Estimating Levels of HIV Testing, HIV Prevention Coverage, HIV Knowledge, and Condom Use Among Men Who Have Sex With Men (MSM) in Low-Income and Middle-Income Countries
Estimating Levels of HIV Testing, HIV Prevention Coverage, HIV Knowledge, and Condom Use Among Men Who Have Sex With Men (MSM) in Low-Income and Middle-Income Countries
复制标题
DOI：
10.1097/qai.0b013e3181baf111
复制
发表时间：
2009-12-01
影响因子：
3.6
通讯作者：
Rugg, Deborah
中科院分区：
文献类型：
--
作者：
Adam, Philippe C. G.;de Wit, John B. E.;Rugg, Deborah
背景：艾滋病毒流行数据表明，低收入和中等收入国家 (LMIC) 中的男男性行为者 (MSM) 感染艾滋病毒的风险增加。本文的目的是提出对中低收入国家中男男性行为者关键艾滋病毒预防需求和应对措施的全球估计。方法：关于男男性行为者中艾滋病毒检测、艾滋病毒预防覆盖率、艾滋病毒知识和安全套使用情况的数据源自 2008 年提交的联合国大会特别会议国家进展报告。符合条件的国家估计值用于计算全球和区域估计值，并根据规模进行加权结果：在 147 个中低收入国家中，45% 至少报告了反映 MSM 艾滋病毒预防需求和应对措施的 I 指标。全球加权估计表明，中低收入国家中平均 31% 的 MSM 接受了 HIV 检测； 33% 的人接受了艾滋病毒预防计划； 44%有正确的艾滋病知识； 54% 的人在上次与男性发生肛交时使用了安全套。结论：2008 年联合国大会特别会议国家报告代表了迄今为止关于中低收入国家 MSM 艾滋病毒预防需求和应对措施的最大统一数据集。尽管报告不完整且并不总是符合要求，但调查结果证实，在许多中低收入国家，男男性接触者的艾滋病毒预防措施需要大力加强。
Background: HIV prevalence data suggest that men who have sex with men (MSM) in low-income and middle-income countries (LMIC) are at increased risk of HIV The aim of this article is to present global estimates on key HIV prevention needs and responses among MSM in LMIC.Methods: Data on HIV testing, HIV prevention coverage, HIV knowledge and condom use among MSM were derived from UNGASS country progress reports submitted in 2008. Eligible country estimates were used to calculate global and regional estimates, weighted for the size of MSM populations.Results: Of 147 LMIC, 45% reported at least I indicator that reflects the HIV prevention needs and responses in MSM. Global weighted estimates indicate that on average 31% of MSM in LMIC were tested for HIV; 33% were reached by HIV prevention programs; 44% had correct HIV knowledge; and 54% used condoms the last time they had anal sex with a man.Conclusions: The 2008 UNGASS country reports represent the largest harmonized data set to date of HIV prevention needs and responses among MSM in LMIC. Although reporting is incomplete and does not always conform to requirements, findings confirm that, in many LMIC, HIV prevention responses in MSM need substantial strengthening.