Melbourne Sexual Health Centre, Alfred Health, Victoria.
Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria.
Aust N Z J Public Health. 2019 Oct;43(5):424-428. doi: 10.1111/1753-6405.12926. Epub 2019 Jul 9.
Asian men who have sex with men (MSM) who have recently arrived in Australia are an emergent risk group for HIV; however, little is known about how they compare to Australian MSM diagnosed with HIV. This study compared the characteristics of these two groups.
A retrospective, cross-sectional study of MSM diagnosed with HIV between January 2014 and October 2017 in Melbourne and Sydney public sexual health clinics. Asian MSM were those who had arrived in Australia within 4 years of diagnosis.
Among 111 Asian men, 75% spoke a language other than English, 88% did not have Medicare and 61% were international students. Compared with Australian men (n=209), Asian men reported fewer male sexual partners within 12 months (median 4 versus 10, p<0.001), were less likely to have tested for HIV previously (71% versus 89%, p<0.001) and had a lower median CD4 count (326 versus 520, p<0.001). Among Asian men, HIV subtype CRF01-AE was more common (55% versus 16%, p<0.001) and subtype B less common (29% versus 73%, p<0.001).
Asian MSM diagnosed with HIV reported lower risk and had more advanced HIV. Implications for public health: HIV testing and preventative interventions supporting international students are required.
最近抵达澳大利亚的男男性行为者（MSM）是艾滋病毒的一个新兴高危群体；然而，对于他们与澳大利亚 HIV 感染者的差异，我们知之甚少。本研究比较了这两个群体的特征。
对 2014 年 1 月至 2017 年 10 月期间在墨尔本和悉尼公共性健康诊所被诊断为 HIV 的 MSM 进行回顾性、横断面研究。亚洲 MSM 是指在确诊后 4 年内抵达澳大利亚的 MSM。
在 111 名亚洲男性中，75%的人说英语以外的语言，88%的人没有医疗保险，61%是留学生。与澳大利亚男性（n=209）相比，亚洲男性在 12 个月内报告的性伴侣较少（中位数 4 对 10，p<0.001），以前接受 HIV 检测的可能性较低（71%对 89%，p<0.001），CD4 计数中位数较低（326 对 520，p<0.001）。在亚洲男性中，更为常见的 HIV 亚型是 CRF01-AE（55%对 16%，p<0.001），而亚型 B 较少见（29%对 73%，p<0.001）。
被诊断为 HIV 的亚洲 MSM 报告的风险较低，HIV 更为晚期。对公共卫生的影响：需要对留学生进行 HIV 检测和预防性干预。
