS病毒起源的更高认知独立相关。
总体而言，男男性行为者中对KSHV的认知非常低，而在感染HIV的男男性行为者中认知仅略高一点，但仍低至不可接受的程度。需要做出重大努力来提高该人群对KSHV作为性传播感染的认知。
