尼日利亚男男性行为者的网络性寻找：对网络干预的启示。
Online Sex-Seeking Among Men who have Sex with Men in Nigeria: Implications for Online Intervention.
机构信息
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Center for Public Health and Human Rights, Johns Hopkins University, E7133, 615 N. Wolfe St., Baltimore, MD, 21205, USA.
Division of Epidemiology and Prevention, Institute of Human Virology, University of Maryland, Baltimore, USA.
出版信息
AIDS Behav. 2017 Nov;21(11):3068-3077. doi: 10.1007/s10461-016-1437-3.
Abstract
The TRUST/RV368 project was undertaken to apply innovative strategies to engage Nigerian MSM into HIV care. In this analysis we evaluate characteristics of online sex-seekers from the TRUST/RV368 cohort of 1370 MSM in Abuja and Lagos. Logistic regression and generalized estimating equation models were used to assess associations with online sex-seeking. Online sex-seeking (n = 843, 61.5 %) was associated with participation in MSM community activities, larger social and sexual networks, and higher levels of sexual behavior stigma. In addition, online sex-seeking was associated with testing positive for HIV at a follow-up visit [adjusted odds ratio (aOR) = 2.02, 95 % confidence interval (CI) = 1.37, 2.98)] among those who were unaware of or not living with HIV at baseline. Across visits, online sex-seekers were marginally more likely to test positive for chlamydia/gonorrhea (aOR 1.28, 95 % CI 0.99, 1.64). Online sex-seekers in Nigeria are at increased risk for HIV/STIs but may not be benefiting from Internet-based risk reduction opportunities.
摘要
TRUST/RV368 项目旨在应用创新策略，让尼日利亚男男性行为者（MSM）参与到艾滋病护理中。在这项分析中，我们评估了来自阿布贾和拉各斯的 1370 名 MSM 的 TRUST/RV368 队列中，线上性寻找者的特征。我们使用逻辑回归和广义估计方程模型评估了与线上性寻找相关的因素。线上性寻找（n=843，61.5%）与参与男男性行为者社区活动、更大的社交和性网络以及更高水平的性行为污名有关。此外，在那些基线时不知道或没有感染艾滋病毒的人中，线上性寻找与随访时艾滋病毒检测呈阳性相关（调整后的优势比[aOR]=2.02，95%置信区间[CI] = 1.37, 2.98）。在所有访视中，线上性寻找者衣原体/淋病检测呈阳性的几率略高（aOR 1.28，95%CI 0.99，1.64）。尼日利亚的线上性寻找者感染艾滋病毒/性传播感染的风险增加，但他们可能无法从基于互联网的减少风险机会中受益。
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