High HIV, hepatitis C and sexual risks among drug using men who have sex with men in northern Thailand
High HIV, hepatitis C and sexual risks among drug using men who have sex with men in northern Thailand
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DOI：
10.1097/01.aids.0000183122.01583.c7
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发表时间：
2005-09-23
期刊：
影响因子：
3.8
通讯作者：
Celentano, DD
中科院分区：
文献类型：
--
作者：
Beyrer, C;Sripaipan, T;Celentano, DD
背景：在欧洲和美洲，男男性行为者（MSM）和吸毒者显示出高艾滋病毒风险。我们调查了MSM吸毒人口统计学，艾滋病毒的性和药物使用的风险和行为，在清迈，北方泰国，以确定预防targets.Methods：共2005年男性年龄13岁及以上，在1999-2000年住院药物治疗和评估艾滋病毒，丙型肝炎病毒（HCV），梅毒，2和人口统计学和风险问卷。结果：在2005名接受治疗的男性中，1752人（87.4%）有过性行为，66人（3.8%）报告曾与另一名男性发生过性行为;大多数是Katoey（变性男性）伴侣。男男性行为者的艾滋病毒感染率较高（OR，2.32; 95%CI，1.36-3.96），且年龄较小（P = 0.002）;更可能是泰国人（P < 0.0001）;教育程度较高（P < 0.0001）;有更多的终生性伴侣女性性伴数（P = 0.002）、有偿性伴数（P <0.0001）和有偿性行为数（P < 0.0001）均高于男性（P <0.0001）。男男性接触者中，有注射史（P < 0.0001）、贩毒史、入狱史、注射史、海洛因史和HCV感染史的比例较高（OR为2.59; 95% CI为1.55-4.34）。除了与男性发生性行为的风险外，他们与女性和性工作者发生性行为的次数也比其他男性多，这符合泰国的MSM模式，但不符合西方的模式。预防工作必须考虑到她们的高吸毒率和多种伴侣类型。(c)2005年利平科特威廉姆斯&威尔金斯。
Background: Men who have sex with men (MSM) and who use drugs have shown high HIV risks in Europe, and the Americas. We investigated MSM-drug user demographics, HIV sexual and drug use risks and behaviors in Chiang Mai, northern Thailand to identify prevention targets.Methods: A total of 2005 males aged 13 years and older were enrolled during inpatient drug treatment from 1999-2000 and assessed for HIV, hepatitis C virus (HCV), syphilis, 2 and for demographics and risks by questionnaire. Data were analyzed using chi(2) and multiple logistic regression to estimate odds ratios (ORs) and 95% confidence intervals (Cls).Results: Of 2005 males in treatment, 1752 (87.4%) had ever had sex, and 66 of 1752 (3.8%) reported ever having sex with another man; mostly Katoey (transgendered male) partners. MSM had higher HIV rates (OR, 2.32; 95% Cl, 1.36-3.96) and were younger (P = 0.002); more likely to be Thai (P < 0.0001); better educated (P < 0.0001); had more lifetime sex partners (P < 0.0001), more female partners (P = 0.002), more female paid partners (P < 0.0001), and been paid for sex (P < 0,0001). MSM were more likely to have ever injected (P < 0.0001), sold drugs, been in prison, injected in prison, used heroin, and to have HCV (OR, 2.59; 95% Cl, 1.55-4.34).Conclusions: Northern Thai MSM-drug users are at high HIV and HCV risk. In addition to sex risks with men, they have more sex with women and sex workers than other men, which fits Thai MSM patterns but not Western ones. Prevention must take into account their high rates of substance use and multiple partner types. (c) 2005 Lippincott Williams & Wilkins.