HIV/STD Research Program, Thailand Ministry of Public Health - U.S. Centers for Disease Control and Prevention Collaboration, DDC7 Building, 4th floor, Ministry of Public Health, Nonthaburi, 11000, Thailand.
Doctor of Public Health Program in Epidemiology (International Program), Faculty of Public Health, Mahidol University, Bangkok, Thailand.
AIDS Behav. 2018 Jul;22(7):2137-2146. doi: 10.1007/s10461-017-1963-7.
High HIV incidence has been reported in young men who have sex with men (YMSM) in North America and Western Europe, but there are limited data from Southeast Asia suggesting MSM may be the driver of the HIV epidemic in this region. We described HIV incidence and risk factors among 494 YMSM enrolled in a cohort study in Bangkok, Thailand. The HIV incidence was 7.4 per 100 person-years. In multivariable analysis, reporting use of an erectile dysfunction drug in combination with club drugs, having receptive or both insertive and receptive anal intercourse with men, having hepatitis A infection, having rectal Chlamydia trachomatis, having hepatitis B infection prior to HIV seroconversion, and reporting not always using condoms with male steady partners were significantly associated with HIV incidence in YMSM. Reduction in new HIV infections in YMSM are critical to reach targets set by Thailand and the region.
在北美和西欧，男男性行为者（MSM）中的艾滋病毒发病率很高，但来自东南亚的有限数据表明，MSM 可能是该地区艾滋病毒流行的驱动因素。我们描述了在泰国曼谷参加队列研究的 494 名男男性行为者中的艾滋病毒发病率和危险因素。艾滋病毒发病率为每 100 人年 7.4 例。在多变量分析中，报告使用勃起功能障碍药物与俱乐部药物、与男性发生接受或同时插入和接受性肛交、感染甲型肝炎、感染直肠沙眼衣原体、在 HIV 血清转换前感染乙型肝炎，以及报告与男性稳定伴侣并非总是使用安全套与艾滋病毒发病率显著相关。减少新的艾滋病毒感染对于实现泰国和该地区设定的目标至关重要。
