男男性行为者在法国与偶然伴侣进行血清学选择吗?一项全国性调查的结果(ANRS-EN17-Presse Gay 2004)。

Do men who have sex with men use serosorting with casual partners in France? Results of a nationwide survey (ANRS-EN17-Presse Gay 2004).

机构信息

Unite VIH/sida-IST-VHC-VHB chronique, Department of infectious diseases, French Institute for Public Health Surveillance, Saint-Maurice, France.

出版信息

Euro Surveill. 2009 Nov 26;14(47):19416. doi: 10.2807/ese.14.47.19416-en.

Abstract

We examined whether men who have sex with men (MSM) in France have adopted serosorting with their casual partners, serosorting being one strategy to reduce the risk of HIV transmission. We expected to see the same predictors of this practice with casual partners in France as in other similar MSM communities (HIV-seropositive, Internet dating). Data from a cross-sectional survey was used, based on a self-administered questionnaire conducted among readers of the gay press and users of gay websites in 2004. The study population consisted of MSM who reported their HIV status, as well as the practice of unprotected anal intercourse (UAI) with a casual partner at least once during the previous 12 months. Among 881 respondents included in the analysis, 195 (22%) had practiced serosorting: 14% among HIV-seropositive men and 26% among HIV-seronegative men. Serosorting was independently associated with the use of cruising venues (AOR 0.28, p=0.001) and Internet dating (AOR 2.16, p=0.051) among HIV-seropositive men, whereas it was independently associated with the use of cruising venues (AOR 0.59, p=0.013) and the fact of having less partners (AOR 1.50, p=0.046) among HIV-seronegative men. Serosorting requires an up-to-date knowledge of HIV serostatus for MSM and their UAI casual partners, and does not prevent from acquiring other sexually transmitted infections. Prevention campaigns are needed to underline the risks associated with serosorting.

摘要

我们研究了法国男男性接触者(MSM)是否采用了与偶然伴侣的血清学匹配,血清学匹配是减少 HIV 传播风险的一种策略。我们期望在法国的偶然伴侣中看到与其他类似 MSM 社区相同的预测因素(HIV 阳性,互联网约会)。这项研究使用了一项横断面调查的数据,该调查基于 2004 年在同性恋新闻读者和同性恋网站用户中进行的自我管理问卷。研究人群包括报告 HIV 状况的 MSM,以及在过去 12 个月中至少与偶然伴侣发生过一次无保护肛交(UAI)的人。在纳入分析的 881 名受访者中,有 195 名(22%)进行了血清学匹配:HIV 阳性男性中有 14%,HIV 阴性男性中有 26%。血清学匹配与 HIV 阳性男性使用巡游场所(AOR 0.28,p=0.001)和互联网约会(AOR 2.16,p=0.051)独立相关,而与 HIV 阴性男性使用巡游场所(AOR 0.59,p=0.013)和伴侣较少(AOR 1.50,p=0.046)独立相关。血清学匹配要求 MSM 及其 UAI 偶然伴侣具备最新的 HIV 血清学状况知识,并且不能预防其他性传播感染。需要开展预防运动,强调血清学匹配相关的风险。

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