van Veen M G, Schaalma H, van Leeuwen A P, Prins M, de Zwart O, van de Laar M J W, Hospers H J
National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands.
Int J STD AIDS. 2011 May;22(5):245-50. doi: 10.1258/ijsa.2009.008511.
Concurrent partnerships have been recognized as a determinant for the spread of HIV and sexually transmitted infections (STIs). We studied the association of concurrent partnerships with sexual behaviour among heterosexual Caribbean and African migrants, who account for a disproportionate burden of STIs and HIV in the Netherlands. Of 1792 migrants, 15% reported concurrent sexual partners in the previous six months. In multivariate multinomial analyses, women were less likely to have concurrent partners than men and they were less likely than men to use condoms with concurrent partners. We could not identify an association with the observed HIV prevalence; however, migrants with concurrent partners were less likely to be tested for HIV. Of migrants tested for STIs, one in three migrants with concurrent partners was diagnosed with an STI. Prevention targeting migrants should address the promotion of HIV/STI testing and stress the potential acceleration of HIV and STI epidemics due to concurrency.
同时拥有多个性伴侣已被视为艾滋病毒和性传播感染（STIs）传播的一个决定因素。我们研究了在荷兰性传播感染和艾滋病毒负担过重的加勒比和非洲异性恋移民中，同时拥有多个性伴侣与性行为之间的关联。在1792名移民中，15%的人报告在过去六个月里有同时性伴侣。在多变量多项分析中，女性比男性拥有同时性伴侣的可能性更小，而且与同时性伴侣使用避孕套的可能性也比男性小。我们未能确定其与观察到的艾滋病毒流行率之间的关联；然而，有同时性伴侣的移民接受艾滋病毒检测的可能性较小。在接受性传播感染检测的移民中，三分之一有同时性伴侣的移民被诊断患有性传播感染。针对移民的预防措施应致力于促进艾滋病毒/性传播感染检测，并强调由于同时拥有多个性伴侣可能加速艾滋病毒和性传播感染的流行。
