肯尼亚内罗毕男男性行为者的性传播感染知识。
Sexually transmitted infection knowledge among men who have sex with men in Nairobi, Kenya.
机构信息
Kenyatta University Department of Community Health and Epidemiology, Nairobi, Kenya.
KAVI Institute of Clinical Research, University of Nairobi, Nairobi, Kenya.
出版信息
PLoS One. 2023 Sep 8;18(9):e0281793. doi: 10.1371/journal.pone.0281793. eCollection 2023.
BACKGROUND
High rates of sexually transmitted infections (STIs) among men who have sex with men (MSM) have been reported, but there is little research on their STI knowledge. Our study sought to determine participants' characteristics that contribute to either high or low STI knowledge among MSM in Nairobi, Kenya.
METHODS
We mobilized MSM aged ≥18 years from Nairobi into a cross-sectional study. To determine their understanding of STIs, a pre-tested structured questionnaire was administered. Knowledge score was generated by summing up the number of responses answered correctly by a participant. We dichotomized scores as "low" and "high", by splitting the group at <12 and ≥12 which was the mean.
RESULTS
A total of 404 participants were interviewed between March and August 2020. The mean age was 25.2 (SD = 6.4) years. Majority were single (80.4%) and Christians (84.2%). All participants had some formal education ranging from primary to tertiary; the majority (92.3%) had secondary education or more. Most (64.0%) were employed and their monthly income ranged from <50->150 USD. Almost all (98.5%) were Kenyans. Of the 404 (90.6%) self-identified as male and (47.5%) reported to be exclusively top partners. Many (39.9%) reported being versatile, while those reporting to be bottom partners were, (12.6%). The last 12 months, (55.4%) of the participants reported having sex with men only and (88.6%) reported to have had multiple sexual partners. Participants scored an average of 12.2, SD 4.5. Multivariable backward elimination logistic regression revealed that participants who had tertiary education (aOR = 0.50, 95% CI 0.32-0.77), a higher income (aOR = 0.40, 95% CI 0.22-0.75) and were engaging in vaginal sex (aOR = 1.86, 95% CI 1.25-2.78) predicted significantly higher odds of high knowledge in the final multivariable model.
CONCLUSION
Participant's knowledge level regarding STIs was low. We recommend health care workers to continue educating patients about STIs.
背景
男男性行为者（MSM）中的性传播感染（STI）发病率较高，但针对他们的 STI 知识的研究却很少。我们的研究旨在确定内罗毕 MSM 中哪些参与者特征导致他们的 STI 知识水平较高或较低。
方法
我们从内罗毕动员年龄≥18 岁的 MSM 参与一项横断面研究。为了确定他们对 STI 的理解，我们使用了经过预测试的结构化问卷进行调查。知识得分通过将参与者回答正确的问题数量相加得出。我们将分数分为“低”和“高”两类，将分数<12 和≥12 的组分开，因为 12 是平均值。
结果
2020 年 3 月至 8 月期间共对 404 名参与者进行了访谈。平均年龄为 25.2（SD=6.4）岁。大多数参与者是单身（80.4%）和基督教徒（84.2%）。所有参与者都接受过从小学到大学的某种正规教育；大多数（92.3%）具有中学或更高学历。大多数（64.0%）有工作，他们的月收入从<50-150 美元不等。几乎所有人（98.5%）都是肯尼亚人。404 名参与者中有 404（90.6%）自我认同为男性，其中（47.5%）报告为仅限男男性行为者。许多人（39.9%）表示自己是多面手，而那些报告为男男性行为者的人则为（12.6%）。在过去的 12 个月中，（55.4%）的参与者报告只与男性发生过性关系，（88.6%）报告有多个性伴侣。参与者的平均得分为 12.2，SD=4.5。多变量向后消除逻辑回归显示，具有高等教育背景（aOR=0.50，95%CI 0.32-0.77）、更高收入（aOR=0.40，95%CI 0.22-0.75）和进行阴道性行为（aOR=1.86，95%CI 1.25-2.78）的参与者在最终的多变量模型中预测具有更高的高知识水平的可能性显著更高。
结论
参与者对 STI 的知识水平较低。我们建议医疗保健工作者继续向患者传授有关 STI 的知识。
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