Men who have sex with men and HIV in Vietnam: A review

Men who have sex with men and HIV in Vietnam: A review
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DOI:
10.1521/aeap.16.1.45.27722
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发表时间:
2004-02-01
影响因子:
1.8
通讯作者:
Doussantousse, S
Doussantousse, S
中科院分区:
医学4区
文献类型:
--
作者:
Colby, D;Cao, NH;Doussantousse, S

文献摘要

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在越南城市中心,男男性行为者(MSM)的数量和知名度都在增加。虽然仅限于少数调查,但越南男男性接触者的现有数据显示,由于性伴侣数量多,不安全性行为率高,以及避孕套使用不一致,他们感染艾滋病毒的风险增加。越南有大量的男性性工作者,这些男性也是艾滋病毒感染的高危人群。缺乏关于男男性行为者艾滋病毒流行率的数据,以及媒体和公共卫生预防计划忽视男男性行为者作为风险人群的事实,导致许多男男性行为者错误地认为他们感染艾滋病毒的风险很低。对风险的低认识,加上知识不足,可能使男男性行为者不太可能积极保护自己免受艾滋病毒感染。需要对越南男男性行为者和男性性工作者的当前行为和艾滋病毒感染率进行更多的研究。越南大城市的男男性行为者可以很容易地成为预防的目标,利用同伴教育者来降低他们感染艾滋病毒的风险。
Men who have sex with men (MSM) in Vietnam's urban centers are increasing in numbers and visibility. Although limited to a few surveys, the available data on MSM in Vietnam show that they are at increased risk for HIV infection due to high numbers of sexual partners, high rates of unsafe sex, and inconsistent condom use. There are significant numbers of male sex workers in Vietnam and these men are also at high risk for HIV infection. The lack of data on HIV prevalence among MSM and the fact that the media and public health prevention programs ignore MSM as a population at risk leads many MSM to mistakenly believe that their risk for HIV is low. The low perception of risk, combined with inadequate knowledge, may make MSM less likely to actively protect themselves from HIV infection. More research is needed on current behavior and HIV prevalence among MSM and male sex workers in Vietnam. MSM in Vietnam's larger cities could easily be targeted for prevention using peer educators to decrease their risk for HIV infection.