Gay Asian men in San Francisco follow the international trend: Increases in rates of unprotected anal intercourse and sexually transmitted diseases, 1999-2002
Gay Asian men in San Francisco follow the international trend: Increases in rates of unprotected anal intercourse and sexually transmitted diseases, 1999-2002
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DOI：
10.1521/aeap.16.1.13.27723
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发表时间：
2004-02-01
影响因子：
1.8
通讯作者：
Klausner, J
中科院分区：
文献类型：
--
作者：
McFarland, W;Chen, S;Klausner, J
在世界范围内，对男男性行为者（MSM）的研究报告称，与艾滋病毒风险相关的行为有所增加。对少数男男性接触者亚群的趋势知之甚少，特别是亚洲和太平洋岛民（A&PI）种族。A&PI MSM在艾滋病病例中的代表性不足（2.7%），就其在弗朗西斯科同性恋社区的估计构成而言（4.5%）。然而，最近的趋势，在无保护的肛交（UAI）和性传播疾病的逆转艾滋病毒的相对风险之间的A&PI男男性接触者相比，白色男男性接触者。从1999年的较低水平开始，到2002年，A&PI MSM中有多个伴侣的UAI、有多个艾滋病毒血清状态未知的伴侣的UAI、男性直肠淋病的发病率和早期梅毒的发病率超过了白色MSM的水平。防止艾滋病毒在A&PI MSM中进一步传播的机会之窗可能正在关闭。
Worldwide, studies of men who have sex with men (MSM) report increases in HIV risk-related behavior. Less is known about trends within minority subpopulations of MSM, particularly those of Asian and Pacific Islander (A&PI) ethnicity. A&PI MSM are underrepresented among AIDS cases (2.7%) with respect to their estimated makeup in the gay community of San Francisco (4.5%). However, recent trends in unprotected anal intercourse (UAI) and sexually transmitted diseases suggest a reversal in the relative risk for HIV among A&PI MSM compared with White MSM. Starting from lower levels in 1999, UAI with multiple partners, UAI with multiple partners of unknown HIV serostatus, the incidence of male rectal gonorrhea, and the incidence of early syphilis among A&PI MSM surpassed levels among White MSM by 2002. A window of opportunity to prevent further spread of HIV among A&PI MSM may be closing.