High-risk behaviour in young men attending sexually transmitted disease clinics in Pune, India

High-risk behaviour in young men attending sexually transmitted disease clinics in Pune, India
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DOI:
10.1080/09540120412331299771
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发表时间:
2005-04-01
影响因子:
1.7
通讯作者:
Paranjape, RS
Paranjape, RS
中科院分区:
医学4区
文献类型:
--
作者:
Brahme, RG;Sahay, S;Paranjape, RS

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这项研究报告了在印度浦那两家性传播疾病(STD)诊所就诊的男性中与艾滋病毒感染相关的性风险因素,并比较了年轻男性和老年男性的这些行为。在1998年4月至2000年5月期间,对1,872名性病患者进行了艾滋病毒感染筛查。在基线时收集人口统计学、病史和性行为方面的数据。艾滋病总感染率为22.2%。艾滋病毒风险与离婚或丧偶、受教育程度较低、与家人分开居住、有多个性伴侣以及很早就开始性行为有关。年轻男性的危险行为与年长男性不同。年轻男性更有可能报告开始性行为的年龄较早,有朋友、熟人或商业性工作者作为他们的固定伴侣,有婚前性行为和双性恋倾向。与老年男性相比,年轻男性受教育程度更高,报告的避孕套使用频率更高。青年男子和老年男子的艾滋病毒感染率同样高,突出表明需要针对青少年和青年男子采取有针对性的干预措施,并对老年男子采取适当的干预措施,以减少感染艾滋病毒和性传播疾病的风险。
The present study reports sexual risk factors associated with HIV infection among men attending two sexually transmitted disease ( STD) clinics in Pune, India and compares these behaviours between young and older men. Between April 1998 and May 2000, 1,872 STD patients were screened for HIV infection. Data on demographics, medical history and sexual behaviour were collected at baseline. The overall HIV prevalence was 22.2%. HIV risk was associated with being divorced or widowed, less educated, living away from the family, having multiple sexual partners and initiation of sex at an early age. The risk behaviours in younger men were different to older men. Younger men were more likely to report early age of initiation of sex, having friends, acquaintances or commercial sex workers as their regular partners, having premarital sex and bisexual orientation. Young men were more educated and reported condom use more frequently compared with the older men. Similar high HIV prevalence among younger and older men highlights the need for focused targeted interventions aimed at adolescents and young men and also appropriate interventions for older men to reduce the risk of HIV and STD acquisition.