Harvard School of Public Health, Boston, MA, USA,
AIDS Behav. 2014 Jul;18(7):1264-71. doi: 10.1007/s10461-013-0632-8.
In Vietnam, the co-occurrence (i.e., "syndemic") of psychosocial factors (e.g., depression and substance use) may disproportionately burden male sex workers and increase their HIV risk. A comprehensive survey was conducted among 300 male sex workers in Ho Chi Minh City, Vietnam in 2010. We performed logistic regression to examine the association between the syndemic variable-a count score of the number of five psychosocial conditions endorsed-and unprotected anal sex (UAS) in the past. One-third of participants reported any UAS, and 42 % reported ≥2 psychosocial health problems. In multivariable models, experiencing ≥4 psychosocial health problems was significantly associated with UAS. Every unit increase in number of psychosocial health problems was associated with a 25-30 % increase in odds of UAS. Understanding the syndemic condition and its association with HIV risk among male sex workers in Vietnam may lead to the development of more effective, comprehensive interventions.
在越南，心理社会因素（例如抑郁和物质使用）的共同发生（即“综合征”）可能不成比例地给男性性工作者带来负担，并增加他们感染 HIV 的风险。2010 年，在越南胡志明市对 300 名男性性工作者进行了一项全面调查。我们进行了逻辑回归分析，以研究综合征变量（即五个心理社会状况中被认可的数量的计数得分）与过去无保护肛交（UAS）之间的关联。三分之一的参与者报告有任何 UAS，42%的参与者报告有≥2 个心理健康问题。在多变量模型中，经历≥4 个心理健康问题与 UAS 显著相关。心理社会健康问题的数量每增加一个单位，UAS 的几率就会增加 25-30%。了解越南男性性工作者的综合征状况及其与 HIV 风险的关联，可能会促使制定更有效、更全面的干预措施。
