Sexual Risk Taking, STI and HIV Prevalence Among Men Who Have Sex with Men in Six Indonesian Cities
Sexual Risk Taking, STI and HIV Prevalence Among Men Who Have Sex with Men in Six Indonesian Cities
复制标题
DOI：
10.1007/s10461-009-9590-6
复制
发表时间：
2011-07-01
影响因子：
4.4
通讯作者：
Magnani, Robert
中科院分区：
文献类型：
--
作者：
Morineau, Guy;Nugrahini, Naning;Magnani, Robert
本文利用印度尼西亚六个城市的男男性行为者（MSM）监测数据，报告了性冒险行为、艾滋病毒和其他性传播感染的流行情况。评估了与艾滋病毒、其他性传播感染和持续使用避孕套有关的因素。收集了1450名男男性接触者的行为数据，其中749人接受了艾滋病毒和梅毒检测，738人接受了淋病和衣原体检测。使用多变量逻辑回归评估相关性。超过80%的男男性行为者知道艾滋病毒的传播途径，65%的男男性行为者有多名男性性伴侣，27%的人与多名男性性伴侣发生无保护肛交，27%的人在前一个月与一名女性发生过性行为。根据伴侣类型，男性伴侣持续使用避孕套的比例为30%至40%，女性伴侣持续使用避孕套的比例为20%至30%。艾滋病毒感染率平均为5.2%，但雅加达为8.0%。直肠淋病和衣原体患病率为32%。多变量分析显示，近期甲基苯丙胺使用和当前直肠淋病或衣原体感染与HIV感染有关。数据证实，尽管受教育程度和艾滋病毒相关知识水平相对较高，但性网络多样化，性风险很大。除了促进减少伴侣数量和更一致地使用避孕套和润滑剂外，预防工作还必须解决药物滥用问题。
Using surveillance data on men who have sex with men (MSM) from six Indonesian cities, this article reports prevalence of sexual risk taking, HIV and other sexually transmitted infections. Factors associated with HIV, other STIs and consistent condom use were assessed. Behavioral data were collected from 1,450 MSM, among whom 749 were tested for HIV and syphilis and 738 for gonorrhea and Chlamydia. Associations were assessed using multivariate logistic regression. Over 80% of MSM knew HIV transmission routes, 65% of MSM had multiple male sexual partners, 27% unprotected anal sex with multiple male partners, and 27% sex with a female in the prior month. Consistent condom use ranged from 30 to 40% with male partners and 20 to 30% with female partners, depending upon partner type. HIV prevalence averaged 5.2%, but was 8.0% in Jakarta. Prevalence of rectal gonorrhea or Chlamydia was 32%. Multivariate analyses revealed recent methamphetamine use and current rectal gonorrheal or chlamydial infection to be associated with HIV infection. The data confirm diverse sexual networks and substantial sexual risk-taking, despite relatively high levels of education and HIV-related knowledge. In addition to promoting partner reduction and more consistent condom and lubricant use, prevention efforts must also address substance abuse.