Adam Philippe C G, de Wit John B F, Toskin Igor, Mathers Bradley M, Nashkhoev Magomed, Zablotska Iryna, Lyerla Rob, Rugg Deborah
National Centre in HIV Social Research, University of New South Wales, Sydney, Australia.
J Acquir Immune Defic Syndr. 2009 Dec;52 Suppl 2:S143-51. doi: 10.1097/QAI.0b013e3181baf111.
HIV prevalence data suggest that men who have sex with men (MSM) in low-income and middle-income countries (LMIC) are at increased risk of HIV. The aim of this article is to present global estimates on key HIV prevention needs and responses among MSM in LMIC.
Data on HIV testing, HIV prevention coverage, HIV knowledge and condom use among MSM were derived from UNGASS country progress reports submitted in 2008. Eligible country estimates were used to calculate global and regional estimates, weighted for the size of MSM populations.
Of 147 LMIC, 45% reported at least 1 indicator that reflects the HIV prevention needs and responses in MSM. Global weighted estimates indicate that on average 31% of MSM in LMIC were tested for HIV; 33% were reached by HIV prevention programs; 44% had correct HIV knowledge; and 54% used condoms the last time they had anal sex with a man.
The 2008 UNGASS country reports represent the largest harmonized data set to date of HIV prevention needs and responses among MSM in LMIC. Although reporting is incomplete and does not always conform to requirements, findings confirm that, in many LMIC, HIV prevention responses in MSM need substantial strengthening.
艾滋病毒流行率数据表明，低收入和中等收入国家（LMIC）中与男性发生性关系的男性（MSM）感染艾滋病毒的风险增加。本文旨在介绍全球对低收入和中等收入国家中与男性发生性关系者的关键艾滋病毒预防需求及应对措施的估计情况。
与男性发生性关系者的艾滋病毒检测、艾滋病毒预防覆盖率、艾滋病毒知识及避孕套使用情况的数据，来自于2008年提交的联合国大会特别会议国家进展报告。符合条件的国家估计数用于计算全球和区域估计数，并根据与男性发生性关系者群体的规模进行加权。
在147个低收入和中等收入国家中，45%的国家报告了至少1项反映与男性发生性关系者艾滋病毒预防需求及应对措施的指标。全球加权估计数表明，低收入和中等收入国家中平均31%的与男性发生性关系者接受了艾滋病毒检测；33%的人获得了艾滋病毒预防项目的服务；44%的人掌握了正确的艾滋病毒知识；54%的人与男性肛交时最后一次使用了避孕套。
2008年联合国大会特别会议国家报告是迄今为止关于低收入和中等收入国家中与男性发生性关系者艾滋病毒预防需求及应对措施的最大规模的统一数据集。尽管报告并不完整且并不总是符合要求，但研究结果证实，在许多低收入和中等收入国家，针对与男性发生性关系者的艾滋病毒预防应对措施需要大力加强。
