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美国南亚男同性恋、双性恋和其他男男性行为者中的 HIV 和性传播感染检测。

HIV and STI Testing Among South Asian Gay, Bisexual, and Other Men Who Have Sex With Men in the United States.

机构信息

Center for Sexuality and Health Disparities, University of Michigan, Ann Arbor, MI, USA.

School of Nursing, University of Michigan, Ann Arbor, MI, USA.

出版信息

Am J Mens Health. 2023 May-Jun;17(3):15579883231185240. doi: 10.1177/15579883231185240.

Abstract

South Asian gay, bisexual, and other men who have sex with men (GBMSM) in the United States are subsumed under the broad, heterogeneous category of Asian GBMSM in national surveillance systems. Disaggregated data on their rates of HIV and sexually transmitted infection (STI) testing are not publicly reported. This is problematic as the diversity of ancestries, cultures, and customs across subgroups of Asian GBMSM may contribute to differential HIV and STI testing experiences. To address this deficit in knowledge, 115 South Asian GBMSM recruited through social media advertising and peer referral were surveyed about their patterns of HIV and STI testing. In the past 6 months, almost two-thirds ( = 72, 62.61%) had two or more male sex partners, and more than a quarter ( = 33, 28.70%) had condomless anal sex with two or more male partners. In the past year, more than one in four ( = 32, 27.83%) had not been tested for HIV, and more than two in five ( = 47, 40.87%) had not been tested for STIs. The prevalence of past-year HIV and STI testing was lower among participants aged ≥35 years and those who had never used pre-exposure prophylaxis. Participants who were partnered were less likely to have been tested for HIV, and those who were born outside the United States were less likely to have been tested for STIs in the past year. Findings highlight gaps in domestic HIV- and STI-prevention efforts with respect to adequately engaging South Asian GBMSM and suggest that some segments of this subgroup may benefit from targeted outreach.

摘要

美国的南亚男同性恋者、双性恋者和其他与男性发生性关系的男性(GBMSM)被归入国家监测系统中广泛的、异质的亚洲 GBMSM 类别中。他们的 HIV 和性传播感染(STI)检测率的分类数据并未公开报告。这是有问题的,因为亚洲 GBMSM 亚群的种族、文化和习俗的多样性可能导致 HIV 和 STI 检测体验的差异。为了解决这一知识缺陷,通过社交媒体广告和同伴推荐,对 115 名南亚 GBMSM 进行了调查,了解他们的 HIV 和 STI 检测模式。在过去 6 个月中,近三分之二(=72,62.61%)有两个或两个以上的男性性伴侣,超过四分之一(=33,28.70%)与两个或两个以上男性伴侣发生过无保护的肛交。在过去一年中,超过四分之一(=32,27.83%)的人没有接受过 HIV 检测,超过五分之二(=47,40.87%)的人没有接受过 STI 检测。年龄≥35 岁和从未使用过暴露前预防的参与者过去一年中 HIV 和 STI 检测的比例较低。有伴侣的参与者接受 HIV 检测的可能性较低,而那些出生在美国境外的参与者过去一年中接受 STI 检测的可能性较低。研究结果突出了国内 HIV 和性传播感染预防工作在充分接触南亚 GBMSM 方面存在差距,并表明该亚群的某些部分可能需要有针对性的外展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8698/10333639/31c2e19e5f06/10.1177_15579883231185240-fig1.jpg

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