印度男男性行为者：文献系统综述

Men who have sex with men in India: a systematic review of the literature.

作者信息

Setia Maninder Singh, Brassard Paul, Jerajani Hemangi R, Bharat Shalini, Gogate Alka, Kumta Sameer, Row-Kavi Ashok, Anand Vivek, Boivin Jean-François

机构信息

Department of Epidemiology and Biostatistics, McGill University, Montreal, Quebec, Canada.

出版信息

J LGBT Health Res. 2008;4(2-3):51-70. doi: 10.1080/15574090902913727.

DOI:10.1080/15574090902913727

PMID:19856739

Abstract

This study systematically reviews the existing literature on sexually transmitted infections (STIs) including human immunodeficiency virus (HIV) infection in the men who have sex with men (MSM) in India. After a comprehensive literature search of Medline (1950-June 2008), Embase (1980-June 2008), and the Cochrane Library (1950-June 2008), 12 published studies met the inclusion criteria. The link between sexual identity and sexual behavior is a complex phenomenon strongly embedded in a very specific context in India. MSM in India are an important risk group for acquiring STIs/HIV and effective culturally sensitive prevention programs should be designed for them. The combined estimate of HIV prevalence in the MSM population in India calculated from 5 included studies was 16.5% (95% confidence intervals: 11% to 22%). The review also identifies the lacunae in existing literature and provides future directions for research in the MSM community in India.

摘要

本研究系统回顾了印度男男性行为者（MSM）中包括人类免疫缺陷病毒（HIV）感染在内的性传播感染（STIs）的现有文献。在对Medline（1950年 - 2008年6月）、Embase（1980年 - 2008年6月）和Cochrane图书馆（1950年 - 2008年6月）进行全面文献检索后，有12项已发表的研究符合纳入标准。性身份与性行为之间的联系是一种复杂的现象，深深植根于印度非常特殊的背景之中。印度的男男性行为者是感染性传播感染/艾滋病毒的重要风险群体，应为他们设计有效的、具有文化敏感性的预防项目。根据5项纳入研究计算得出，印度男男性行为者人群中艾滋病毒流行率的综合估计为16.5%（95%置信区间：11%至22%）。该综述还指出了现有文献中的空白，并为印度男男性行为者群体的未来研究提供了方向。