The Mpumalanga Men's Study (MPMS): results of a baseline biological and behavioral HIV surveillance survey in two MSM communities in South Africa.
The Mpumalanga Men's Study (MPMS): results of a baseline biological and behavioral HIV surveillance survey in two MSM communities in South Africa.
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DOI：
10.1371/journal.pone.0111063
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
McIntyre JA
中科院分区：
文献类型：
--
作者：
Lane T;Osmand T;Marr A;Shade SB;Dunkle K;Sandfort T;Struthers H;Kegeles S;McIntyre JA
姆普马兰加男性研究（MPMS）是对南非男男性行为者Boithato项目艾滋病毒预防干预措施的评估。Boithato的目标是增加避孕套的一致使用，定期检测艾滋病毒阴性的男男性行为者，并与艾滋病毒阳性的男男性行为者的护理联系起来。MPMS基线检查了南非普马兰加省Gert Sibande和Ehlanzeni地区MSM中的艾滋病毒流行率和相关风险行为，以及检测，护理和治疗行为，以有效地针对干预活动。我们在2012年9月至2013年3月期间通过响应者驱动抽样（RDS）在Gert Sibande招募了307名MSM，在Ehlanzeni招募了298名MSM。RDS调整后的HIV感染率估计值在Gert Sibande为28.3%（95% CI 21.1%-35.3%），在Ehlanzeni为13.7%（95% CI 9.1%-19.6%）。在25岁以上的男男性行为者中，患病率明显较高[57.8%（95% CI 43.1%-72.9%）vs. 17.9%（95% CI 10.6%-23.9%），P<0.001（Gert Sibande）; 34.5%（95% CI 20.5%-56.0%）vs. 9.1%（95% CI 4.6%-13.9%），P<0.001（Ehlanzeni）]。在Gert Sibande，自我认同的同性恋和变性MSM的患病率高于其他MSM [39.3%（95%CI，28.3%-47.9%），P<0.01]，不使用安全套者[38.1%（18.1%~ 64.2%），P<0.05]，目前有固定男性伴侣者[35.0%]（27.1%~ 46.4%，P<0.05），有与男性发生亲密伴侣暴力的经历者为40.4%，95%CI为28.9%~ 50.9%，P<0.05）。Gert Sibande和Ehlanzeni的既往HIV检测患病率分别为65.8%（95%CI 58.8%-74.0%）和69.3%（95%CI 61.9%-76.8%）。定期HIV检测不常见[（Gert Sibande为34.6%，（95%CI 27.9%-41.4%）; Ehlanzeni为31.0%（95%CI 24.9%-37.8%）]。在艾滋病毒阳性参与者中，很少有人知道自己的状况（Gert Sibande为28.1%，Ehlanzeni为14.5%），或与护理（分别为18.2%和11.3%）或接受抗逆转录病毒治疗（分别为13.6%和9.6%）有适当联系。MPMS的结果表明，实施干预措施的重要性，为男男性行为者，以增加一致的安全套使用，定期艾滋病毒检测，并联系和参与艾滋病毒感染的男男性行为者的护理。
The Mpumalanga Men's Study (MPMS) is the assessment of the Project Boithato HIV prevention intervention for South African MSM. Boithato aims to increase consistent condom use, regular testing for HIV-negative MSM, and linkage to care for HIV-positive MSM. The MPMS baseline examined HIV prevalence and associated risk behaviors, and testing, care, and treatment behaviors among MSM in Gert Sibande and Ehlanzeni districts in Mpumalanga province, South Africa in order to effectively target intervention activities. We recruited 307 MSM in Gert Sibande and 298 in Ehlanzeni through respondent-driven sampling (RDS) between September 2012-March 2013. RDS-adjusted HIV prevalence estimates are 28.3% (95% CI 21.1%–35.3%) in Gert Sibande, and 13.7% (95% CI 9.1%–19.6%) in Ehlanzeni. Prevalence is significantly higher among MSM over age 25 [57.8% (95% CI 43.1%–72.9%) vs. 17.9% (95% CI 10.6%–23.9%), P<0.001 in Gert Sibande; 34.5% (95%CI 20.5%–56.0%) vs. 9.1% (95% CI 4.6%–13.9%), P<0.001 in Ehlanzeni]. In Gert Sibande, prevalence is higher among self-identified gay and transgender MSM vs. other MSM [39.3% (95%CI, 28.3%–47.9%), P<0.01], inconsistent condom users [38.1% (18.1%–64.2%), P<0.05], those with a current regular male partner [35.0% (27.1%–46.4%), P<0.05], and those with lifetime experience of intimate partner violence with men [40.4%, (95%CI 28.9%–50.9%), P<0.05]. Prevalence of previous HIV testing was 65.8% (95%CI 58.8%–74.0%) in Gert Sibande, and 69.3% (95%CI 61.9%–76.8%) in Ehlanzeni. Regular HIV testing was uncommon [(34.6%, (95%CI 27.9%–41.4%) in Gert Sibande; 31.0% (95%CI 24.9%–37.8%) in Ehlanzeni]. Among HIV-positive participants, few knew their status (28.1% in Gert Sibande and 14.5% in Ehlanzeni), or were appropriately linked to care (18.2% and 11.3%, respectively), or taking antiretroviral therapy (13.6% and 9.6% respectively). MPMS results demonstrate the importance of implementing interventions for MSM to increase consistent condom use, regular HIV testing, and linkage and engagement in care for HIV-infected MSM.
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DOI：
10.1080/13548506.2010.507772
发表时间：
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期刊：
Psychology, health & medicine
影响因子：
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