艾滋病和性传播感染的即时检测揭示了乌干达赌博中心男性的危险行为。

Point-of-care testing for HIV and sexually transmitted infections reveals risky behavior among men at gambling centers in Uganda".

机构信息

Research Department, Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.

The Medical Concierge Group, Kampala, Uganda.

出版信息

Int J STD AIDS. 2021 Sep;32(10):903-910. doi: 10.1177/09564624211000973. Epub 2021 Apr 23.

DOI:10.1177/09564624211000973

PMID:33890852

Abstract

In sub-Saharan Africa (SSA), men are generally difficult to engage in healthcare programs. However, sports gambling centers in SSA can be used as avenues for male engagement in health programs. We offered point-of-care HIV and syphilis testing for men located at five gambling centers in Uganda and assessed HIV risky sexual behavior. Among 507 men, 0.8% were HIV-positive and 3.8% had syphilis. Risky sexual behavior included condomless sex with partner(s) of unknown HIV status (64.9%), having multiple sexual partners (47.8%), engaging in transactional sex (15.5%), and using illicit drugs (9.3%). The majority at 64.5% were nonalcohol consumers, 22.9% were moderate users, and 12.6% had hazardous consumption patterns. In 12 months of follow-up, the incidence rate of syphilis was 0.95 (95% CI: 0.82-1.06) among 178 men. Thus, men in SSA have a high prevalence of syphilis and risky sexual behavior which should be more effectively addressed to reduce the risk of HIV acquisition.

摘要

在撒哈拉以南非洲（SSA），男性通常难以参与医疗保健计划。然而，SSA 的体育博彩中心可以作为男性参与健康计划的途径。我们在乌干达的五个博彩中心为男性提供即时 HIV 和梅毒检测，并评估了 HIV 高危性行为。在 507 名男性中，0.8%的人 HIV 呈阳性，3.8%的人患有梅毒。高危性行为包括与未知 HIV 状况的性伴侣发生无保护性行为（64.9%）、拥有多个性伴侣（47.8%）、从事性交易（15.5%）和使用非法药物（9.3%）。大多数人（64.5%）不饮酒，22.9%为中度饮酒者，12.6%有危险的饮酒模式。在 178 名男性的 12 个月随访中，梅毒的发病率为 0.95（95%CI：0.82-1.06）。因此，SSA 的男性梅毒感染率和高危性行为率都很高，应更有效地加以解决，以降低 HIV 感染风险。