肯尼亚内罗毕男男性行为者及其他男男性接触者中艾滋病毒和性传播感染的流行情况及风险因素
HIV and STI prevalence and risk factors among male sex workers and other men who have sex with men in Nairobi, Kenya.
作者信息
Muraguri Nicholas, Tun Waimar, Okal Jerry, Broz Dita, Raymond H Fisher, Kellogg Timothy, Dadabhai Sufia, Musyoki Helgar, Sheehy Meredith, Kuria David, Kaiser Reinhard, Geibel Scott
机构信息
*Director of Medical Services, Ministry of Health, Nairobi, Kenya; †Population Council, Washington, DC; ‡Population Council, Nairobi, Kenya; §Centers for Disease Control and Prevention, Division of Global HIV/AIDS, Atlanta, GA; ‖San Francisco Department of Public Health, San Francisco, CA; ¶Global Health Sciences, University of California, San Francisco, Nairobi, Kenya; #Population Council, New York, NY; **National AIDS and STD Control Programme, Nairobi, Kenya; ††Health Policy Project, Futures Group International, Nairobi, Kenya; and ‡‡Centers for Disease Control and Prevention, Division of Global HIV/AIDS, Nairobi, Kenya.
出版信息
J Acquir Immune Defic Syndr. 2015 Jan 1;68(1):91-6. doi: 10.1097/QAI.0000000000000368.
: Previous surveys of men who have sex with men (MSM) in Africa have not adequately profiled HIV status and risk factors by sex work status. MSM in Nairobi, Kenya, were recruited using respondent-driven sampling, completed a behavioral interview, and were tested for HIV and sexually transmitted infections. Overlapping recruitment among 273 male sex workers and 290 other MSM was common. Sex workers were more likely to report receptive anal sex with multiple partners (65.7% versus 18.0%, P < 0.001) and unprotected receptive anal intercourse (40.0% versus 22.8%, P = 0.005). Male sex workers were also more likely to be HIV infected (26.3% versus 12.2%, P = 0.007).
以往对非洲男男性行为者（MSM）的调查未能充分按性工作状况描述HIV感染状况和风险因素。在肯尼亚内罗毕，通过应答者驱动抽样招募了男男性行为者，他们完成了行为访谈，并接受了HIV和性传播感染检测。273名男性性工作者和290名其他男男性行为者之间存在重叠招募的情况很常见。性工作者更有可能报告与多个伴侣进行接受肛交（65.7%对18.0%，P<0.001）以及无保护的接受肛交（40.0%对22.8%，P=0.005）。男性性工作者感染HIV的可能性也更高（26.3%对12.2%，P=0.007）。
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