A meta-analysis and systematic review of HIV risk behavior among fishermen
A meta-analysis and systematic review of HIV risk behavior among fishermen
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DOI：
10.1080/09540121.2013.824541
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发表时间：
2014-03-04
影响因子：
1.7
通讯作者：
Smolak, Alex
中科院分区：
文献类型：
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作者：
Smolak, Alex
由于艾滋病毒流行率高达30%，渔民作为一个群体的流行率与女性性工作者、卡车司机、军人和囚犯等高危人群的流行率相当。这项研究调查了主要在非洲和亚洲的渔民的性危险行为。本研究采用了系统综述中的荟萃分析方法。这项研究包括从1992年到2012年的44篇同行评议文章和灰色文献。研究发现，42%的渔民从事交易性行为，其中48%的渔民报告没有与性工作者一起使用避孕套。90%的渔民报告说，他们在固定伴侣之外有伴侣，但只有7%的人报告说，他们和固定伴侣一起使用避孕套。流动性、同伴规范和酒精被发现是艾滋病毒感染的背景风险。这些发现对以渔民及其性关系网络为目标的艾滋病毒预防具有重要意义。需要制定预防战略，以应对这一人群中的艾滋病毒风险。
With HIV prevalence levels up to 30%, fishermen as a group have a comparable prevalence to at-risk populations such as female sex workers (FSWs), truck drivers, military personnel, and prisoners. This study examines sexual risk behavior among fishermen, primarily in Africa and Asia. A meta-analysis embedded within a systematic review is utilized for this study. This study included 44 peer-reviewed articles and gray literature from 1992 to 2012. The study found that 42% of fishermen engaged in transactional sex, 48% of whom reported not using a condom with FSWs. Ninety percent of the fishermen reported having partners outside of their regular partner, but only 7% reported using a condom with their regular partner. Mobility, peer norms, and alcohol were found to be contextual risks for HIV infection. The findings have important implications for HIV prevention, targeting fishermen, and their sexual networks. Prevention strategies are needed to address HIV risk among this population.