乌克兰利沃夫州 2014-2018 年 HIV 阳性男男性行为者传播模式报告。

The reporting of the mode of transmission among HIV-positive men who have sex with men in Lviv oblast, Ukraine, 2014-2018.

机构信息

Lviv Regional Public Health Center, Lviv, Ukraine.

The International Charitable Foundation "Alliance for Public Health", Kyiv, Ukraine.

出版信息

J Infect Dev Ctries. 2020 Nov 16;14(11.1):122S-127S. doi: 10.3855/jidc.11967.

DOI:10.3855/jidc.11967

PMID:33226970

Abstract

INTRODUCTION

Men who have sex with men (MSM) are one of the key populations driving HIV/AIDS epidemic globally. To date, MSM is the only population in Ukraine where the prevalence and incidence of HIV is increasing. As HIV-positive MSM might feel uncomfortable to report homosexual intercourses as a possible mode of transmission (MoT) of HIV, they prefer being registered as patients with heterosexual or non-defined MoT. This study aimed to calculate the proportion of misclassified MoT among HIV-positive MSM registered in Lviv oblast, Ukraine, during 2014-2018.

METHODOLOGY

Cross-sectional study with 127 HIV-positive MSM patients from Lviv region for the period of 2014-2018.

RESULTS

Out of 127 HIV-positive MSM included in the study, 110 (86.6%) were from urban areas. In addition, 52 patients (40.9%) were diagnosed with stage 1 HIV, 16 (12.6%) - stage 2, 19 (15%) - stage 3, and 36 (28.3%) - stage 4. CD4 count < 200 cells/μL was found in 35 (27.6%) patients. Mean time from registration to antiretroviral therapy initiation was 80 days. During the first visit to medical doctor out of those 48 patients who had previously reported "other modes" of HIV transmission, 33 patients (68.7%) disclosed homosexual MoT of HIV. The remaining 15 (31.3%) patients disclosed their homosexual MoT of HIV later - during their regular follow-up visits to the doctor.

CONCLUSION

Special measures are needed to improve the reporting of homosexual MoT which can potentially strengthen the HIV care among MSM.

摘要

引言

男男性行为者（MSM）是全球推动艾滋病流行的关键人群之一。迄今为止，乌克兰是唯一一个 HIV 流行率和发病率呈上升趋势的 MSM 人群的国家。由于 HIV 阳性的 MSM 可能会因为对报告同性性行为作为 HIV 的可能传播途径（MoT）感到不舒服，所以他们更愿意将自己登记为异性恋或非特定 MoT 的患者。本研究旨在计算 2014-2018 年期间在乌克兰利沃夫地区登记的 HIV 阳性 MSM 中，报告错误的 MoT 的比例。

方法

2014-2018 年期间，对来自利沃夫地区的 127 名 HIV 阳性 MSM 患者进行横断面研究。

结果

在纳入研究的 127 名 HIV 阳性 MSM 中，有 110 名（86.6%）来自城市地区。此外，52 名患者（40.9%）诊断为 HIV 1 期，16 名（12.6%）为 HIV 2 期，19 名（15%）为 HIV 3 期，36 名（28.3%）为 HIV 4 期。35 名患者（27.6%）的 CD4 计数<200 个/μL。从登记到开始抗逆转录病毒治疗的平均时间为 80 天。在首次就诊时，在那些之前报告过“其他模式”HIV 传播的 48 名患者中，有 33 名（68.7%）患者披露了 HIV 的同性性传播途径。其余 15 名（31.3%）患者在后续定期就诊时披露了自己的 HIV 同性性传播途径。