Marcus Ulrich, Schink Susanne B
Abt. Infektionsepidemiologie, Robert Koch-Institut, Seestraße 10, 13353, Berlin, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2021 Nov;64(11):1430-1439. doi: 10.1007/s00103-021-03429-3. Epub 2021 Oct 13.
Sexual minorities are highly vulnerable to sexually transmitted infections (STIs), mental health problems such as depression and suicidality, and substance use-associated health and social problems.
We describe selected findings from the European MSM Internet Survey (EMIS) 2017, one of the largest online surveys of men who have sex with men, and discuss their implications for prevention in MSM in Germany.
The overall aim of EMIS-2017 was to collect data for planning HIV and STI prevention and treatment programs. The target population were men living in Europe who have sex with men and/or are attracted to men. The questionnaire contained questions on demography, morbidities, behaviour, needs and interventions. Participants were recruited mainly via two popular online dating platforms from 10/2017 to 01/2018.
EMIS-2017 shows that MSM are severely affected by psychological stress and STIs. In terms of psychological stress, younger MSM suffer in particular from depressive disorders and suicidality, while the use of alcohol and other psychoactive substances is of concern among older MSM. MSM are more often affected by STIs than the heterosexual majority population. Many STIs are a‑ or pauci-symptomatic; thus, screening based on risk-assessment is favoured to detect infections. However, for the time being, for some STIs there is no medical and/or public health evidence to support treatment of asymptomatic infections. EMIS-2017 identified needs by subgroups as far as knowledge gaps on PEP (HIV post-exposure prophylaxis) and PrEP (HIV pre-exposure prophylaxis), being reached by information and prevention offers as well as insufficient uptake of such offers.
性少数群体极易感染性传播感染（STIs）、出现心理健康问题，如抑郁和自杀倾向，以及与物质使用相关的健康和社会问题。
我们描述了2017年欧洲男男性行为者互联网调查（EMIS）的部分选定结果，该调查是针对男男性行为者开展的规模最大的在线调查之一，并讨论这些结果对德国男男性行为者预防工作的启示。
2017年EMIS的总体目标是收集数据，以规划艾滋病毒和性传播感染的预防及治疗项目。目标人群为居住在欧洲且与男性发生性行为和/或被男性吸引的男性。问卷包含有关人口统计学、发病率、行为、需求和干预措施的问题。参与者主要通过两个热门在线约会平台于2017年10月至2018年1月招募。
2017年EMIS显示，男男性行为者受到心理压力和性传播感染的严重影响。在心理压力方面，年轻的男男性行为者尤其受到抑郁症和自杀倾向的困扰，而老年男男性行为者中酒精和其他精神活性物质的使用令人担忧。男男性行为者比异性恋多数人群更容易感染性传播感染。许多性传播感染症状轻微或无症状；因此，倾向于基于风险评估进行筛查以检测感染。然而，目前对于某些性传播感染，尚无医学和/或公共卫生证据支持对无症状感染进行治疗。2017年EMIS确定了亚组的需求，涉及暴露后预防（PEP，艾滋病毒暴露后预防）和暴露前预防（PrEP，艾滋病毒暴露前预防）方面的知识差距、信息和预防服务的覆盖情况以及此类服务的利用率不足。
