Malefo Matshidiso Adelaide, Ayo-Yusuf Olalekan Abdulwahab, Mokgatle Mathildah Mpata
School of Public Health, Sefako Makgatho Health Sciences University, Pretoria, Gauteng, South Africa.
School of Health Systems and Public Health, University of Pretoria, Pretoria, Gauteng, South Africa.
J Int Assoc Provid AIDS Care. 2024 Jan-Dec;23:23259582241299468. doi: 10.1177/23259582241299468.
This study assessed sexually transmitted infection (STI) results among nonhealth-seeking men who have sex with men (MSM) who had not previously screened for curable STIs. Secondary data analysis of a sample of 164 MSM who were STI infection naïve was performed. Data were collected in the Clinical Research Unit (MeCRU) among the MSM in the Tshwane North area, South Africa. Over half of the sample (58.5%; = 96) were in casual relationships, 81.7% ( = 134) had reported testing for HIV in the previous 3 months, and 68.9% tested positive for STIs. Logistic regression revealed that the odds of a positive STI test result were significantly higher among those who had reportedly tested for HIV in the previous 3 months compared to those who had not (OR = 2.43; 95% CI = 1.06-5.69). The study revealed a high prevalence of STI among nonhealth seeking MSM and STI diagnosis was associated with having tested for HIV in the previous 3 months. It is, therefore, important to offer regular STIs screening services to the MSM community.
本研究评估了未寻求医疗服务的男男性行为者（MSM）中可治愈性传播感染（STI）的检测结果，这些男男性行为者此前未接受过可治愈性传播感染的筛查。对164名既往无STI感染的男男性行为者样本进行了二次数据分析。数据是在南非比勒陀利亚北区的临床研究单位（MeCRU）收集的，这些男男性行为者参与了研究。超过一半的样本（58.5%；n = 96）处于临时关系，81.7%（n = 134）报告在过去3个月内进行过HIV检测，68.9%的人STI检测呈阳性。逻辑回归显示，与未在过去3个月内进行过HIV检测的人相比，在过去3个月内进行过HIV检测的人STI检测呈阳性的几率显著更高（比值比[OR]=2.43；95%置信区间[CI]=1.06 - 5.69）。该研究揭示了未寻求医疗服务的男男性行为者中STI的高患病率，且STI诊断与在过去3个月内进行过HIV检测有关。因此，为男男性行为者群体提供定期的STI筛查服务很重要。
