Regional Centre for Health Promotion, ULSS 20 - Veneto Region, Verona, Italy.
Euro Surveill. 2009 Dec 3;14(48):19427. doi: 10.2807/ese.14.48.19427-en.
Data from 23 European countries show that the annual number of HIV diagnoses in men who have sex with men (MSM) increased by 86% between 2000 and 2006. This paper reports the main preliminary results of a bio-behavioural survey in MSM with a specific focus on HIV prevalence and use of United Nations General Assembly Special Session (UNGASS) indicators in six cities in Southern and Eastern Europe. Time-location sampling (TLS) was used. A total number of 2,356 questionnaires and 2,241 oral fluid samples were collected (invalid samples 4.1%). The data show different socio-demographic patterns across countries regarding age, level of education, living conditions, living area and self-identity. Southern European cities had the highest percentage of people who had tested for HIV and collected the result. More than 50% of respondents in the sample from Barcelona reported having used a condom last time they had anal sex (57.2%), whilst in all other cities this proportion was below 50%. The cities with the highest HIV prevalence in MSM were Barcelona (17.0%) and Verona (11.8%) whilst lower percentages were reported in Bratislava (6.1%), Bucharest (4.6%), Ljubljana (5.1%) and Prague (2.6%). The low prevalence in Eastern European cities is encouraging. However, with the level of high-risk sexual behaviour documented and the lower frequency of HIV test seeking behaviour, there is a clear risk of an increase in HIV transmission.
来自 23 个欧洲国家的数据显示，2000 年至 2006 年间，男男性行为者（MSM）中的艾滋病病毒诊断数量增加了 86%。本文报告了一项在 MSM 中进行的生物行为调查的主要初步结果，该调查特别关注 HIV 流行率以及在六个东南欧城市使用联合国大会特别会议（UNGASS）指标的情况。采用了时间地点抽样（TLS）方法。共收集了 2356 份问卷和 2241 份口腔液样本（无效样本占 4.1%）。数据显示，在年龄、教育水平、生活条件、居住区域和自我认同等方面，不同国家之间存在不同的社会人口模式。南欧城市中，有最高比例的人接受过 HIV 检测并拿到了结果。在样本中，超过 50%的巴塞罗那人表示上次肛交时使用了安全套（57.2%），而在其他所有城市，这一比例均低于 50%。MSM 中 HIV 感染率最高的城市是巴塞罗那（17.0%）和维罗纳（11.8%），而布拉迪斯拉发（6.1%）、布加勒斯特（4.6%）、卢布尔雅那（5.1%）和布拉格（2.6%）的报告比例较低。东欧城市的低感染率令人鼓舞。然而，鉴于所记录的高风险性行为水平以及寻求 HIV 检测的频率较低，HIV 传播的风险明显增加。
