High HIV prevalence and risk behaviors in men who have sex with men in Chennai, India
High HIV prevalence and risk behaviors in men who have sex with men in Chennai, India
复制标题
DOI：
10.1097/00126334-200403010-00014
复制
发表时间：
2004-03-01
影响因子：
3.6
通讯作者：
Celentano, DD
中科院分区：
文献类型：
--
作者：
Go, VF;Srikrishnan, AK;Celentano, DD
目的：了解印度金奈地区男男性接触者(MSM)HIV和性传播疾病(STD)的流行情况及行为危险特征。通过面对面的访谈，随机选择了金奈30个贫民窟的居民，对他们的行为风险因素进行了采访。检测血清和尿液中的梅毒、HIV-1、淋病和衣原体。结果：在774名男性中，46名(5.9%)报告了与其他男性的性行为。男男性接触者比非男男性接触者更容易感染HIV(优势比[OR]=8.57；95%可信区间[CI]：1.83，40.23)，更可能有性病史(OR=2.66；95%CI：1.18，6.02)。在过去3个月内吸毒的男性(调整后的优势比[AOR]=4.0 1；95%CI：1.92，8.41)、有过金钱交易(AOR=3.93；95%CI：1.97，7.84)或曾接受过HIV检测(AOR=3.72；95%CI：1.34，10.34)的男性更容易报告与男性发生性关系。旨在改变不安全的药物和性行为的艾滋病毒预防战略应以一般男性人口为目标，特别注意男男性接触者比例较高的地区。
Objective: To estimate HIV and sexually transmitted disease (STD) prevalence and behavioral risk characteristics of men who have sex with men (MSM) in Chennai, India.Methods: A cross-sectional population-based random sample survey was conducted in 2001. Randomly selected residents of 30 slums in Chennai were interviewed for behavioral risk factors through face-to-face interviews. Sera and urine were examined for syphilis, HIV-1, gonorrhea, and chlamydia. Logistic regression analyses were used to assess associations between MSM status and HIV infection and to identify risk characteristics of MSM.Results: Of 774 men, 46 reported (5.9%) sex with other men. MSM were more likely to be seropositive for HIV (odds ratio [OR] = 8.57; 95% confidence interval [CI]: 1.83, 40.23) and were more likely to have a history of STD (OR = 2.66; 95% CI: 1.18, 6.02) than non-MSM. Men who used illicit drugs in past 3 months (adjusted odds ratio [AOR] = 4.0 1; 95% CI: 1.92, 8.41), ever exchanged money for sex (AOR = 3.93; 95% CI: 1.97, 7.84), or were ever tested for HIV (AOR = 3.72; 95% CI: 1.34, 10.34) were significantly more likely to report sex with men.Conclusions: MSM in Chennai slums are at high risk for HIV. HIV prevention strategies aimed at changing unsafe drug and sexual practices should target the general population of men, with specific attention to areas with high rates of MSM.