ICAP at Columbia University, Mailman School of Public Health, 722 W. 168th St., New York, NY, USA.
Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
AIDS Behav. 2018 Jul;22(7):2079-2088. doi: 10.1007/s10461-017-1793-7.
Using respondent driven sampling, we conducted a cross-sectional bio-behavioral survey among men who have sex with men (MSM) in Bamako, Mali. Eligibility criteria included age ≥18 years and having had sex with another man in the last 6 months. We enrolled 552 MSM, 99.6% were tested for HIV. MSM in Bamako were young (69.6% ≤24 years) and educated (63.7% ≥secondary). HIV prevalence among MSM in Bamako was 13.7; 90.1% of HIV-infected men were unaware of their HIV status. Almost one-third had never been tested for HIV. Factors associated with higher odds of HIV included younger age, being receptive with last partner, condom breaking during anal sex in last 6 months, talking to peer educator about HIV, and having sexually transmitted infection symptoms in past year. The results suggest the need for enhanced HIV prevention and treatment services targeted at MSM in Bamako, with emphasis on repeated HIV testing.
我们在马里巴马科使用应答驱动抽样法对男男性行为者（MSM）进行了横断面生物行为学调查。入选标准包括年龄≥18 岁且在过去 6 个月内与另一名男性发生过性行为。我们共招募了 552 名 MSM，99.6%接受了 HIV 检测。巴马科的 MSM 较为年轻（69.6%≤24 岁）且受教育程度较高（63.7%≥中学）。巴马科 MSM 的 HIV 感染率为 13.7%；90.1%的 HIV 感染者不知道自己的 HIV 状况。近三分之一的人从未接受过 HIV 检测。与 HIV 感染几率较高相关的因素包括年龄较小、最近一次与性伴侣发生性行为时为受方、过去 6 个月发生性行为时安全套破裂、与同伴教育者谈论过 HIV 问题以及过去一年中有性传播感染症状。结果表明，需要加强针对巴马科 MSM 的 HIV 预防和治疗服务，重点是反复进行 HIV 检测。
