在布基纳法索瓦加杜古和博博迪乌拉索对男男性行为者进行性传播感染检测的相关因素研究。

Examining the Correlates of Sexually Transmitted Infection Testing Among Men Who Have Sex With Men in Ouagadougou and Bobo-Dioulasso, Burkina Faso.

作者信息

Goodman Sara H, Grosso Ashley L, Ketende Sosthenes C, Ouedraogo Gautier H, Kouanda Seni, Ky-Zerbo Odette, Samadoulougou Césaire, Baral Stefan

机构信息

From the *Johns Hopkins School of Medicine Center for Child & Community Health Research; † Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology; ‡Key Populations Program Center for Public Health and Human Rights, Baltimore, MD; §Institut de Recherche en Sciences de la Santé (IRSS), Bobo Dioulasso, Burkina Faso; ¶Institut de Recherche en Sciences de la Santé-IRSS Maitre de Recherche Chef de Département Biomédical et Santé Publique, Ouagadougou, Burkina Faso; and ∥Programme d'Appui au Monde Associatif Communautaire de Lutte Contre le VIH/SIDA (PAMAC), Ouagadougou, Burkina Faso.

出版信息

Sex Transm Dis. 2016 May;43(5):302-9. doi: 10.1097/OLQ.0000000000000437.

DOI:10.1097/OLQ.0000000000000437

PMID:27100767

Abstract

BACKGROUND

Men who have sex with men (MSM) are a population at risk for HIV acquisition and transmission and other sexually transmitted infections (STIs). In Burkina Faso, the prevalence of HIV among MSM is higher than that of other reproductive-aged adults. Early and frequent STI testing and treatment can help prevent HIV acquisition and transmission and may improve linkage to care.

METHODS

A cross-sectional study used respondent-driven sampling of MSM in the urban centers of Ouagadougou and Bobo-Dioulasso, Burkina Faso, to complete a questionnaire and HIV and syphilis testing. The binary-dependent variable in these analyses was self-reported prior STI testing in the past 12 months. Independent variables included sociodemographic characteristics, sexual behaviors, and psychosocial factors, selected according to the modified social ecological model. Bivariate associations at the P<0.05 level were used to create a manual forward stepwise multivariable logistic regression.

RESULTS

Seventy-six percent of participants (511/672) did not test for STIs in the last 12 months. Testing for STIs was associated with STI symptoms (odds ratio [OR], 2.56; 95% confidence interval [95% CI], 1.39-4.76) and independently associated with depressive symptoms (adjusted OR, 1.49; 95% CI, 1.01-2.20) and discussing HIV and STIs with main male partners (adjusted OR, 1.73; 95% CI, 1.23-1.76).

CONCLUSIONS

These data suggest that periodic targeted STI screening for MSM in Burkina Faso may represent an important component of comprehensive HIV prevention programming. The relationship between depression and STI risks is well established, and these data further indicate that screening for depression may be warranted during these clinical encounters.

摘要

背景

男男性行为者（MSM）是感染和传播HIV以及其他性传播感染（STIs）的高危人群。在布基纳法索，MSM中的HIV流行率高于其他育龄成年人。早期且频繁的性传播感染检测和治疗有助于预防HIV感染和传播，并可能改善与医疗服务的联系。

方法

一项横断面研究采用应答驱动抽样方法，对布基纳法索瓦加杜古和博博迪乌拉索市中心的男男性行为者进行调查，以完成问卷以及HIV和梅毒检测。这些分析中的二元因变量是过去12个月内自我报告的既往性传播感染检测情况。自变量包括社会人口学特征、性行为和心理社会因素，这些因素是根据改良的社会生态模型选取的。使用P<0.05水平的双变量关联来创建手动向前逐步多变量逻辑回归。

结果

76%的参与者（511/672）在过去12个月内未进行性传播感染检测。性传播感染检测与性传播感染症状相关（比值比[OR]，2.56；95%置信区间[95%CI]，1.39 - 4.76），并且独立于抑郁症状（校正OR，1.49；95%CI，1.01 - 2.20）以及与主要男性伴侣讨论HIV和性传播感染情况（校正OR，1.73；95%CI，1.23 - 1.76）。