Trends in HIV Prevalence and HIV Testing Among Young MSM: Five United States Cities, 1994-2011
Trends in HIV Prevalence and HIV Testing Among Young MSM: Five United States Cities, 1994-2011
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DOI：
10.1007/s10461-013-0566-1
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发表时间：
2014-04-01
影响因子：
4.4
通讯作者：
Paz-Bailey, Gabriela
中科院分区：
文献类型：
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作者：
Oster, Alexandra M.;Johnson, Christopher H.;Paz-Bailey, Gabriela
我们研究了男男性行为者（MSM）中HIV感染率（发病率的替代指标）和过去12个月的检测行为的趋势。1994-2011年期间，青年男子调查和国家艾滋病毒行为监测系统对通过场所抽样招募的男男性行为者进行了访谈和艾滋病毒检测。使用来自五个城市的数据，我们确定了在调整城市，种族/民族和教育之后，采访年是否与艾滋病毒流行率和最近对18-22岁和23-29岁MSM的检测相关。多变量分析表明，在巴尔的摩，23-29岁的MSM患病率总体增加。18-22岁男男性行为者的艾滋病毒感染率总体上没有变化，尽管巴尔的摩的感染率有所上升。这两个年龄组的艾滋病毒检测人数都大幅增加。艾滋病毒检测的进展是令人鼓舞的，但在巴尔的摩年轻男男性行为者中的流行率上升表明发病率上升，需要为这一人群做出更多努力。
We examined trends in cross-sectional HIV prevalence (a surrogate for incidence) and past 12 month testing behavior among young men who have sex with men (MSM). The Young Men's Survey and the National HIV Behavioral Surveillance System conducted interviews and HIV testing among MSM recruited by venue-based sampling during 1994-2011. Using data from five cities, we determined whether interview year was associated with HIV prevalence and recent testing for MSM ages 18-22 and 23-29 years, after adjusting for city, race/ethnicity, and education. Multivariable analysis demonstrated an overall increase in prevalence among MSM ages 23-29 years, driven by an increase in Baltimore. There was no change in HIV prevalence among MSM ages 18-22 years overall, although prevalence increased in Baltimore. HIV testing increased significantly for both age groups. Gains in HIV testing are encouraging, but increasing prevalence among young MSM in Baltimore suggests increasing incidence and the need for additional efforts for this population.