Cambridge Centre for Sport and Exercise Sciences,Anglia Ruskin University,Cambridge,UK.
Division of Public Health Sciences,Department of Surgery,Washington University School of Medicine,St Louis, MO,USA.
Epidemiol Infect. 2019 Jan;147:e241. doi: 10.1017/S095026881900133X.
The aim of the present study is to use the syndemic framework to investigate the risk of contracting HIV in the US population. Cross-sectional analyses are from The National Health and Nutrition Examination Survey. We extracted and aggregated data on HIV antibody test, socio-demographic characteristics, alcohol use, drug use, depression, sexual behaviours and sexually transmitted diseases from cycle 2009-2010 to 2015-2016. We carried out weighted regression among young adults (20-39 years) and adults (40-59 years) separately. In total, 5230 men and 5794 women aged 20-59 years were included in the present analyses. In total, 0.8% men and 0.2% women were tested HIV-positive. Each increasing HIV risk behaviour was associated with elevated odds of being tested HIV-positive (1.15, 95% CI 1.15-1.15) among young adults and adults (1.61, 95% CI 1.61-1.61). Multi-faceted, community-based interventions are urgently required to reduce the incidence of HIV in the USA.
本研究旨在利用综合征理论框架调查美国人群感染艾滋病毒的风险。横断面分析数据来自于国家健康和营养检查调查。我们从 2009-2010 年至 2015-2016 年的周期中提取并汇总了艾滋病毒抗体检测、社会人口特征、饮酒、吸毒、抑郁、性行为和性传播疾病的数据。我们分别在年轻人（20-39 岁）和成年人（40-59 岁）中进行了加权回归。总共纳入了 5230 名男性和 5794 名 20-59 岁的女性。男性中 0.8%的人、女性中 0.2%的人艾滋病毒检测呈阳性。在年轻人和成年人中，每增加一种艾滋病毒风险行为，艾滋病毒检测呈阳性的几率就会升高（1.15，95%置信区间 1.15-1.15）（1.61，95%置信区间 1.61-1.61）。迫切需要多方面的社区干预措施来降低美国的艾滋病毒发病率。
