Equip-MatCH, Pétion-Ville, Haiti
Equip-MatCH, Pétion-Ville, Haiti.
BMJ Open. 2020 Mar 16;10(3):e033976. doi: 10.1136/bmjopen-2019-033976.
OBJECTIVES: Over the last 15 years, the prevalence of HIV in Haiti has stabilised to around 2.0%. However, key populations remain at higher risk of contracting HIV and other sexually transmitted infections (STIs). The prevalence of HIV is 12.9% among men having sex with men (MSM). There is limited information about the prevalence of other STI in the Haitian population in general and even less among key populations. We assessed the burden of (CT) and (NG) and risk factors for infections among MSM in Haiti. METHODS: A cross-sectional study was conducted. MSM were recruited from seven health facilities in Port-au-Prince. All samples were tested by nucleic acid amplification test, using GeneXpert. A survey was administered to the participants to collect socio-demographic, clinical and risk behaviour data. RESULTS: A total of 216 MSM were recruited in the study. The prevalence rates of CT and NG were 11.1% and 16.2%, respectively. CT NG co-infections were found in 10/216 (4.6%) of the participants. There were 39 MSM with rectal STI compared with 17 with genital infections. Participants between 18-24 and 30-34 years old were significantly more likely to be infected with NG than those aged 35 years or older (OR: 22.96, 95% CI: 2.79 to 188.5; OR: 15.1, 95% CI: 1.68 to 135.4, respectively). Participants who never attended school or had some primary education were significantly more likely to be infected with NG than those with secondary education or higher (OR: 3.38, 95% CI: 1.26 to 9.07). People tested negative for HIV were significantly more likely to be infected with CT than people living with HIV/AIDS (OR: 3.91, 95% CI: 1.37 to 11.2). CONCLUSIONS: Periodic risk assessment and testing for STI should be offered in Haiti as part of a comprehensive strategy to improve the sexual health of key populations.
目的:在过去的 15 年中,海地的 HIV 流行率稳定在 2.0%左右。然而,重点人群感染 HIV 和其他性传播感染(STI)的风险仍然较高。男男性行为者(MSM)中的 HIV 流行率为 12.9%。关于海地一般人群中其他 STI 的流行情况,信息有限,而重点人群中的信息则更少。我们评估了海地 MSM 中 CT 和 NG 的感染负担和危险因素。
方法:进行了一项横断面研究。从太子港的 7 家卫生机构招募 MSM。所有样本均采用 GeneXpert 进行核酸扩增试验检测。对参与者进行调查,以收集社会人口统计学、临床和风险行为数据。
结果:共有 216 名 MSM 参加了这项研究。CT 和 NG 的流行率分别为 11.1%和 16.2%。在 216 名参与者中,有 10 人(4.6%)同时感染 CT 和 NG。有 39 名 MSM 直肠 STI 感染,17 名生殖器感染。18-24 岁和 30-34 岁的参与者感染 NG 的可能性明显高于 35 岁或以上的参与者(OR:22.96,95%CI:2.79-188.5;OR:15.1,95%CI:1.68-135.4)。从未上过学或只有小学教育的参与者感染 NG 的可能性明显高于接受过中学或更高教育的参与者(OR:3.38,95%CI:1.26-9.07)。HIV 检测阴性的人感染 CT 的可能性明显高于 HIV/AIDS 感染者(OR:3.91,95%CI:1.37-11.2)。
结论:海地应定期提供 STI 风险评估和检测,作为改善重点人群性健康综合战略的一部分。
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