SEROPREVALENCE OF HIV AND RISK BEHAVIORS AMONG YOUNG HOMOSEXUAL AND BISEXUAL MEN - THE SAN-FRANCISCO BERKELEY YOUNG MENS SURVEY
SEROPREVALENCE OF HIV AND RISK BEHAVIORS AMONG YOUNG HOMOSEXUAL AND BISEXUAL MEN - THE SAN-FRANCISCO BERKELEY YOUNG MENS SURVEY
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DOI：
10.1001/jama.272.6.449
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发表时间：
1994-08-10
影响因子：
120.7
通讯作者：
KATZ, M
中科院分区：
文献类型：
--
作者：
LEMP, GF;HIROZAWA, AM;KATZ, M
目的。估算年轻同性恋和双性恋男人在旧金山公共场所采样的年轻同性恋和双性恋男人中人类免疫缺陷病毒（HIV）感染和风险行为的流行。在1992年和1993年期间的26个地点。对参与者进行了访谈，并绘制了血液标本，并测试了艾滋病毒，CD4（+）T淋巴细胞的水平以及乙型肝炎的标记和梅毒的标记。Setting.Setting.Setting.Setting.Setting.SETTING.STOMETING。拐角处和人行道，舞蹈俱乐部，酒吧和公园。研究的人群。共生和双性恋男性，年龄在17至22岁之间。梅恩的结果指标。艾滋病毒感染和风险行为的良好。置信区间％，6.8％至12.6％）。丙型肝炎的标记率为19.8％（置信区间为95％，16.1％至23.9％），而梅毒的标记率为1.0％（95％置信区间，0.3％至2.4％）。非裔美国人的艾滋病毒血清阳性率明显高于其他种族/族裔群体（p = .002）。大约三分之一（32.7％）的参与者报告了未受保护的肛门性交，而11.8％的参与者报告了过去6个月的药物使用。在接受采访时，有70％的艾滋病毒感染男性不知道他们是艾滋病毒血清阳性的，只有22.5％的人接受了艾滋病毒感染的医疗服务。同性恋和双性恋男人，尤其是在非裔美国人中。与HIV相关的风险行为的高率表明，该人群的HIV传播风险相当大。需要对预防计划和卫生服务进行量身定制，以满足新一代同性恋和双性恋男人的需求。
Objective.-To estimate the prevalence of human immunodeficiency virus (HIV) infection and risk behaviors among young homosexual and bisexual men sampled from public venues in San Francisco and Berkeley, Calif.Design.-A survey of 425 young homosexual and bisexual men sampled from 26 locations during 1992 and 1993. Participants were interviewed and blood specimens were drawn and tested for HIV, level of CD4(+) T lymphocytes, and markers of hepatitis B and syphilis.Setting.-Public venues in San Francisco and Berkeley, including street corners and sidewalks, dance clubs, bars, and parks.Population Studied.-Homosexual and bisexual men aged 17 to 22 years.Main Outcome Measures.-Prevalence of HIV infection and risk behaviors.Results.-The HIV seroprevalence was 9.4% (95% confidence interval, 6.8% to 12.6%). The prevalence of markers for hepatitis B was 19.8% (95% confidence interval, 16.1% to 23.9%), and that for syphilis was 1.0% (95% confidence interval, 0.3% to 2.4%). The HIV seroprevalence was significantly higher among African Americans (21.2%) than among other racial/ethnic groups (P=.002). Approximately one third (32.7%) of the participants reported unprotected anal intercourse, and 11.8% reported injecting drug use in the previous 6 months. At the time of interview, 70.0% of the HIV-infected men did not know that they were HIV seropositive, and only 22.5% were receiving medical care for HIV infection.Conclusions.-The prevalence of HIV infection is high among this young population of homosexual and bisexual men, particularly among young African-American men. The high rates of HIV-related risk behaviors suggest a considerable risk for HIV transmission in this population. Prevention programs and health services need to be tailored to address the needs of a new generation of homosexual and bisexual men.