Sex behaviour of men who have sex with men and risk of HIV in Andhra Pradesh, India
Sex behaviour of men who have sex with men and risk of HIV in Andhra Pradesh, India
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DOI：
10.1097/01.aids.0000163938.01188.e4
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发表时间：
2005-04-08
期刊：
影响因子：
3.8
通讯作者：
Bertozzi, SM
中科院分区：
文献类型：
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作者：
Dandona, L;Dandona, R;Bertozzi, SM
目的：为了获得信息的大样本的男性与男性发生性关系（MSM）在印度，这将有助于规划HIV prevention.Methods：同性恋/双性恋行为的6661男男性接触者在62个城市，农村地区的各种规模在印度安得拉邦进行了评估，通过详细的采访。进行多变量分析，以了解协会与无保护的插入性行为和障碍，安全套使用assessed.Results：不同的男性性伴侣在过去4周的平均数量为6。在最近三次与男性发生的性接触中，共有19 640人，6121人（91.9%）至少发生过一次肛交，其中3423人[55.9%; 95%置信区间（CI），51.7-60.1%]至少一次未使用安全套。共有2785人（41.8%）目前与女性结婚，3354人（50.4%）在过去3个月内与女性发生过阴道/肛交，其中2818人（84%; 95% CI，81.1-86.9%）未使用安全套。此外，1585例（25.9%; 95% CI，22.7-29.1%）与男性发生肛交而不使用安全套，也与女性发生阴道/肛交而不使用安全套。这在城乡地区普遍存在，其最强的关联是目前已婚的MSM（比值比15.1; 95%CI，12.5-18.2）。不使用安全套与妇女的主要原因是“不使用与固定的合作伙伴”（68.4%）。结论：这一高比率的无保护的插入性行为的男男性接触者与男性和女性表明，艾滋病预防工作在印度应包括一个重点，男男性接触者以及他们的妻子在许多城市和农村地区，而不仅仅是在大城市。(c)2005年利平科特威廉姆斯C威尔金斯。
Objective: To obtain information on sex behaviour of a large sample of men who have sex with men (MSM) in India that would assist in planning HIV prevention.Methods: Homosexual/bisexual behaviour of 6661 MSM at 62 urban-rural locations of various sizes in the Indian state of Andhra Pradesh was assessed through detailed interview. Multivariate analyses were performed to understand the associations with unprotected penetrative sex and barriers to condom use assessed.Results: The average number of different male sex partners in past 4 weeks was six. In last three sex encounters with men, totalling 19 640, anal sex occurred in 16 769, at least once by 6121 (91.9%) MSM of which 3423 [55.9%; 95% confidence interval (CI), 51.7-60.1%] did not use condom at least once. A total of 2785 (41.8%) were currently married to women and 3354 (50.4%) had had vaginal/anal sex with women in the past 3 months, of which 2818 (84%; 95% CI, 81.1-86.9%) did not use a condom. Furthermore, 1585 (25.9%; 95% CI, 22.7-29.1%) had anal sex without a condom with men and also vaginal/anal sex without a condom with women. This was prevalent across urban-rural locations and its strongest association was with currently married MSM (odds ratio 15.1; 95% CI, 12.5-18.2). The predominant reason for not using a condom with women was 'do not use with regular partner' (68.4%).Conclusion: This high rate of unprotected penetrative sex by MSM with both men and women suggests that HIV prevention efforts in India should include a focus on MSM as well as their wives across many urban-rural locations and not only in large cities. (c) 2005 Lippincott Williams C Wilkins.