Institute for Global Health and Infectious Diseases, 2331University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Department of Epidemiology, 2331University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Int J STD AIDS. 2022 Feb;33(2):193-201. doi: 10.1177/09564624211060185. Epub 2021 Dec 1.
HIV and other sexually transmitted infections (STIs) have disproportionately affected communities of men who have sex with men (MSM). We describe HIV and STI prevalence and testing patterns among urban Vietnamese MSM.
We conducted a cross-sectional community-based study of MSM in Hanoi, Vietnam in 2016. Participants self-reported experiences of social stigma in healthcare settings and previous HIV and STI testing. STI testing included HIV, herpes simplex virus-2 (HSV-2), syphilis, gonorrhea, and chlamydia.
205 MSM participated in the study. STI prevalence was HIV (10%), HSV-2 (4%), syphilis (13%), gonorrhea (34%), and chlamydia (19%). More than half (55%) of participants tested positive for at least one STI. Most participants had been previously tested for HIV or another STI (72%), with 24% previously receiving a positive result. Perceived and enacted social stigma in healthcare contexts was negatively associated with previous HIV or STI testing (adjusted prevalence odds ratio (aPOR): 0.22; 95% confidence interval (CI): 0.10-0.48).
High prevalence of STIs was observed among Vietnamese MSM, and perceived and enacted stigma was related to HIV and STI testing. Our findings reaffirm the importance of regular STI screening among this population as well as additional outreach to promote safe HIV and STI healthcare engagement.
艾滋病毒和其他性传播感染（STIs）在男男性行为者（MSM）群体中不成比例地流行。我们描述了越南城市男男性行为者中的艾滋病毒和性传播感染流行情况和检测模式。
我们于 2016 年在越南河内进行了一项基于社区的男男性行为者的横断面研究。参与者自我报告了在医疗保健环境中面临社会污名的经历以及之前的艾滋病毒和性传播感染检测情况。性传播感染检测包括艾滋病毒、单纯疱疹病毒 2 型（HSV-2）、梅毒、淋病和衣原体。
205 名男男性行为者参与了研究。性传播感染的流行率为艾滋病毒（10%）、HSV-2（4%）、梅毒（13%）、淋病（34%）和衣原体（19%）。超过一半（55%）的参与者至少有一种性传播感染呈阳性。大多数参与者之前曾接受过艾滋病毒或其他性传播感染检测（调整后的患病率比值比（aPOR）：0.22；95%置信区间（CI）：0.10-0.48），其中 24%的人之前收到过阳性结果。在医疗保健环境中感知到的和实际的社会污名与之前的艾滋病毒或性传播感染检测呈负相关（调整后的患病率比值比（aPOR）：0.22；95%置信区间（CI）：0.10-0.48）。
越南男男性行为者中观察到性传播感染的高流行率，而感知到的和实际的社会污名与艾滋病毒和性传播感染检测有关。我们的研究结果再次证实了定期对这一人群进行性传播感染筛查的重要性，以及额外的外展工作以促进安全的艾滋病毒和性传播感染医疗保健参与。
