高危性行为和 HIV/性传播感染的移民连续护理：来自意大利专门门诊诊所的结果。

High-risk sexual behavior and HIV/STDs cascade of care in migrants: results from an Italian dedicated outpatient clinic.

机构信息

Infectious Diseases Unit, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy.

University of Ostrava, Ostrava, Chzech Republic.

出版信息

J Infect Dev Ctries. 2021 Mar 7;15(2):297-300. doi: 10.3855/jidc.13346.

DOI:10.3855/jidc.13346

PMID:33690214

Abstract

INTRODUCTION

Ethnical segregation and migration influence sexual health. Differences in sexual networks and the risk of sexually transmitted diseases (STDs) between racial/ethnic minorities and the native population have been described in the literature.

METHODOLOGY

We collected data on sexual behavior and physical examination. Basing on CDC 2015 guidelines on STDs, anamnesis, and clinical features, screening for HIV/STDs was proposed.

RESULTS

We enrolled 209 migrants, the median age was 32.5 (26-40) years, and 146 (69.9%) were male. The most represented nationalities were Nigerian, Senegalese, and Somali, with 85 (40.7%), 68 (32.5%), and 16 (7.7%) people, respectively. Twenty-two (10.5%) patients referred perianal/genital lesions, 6 (2.9%) abdominal/pelvic discomfort, and 183 (87.6%) were asymptomatic. Almost all symptomatic patients accepted the tests. 52/183 (28.4%) asymptomatic subjects accepted the tests, and only 24/52(46.2%) performed them. Among symptomatic patients were 6 (24%) HBsAg positivities and one (4%) HCV infection. Four (16%) people had latent syphilis; in 12 (48%) people, HPV-related genital warts were present, 7 (28%) people had Molluscum contagiosum, and 6 (24%) women had pelvic inflammatory diseases. Among patients referring no symptoms, there were 10 (41.7%) HBsAg positivities, one (4.2%) HIV infection, four (16.7%) latent syphilis, one (4.2%) HPV-related genital infection, and one (4.2%) PID. Being Nigerian and having symptoms were associated with a more high acceptance of the STDs test. Having a high-risk behavior was significantly associated with the development of at least one STD.

CONCLUSIONS

migrants have high-risk sexual behavior. Despite this, they have a low perception of HIV/STDs risk and healthcare needs. Particular attention should be given to improve access to HIV/STDs services that provide screening and treatment and increase the perception of healthcare needs.

摘要

简介

种族隔离和移民影响性健康。文献中描述了少数族裔和本地居民之间性网络和性传播疾病（STD）风险的差异。

方法

我们收集了性行为和体检数据。根据美国疾病控制与预防中心（CDC）2015 年关于 STD 的指南，提出了 HIV/STD 的筛查。

结果

我们共招募了 209 名移民，中位年龄为 32.5（26-40）岁，146 名（69.9%）为男性。人数最多的国籍分别是尼日利亚、塞内加尔和索马里，分别有 85 人（40.7%）、68 人（32.5%）和 16 人（7.7%）。22 名（10.5%）患者诉肛门/生殖器部位有病变，6 名（2.9%）诉腹部/盆腔不适，183 名（87.6%）无症状。几乎所有有症状的患者都接受了检查。52 名（87.6%）无症状的受试者接受了检查，但只有 24 名（46.2%）进行了检查。在有症状的患者中，有 6 名（24%）HBsAg 阳性，1 名（4%）HCV 感染。4 名（16%）人有潜伏性梅毒；12 名（48%）人有 HPV 相关的生殖器疣，7 名（28%）人有传染性软疣，6 名（24%）女性有盆腔炎。在无症状的患者中，有 10 名（41.7%）HBsAg 阳性，1 名（4.2%）HIV 感染，4 名（16.7%）潜伏性梅毒，1 名（4.2%）HPV 相关生殖器感染，1 名（4.2%）PID。尼日利亚人和有症状的人更愿意接受 STD 检查。高危行为与至少一种 STD 的发生显著相关。