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2017年多哥男男性行为者中艾滋病毒感染和乙型肝炎的流行情况及其相关因素。

Prevalence of HIV infection and hepatitis B and factors associated with them among men who had sex with men in Togo in 2017.

作者信息

Sadio A J, Gbeasor-Komlanvi F A, Konu Y R, Sewu E K, Zida-Compaore W, Salou M, Kariyiare B G, Blatome T J, Dagnra A Y, Ekouevi D K

机构信息

Université de Lomé, Département de santé publique, Lomé, Togo, Centre africain de recherche en épidémiologie et en santé publique, Lomé, Togo.

Université de Lomé, Centre de biologie moléculaire et d'immunologie, Lomé, Togo.

出版信息

Med Sante Trop. 2019 Aug 1;29(3):294-301. doi: 10.1684/mst.2019.0922.

Abstract

Men who have sex with men (MSM) are a population at risk of contracting both HIV and hepatitis B virus (HBV). The objective of this study was to assess the prevalence of these diseases and the factors associated with them among MSM in Togo in 2017. This cross-sectional study took place in eight major cities in Togo from August through September, 2017. MSM aged 18 years and older were recruited with the respondent-driven sampling method. Data on sexual behavior were collected with a standardized questionnaire. Rapid tests were used to screen for HIV and HBV. In all, 678 MSM with a median age of 23 years (interquartile range: 21-26) were recruited, 68.7% of them living in Lomé, the capital of Togo. The prevalence of HIV was 22.0% (95% confidence interval [95% CI] 18.9-25.3) and that of HBV 7.1% (95% CI 5.3-9.3). Seven (1.0%) MSM were co-infected with HIV and HBV. Age, place of residence, living with a male partner, the number of male partners in the 12 months before the study, and history of HIV testing were associated with HIV infection (P<0.05). Age and living in Lomé were associated with HBV infection (P<0.05). The results of this study highlight the importance of focusing response efforts on populations at risk of contracting STIs through routine screening and vaccination.

摘要

男男性行为者(MSM)是感染艾滋病毒(HIV)和乙型肝炎病毒(HBV)的高危人群。本研究的目的是评估2017年多哥男男性行为者中这些疾病的流行情况及其相关因素。这项横断面研究于2017年8月至9月在多哥的八个主要城市进行。采用应答者驱动抽样方法招募18岁及以上的男男性行为者。通过标准化问卷收集性行为数据。采用快速检测法筛查HIV和HBV。共招募了678名男男性行为者,中位年龄为23岁(四分位间距:21 - 26岁),其中68.7%居住在多哥首都洛美。HIV感染率为22.0%(95%置信区间[95%CI]18.9 - 25.3),HBV感染率为7.1%(95%CI 5.3 - 9.3)。7名(1.0%)男男性行为者同时感染了HIV和HBV。年龄、居住地、与男性伴侣同住、研究前12个月内男性伴侣数量以及HIV检测史与HIV感染相关(P<0.05)。年龄和居住在洛美与HBV感染相关(P<0.05)。本研究结果强调了通过常规筛查和疫苗接种将应对措施重点放在有性传播感染风险人群上的重要性。

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