Cardona-Arias Jaiberth Antonio, Vidales-Silva Mauricio, Ocampo-Ramírez Alexandra, Higuita-Gutiérrez Luis Felipe, Cataño-Correa Juan Carlos
Escuela de Microbiología, Universidad de Antioquia, Medellín, Colombia.
Facultad de Medicina, Universidad Cooperativa de Colombia sede Medellín, Medellín, Colombia.
HIV AIDS (Auckl). 2024 Apr 18;16:141-151. doi: 10.2147/HIV.S452144. eCollection 2024.
In Colombia, HIV and gestational syphilis are notifiable events; however, they are poorly investigated infections in men who have sex with men (MSM).
To determine the prevalence of HIV, , and their co-infection in MSM treated at a Health Services Provider Institution (HSPI) specialized in infectious diseases from Medellín.
Cross-sectional study with 3454 MSM. Prevalence was determined with its 95% confidence interval; associated factors were identified using Fisher's Exact test, Pearson's Chi-square, and trend Chi-square. Multivariate adjustment was performed using logistic regression. Analyses were performed using SPSS 29.0.
The prevalence of HIV was 5.7%, 0.7%, and co-infection 0.6%. The prevalence of HIV was higher in MSM aged between 24-40 years (7.5%), with technical or university studies (10.0%), without health insurance affiliation (12.4%), and those who have had a sexual partner with HIV (36.2%). was higher in MSM without health insurance affiliation (3.4%), who had sexual relations with people diagnosed with an STI (5.9%), and a sexual partner with HIV (12.1%). Co-infection was higher in MSM without health insurance affiliation (2.7%), and those who had a partner with HIV (11.2%).
Compared with the general Colombian population, MSM have a higher risk of HIV, but are similar to . The identification of the main associated factors in each infection demonstrates the need to prioritize subgroups of MSM that show greater vulnerability to these events. This research demonstrates the urgency of implementing health education strategies in MSM who have a sexual partner with HIV or other STIs. Large gaps were also evident in the magnitude of the three events according to the health insurance affiliation regime, which demonstrates problems of social and health injustice, especially with MSM without health insurance affiliation.
在哥伦比亚，艾滋病毒和妊娠梅毒属于应报告的疾病；然而，男男性行为者（MSM）中的这些感染情况调查不足。
确定在麦德林一家专门治疗传染病的卫生服务提供机构（HSPI）接受治疗的男男性行为者中艾滋病毒、[此处原文缺失一种疾病名称]及其合并感染的患病率。
对3454名男男性行为者进行横断面研究。确定患病率及其95%置信区间；使用Fisher精确检验、Pearson卡方检验和趋势卡方检验确定相关因素。使用逻辑回归进行多变量调整。分析使用SPSS 29.0进行。
艾滋病毒患病率为5.7%，[此处原文缺失一种疾病名称]患病率为0.7%，合并感染率为0.6%。年龄在24 - 40岁之间的男男性行为者（7.5%）、有技术或大学学历的男男性行为者（10.0%）、没有医保参保的男男性行为者（12.4%）以及有感染艾滋病毒性伴侣的男男性行为者（36.2%）中艾滋病毒患病率较高。[此处原文缺失一种疾病名称]在没有医保参保的男男性行为者（3.4%）、与被诊断患有性传播感染的人发生性关系的男男性行为者（5.9%）以及有感染艾滋病毒性伴侣的男男性行为者（12.1%）中患病率较高。合并感染在没有医保参保的男男性行为者（2.7%）以及有感染艾滋病毒伴侣的男男性行为者（11.2%）中患病率较高。
与哥伦比亚普通人群相比，男男性行为者感染艾滋病毒的风险更高，但与[此处原文缺失一种疾病名称]的风险相似。确定每种感染的主要相关因素表明有必要优先关注那些对这些疾病表现出更大易感性的男男性行为者亚组。这项研究表明，对有感染艾滋病毒或其他性传播感染性伴侣的男男性行为者实施健康教育策略迫在眉睫。根据医保参保制度，这三种疾病的发生率也存在明显差距，这表明存在社会和健康不公正问题，尤其是对于没有医保参保的男男性行为者。
