莫桑比克三个城市地区仅与男性发生性行为的男性以及与男性和女性都发生性行为的男性中与艾滋病毒相关的风险因素。
Risk Factors Associated with HIV Among Men Who Have Sex Only with Men and Men Who Have Sex with Both Men and Women in Three Urban Areas in Mozambique.
作者信息
Sathane Isabel, Horth Roberta, Young Peter, Inguane Celso, Nalá Rassul, Miranda Angelica E, Lane Tim, Raymond H Fisher, Cummings Beverley, McFarland Willi
机构信息
International Training and Education Center for Health, P.O. BOX 364, Maputo, Mozambique.
Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.
出版信息
AIDS Behav. 2016 Oct;20(10):2296-2308. doi: 10.1007/s10461-016-1390-1.
Abstract
Using respondent-driven sampling (RDS), an integrated biological behavioral survey among men that have sex with men (MSM) enrolled 457 participants in Maputo [63.0 % were MSM who had sex with women (MSMW)], 538 in Beira (36.2 % MSMW) and 330 in Nampula-Nacala (54.8 % MSMW) in 2011. Analysis suggests that MSM who have sex only with men (MSMO) had increased odds of having HIV (aOR 2.7) compared to MSMW. HIV among MSMO associated with age, self-reported STI (aOR 4.2), having a single male anal partner (aOR 3.8) and having transactional sex with a man (aOR 3.5) in the past year. Among MSMW, HIV associated with age, lower education (aOR 32.5), being uncircumcised (aOR 3.1) and having transactional sex with a woman (aOR 6.0) in the past year. Findings confirm that MSMO and MSMW have distinct HIV risks in Mozambique; HIV programs for MSM in Southern Africa should take such differences into consideration.
摘要
2011年，通过应答驱动抽样（RDS）方法，在马普托、贝拉和楠普拉-纳卡拉对男男性行为者（MSM）开展了一项综合生物行为调查，分别有457名、538名和330名参与者入组（马普托63.0%为与女性发生性行为的男男性行为者[MSMW]，贝拉为36.2%，楠普拉-纳卡拉为54.8%）。分析表明，与MSMW相比，仅与男性发生性行为的男男性行为者（MSMO）感染艾滋病毒的几率增加（调整后比值比[aOR]为2.7）。在MSMO中，艾滋病毒感染与年龄、自我报告的性传播感染（aOR为4.2）、有单一男性肛交性伴侣（aOR为3.8）以及在过去一年与男性发生交易性行为（aOR为3.5）有关。在MSMW中，艾滋病毒感染与年龄、受教育程度较低（aOR为32.5）、未行包皮环切术（aOR为3.1）以及在过去一年与女性发生交易性行为（aOR为6.0）有关。研究结果证实，在莫桑比克，MSMO和MSMW面临不同的艾滋病毒感染风险；南部非洲针对男男性行为者的艾滋病毒防治项目应考虑到这些差异。
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2
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3
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