秘鲁利马高危男男性行为者和变性女性中与性伴侣的艾滋病毒感染状况沟通及相关因素
HIV Status Communication with Sex Partners and Associated Factors Among High-Risk MSM and Transgender Women in Lima, Peru.
作者信息
Konda Kelika A, Castillo Rostislav, Leon Segundo R, Silva-Santisteban Alfonso, Salazar Ximena, Klausner Jeffrey D, Coates Thomas J, Cáceres Carlos F
机构信息
Department of Medicine, School of Medicine, University of California, 10833 Le Conte Ave, CHS, Suite 13-154, Los Angeles, CA, 90095, USA.
School of Public Health, Universidad Peruana Cayetano Heredia, Av. Armendariz 445, 18, Lima, Peru.
出版信息
AIDS Behav. 2017 Jan;21(1):152-162. doi: 10.1007/s10461-016-1444-4.
Men who have sex with men (MSM) and transgender women (TW) are key populations in the HIV epidemic. HIV status communication between sex partners can inform decisions regarding sexual behavior. MSM and TW were asked about HIV status communication with sex partners at baseline, 9- and 18-months. GEE models assessed associations with HIV status communication at baseline using prevalence ratios (PRs) and longitudinally using odds ratios (ORs). At baseline, those who had previously had an HIV test, disclosed their HIV status to 42 % of their sex partners. HIV status communication was associated with knowing their sex partner's HIV status at baseline (aPR 5.20) and longitudinally (aOR 1.86). HIV positivity at baseline was negatively associated with HIV status communication during follow-up (aOR 0.55). All reported aPRs and aORs have p < 0.05. Interventions promoting HIV status communication and more frequent HIV testing should be explored as current efforts are insufficient.
男男性行为者（MSM）和跨性别女性（TW）是艾滋病毒流行中的关键人群。性伴侣之间的艾滋病毒感染状况沟通可为性行为相关决策提供信息。在基线期、9个月和18个月时，对男男性行为者和跨性别女性进行了关于与性伴侣进行艾滋病毒感染状况沟通的询问。广义估计方程（GEE）模型使用患病率比（PRs）在基线期评估与艾滋病毒感染状况沟通的关联，并使用比值比（ORs）纵向评估。在基线期，那些之前进行过艾滋病毒检测的人，向42%的性伴侣披露了自己的艾滋病毒感染状况。艾滋病毒感染状况沟通与在基线期知晓其性伴侣的艾滋病毒感染状况（调整后患病率比为5.20）以及纵向知晓情况（调整后比值比为1.86）相关。基线期的艾滋病毒阳性与随访期间的艾滋病毒感染状况沟通呈负相关（调整后比值比为0.55）。所有报告的调整后患病率比和调整后比值比的P值均<0.05。鉴于目前的努力不足，应探索促进艾滋病毒感染状况沟通和更频繁进行艾滋病毒检测的干预措施。
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