Brignol Sandra, Dourado Inês, Amorim Leila D, Kerr Lígia Regina Franco Sansigolo
Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil.
Instituto de Matemática, Universidade Federal da Bahia, Salvador, Brasil.
Cad Saude Publica. 2015 May;31(5):1035-48. doi: 10.1590/0102-311X00178313.
Social, individual, and programmatic vulnerability of men who have sex with men (MSM) in the context of the HIV epidemic and other sexually transmitted infections (STI) is a reality in many countries. The survey Behavior, Attitudes, Practices, and Prevalence of HIV and Syphilis in Men Who Have Sex with Men in 10 Brazilian Cities selected 383 MSM in the city of Salvador, Bahia State, Brazil, using the respondent driven sampling (RDS) technique. Individual vulnerability early sexual initiation (51%), average of eight sex partners, and unprotected receptive anal sex with casual (32%) and steady partners (45%) and positive rapid tests HIV (6.5%) and syphilis (9%). Social vulnerability young adults (80%), black race/skin color (91%), mean monthly family income of BRL 1,000.00, and personal history of discrimination (57%). Programmatic factors no previous HIV test (63%) and no access to lubricant gel (88%). The study showed a profile of vulnerability and the urgent need for interventions and STI prevention in the MSM population in Salvador, in addition to high prevalence rates for HIV and syphilis.
在艾滋病毒流行及其他性传播感染（STI）背景下，男男性行为者（MSM）在社会、个人及项目层面存在的脆弱性在许多国家都是现实情况。巴西10个城市男男性行为者中艾滋病毒和梅毒的行为、态度、实践及流行率调查，采用应答驱动抽样（RDS）技术，在巴西巴伊亚州萨尔瓦多市选取了383名男男性行为者。个人层面的脆弱性表现为：性早熟（51%）、平均有8个性伴侣、与临时性伴侣（32%）和固定性伴侣（45%）进行无保护的肛交、艾滋病毒快速检测呈阳性（6.5%）以及梅毒检测呈阳性（9%）。社会层面的脆弱性表现为：年轻人（80%）、黑人种族/肤色（91%）、家庭月平均收入为1000.00雷亚尔以及有个人受歧视史（57%）。项目层面的因素包括：以前未进行过艾滋病毒检测（63%）以及无法获得润滑剂凝胶（88%）。该研究显示了一种脆弱性状况，除了艾滋病毒和梅毒的高流行率外，萨尔瓦多的男男性行为人群迫切需要进行干预及预防性传播感染。
