男男性行为者中的交易性行为与艾滋病毒流行：系统评价和荟萃分析结果
Transactional Sex and the HIV Epidemic Among Men Who have Sex with Men (MSM): Results From a Systematic Review and Meta-analysis.
作者信息
Oldenburg Catherine E, Perez-Brumer Amaya G, Reisner Sari L, Mimiaga Matthew J
机构信息
Department of Epidemiology, Harvard School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.
出版信息
AIDS Behav. 2015 Dec;19(12):2177-83. doi: 10.1007/s10461-015-1010-5.
Abstract
Engagement in transactional sex has been hypothesized to increase risk of HIV among MSM, however conflicting evidence exists. We conducted a systematic review and meta-analysis comparing HIV prevalence among MSM who engaged in transactional sex to those who did not (33 studies in 17 countries; n = 78,112 MSM). Overall, transactional sex was associated with a significant elevation in HIV prevalence (OR 1.34, 95 % CI 1.11-1.62). Latin America (OR 2.28, 95 % CI 1.87-2.78) and Sub-Saharan Africa (OR 1.72, 95 % CI 1.02-2.91) were the only regions where this elevation was noted. Further research is needed to understand factors associated with sex work and subsequent HIV risk in Latin America and Sub-Saharan Africa.
摘要
据推测，从事交易性行为会增加男男性行为者感染艾滋病毒的风险，然而，现有证据相互矛盾。我们进行了一项系统评价和荟萃分析，比较了从事交易性行为的男男性行为者与未从事交易性行为的男男性行为者的艾滋病毒感染率（17个国家的33项研究；n = 78112名男男性行为者）。总体而言，交易性行为与艾滋病毒感染率显著升高相关（比值比1.34，95%置信区间1.11 - 1.62）。拉丁美洲（比值比2.28，95%置信区间1.87 - 2.78）和撒哈拉以南非洲（比值比1.72，95%置信区间1.02 - 2.91）是仅有的发现这种感染率升高的地区。需要进一步开展研究，以了解拉丁美洲和撒哈拉以南非洲与性工作及后续艾滋病毒风险相关的因素。
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