Exploring risk behaviors and vulnerability for HIV among men who have sex with men in Abidjan, Cote d'Ivoire: poor knowledge, homophobia and sexual violence.
Exploring risk behaviors and vulnerability for HIV among men who have sex with men in Abidjan, Cote d'Ivoire: poor knowledge, homophobia and sexual violence.
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DOI：
10.1371/journal.pone.0099591
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Laga M
中科院分区：
文献类型：
--
作者：
Aho J;Hakim A;Vuylsteke B;Semde G;Gbais HG;Diarrassouba M;Thiam M;Laga M
男男性行为者（MSM）是艾滋病毒的高危人群。关于西非男男性行为者和艾滋病毒相关风险行为的数据很少。我们的目的是描述在阿比让，科特迪瓦男男性接触者的风险行为和脆弱性。我们于2011-2012年对601名MSM进行了横断面调查。收集了社会人口和行为数据以及与情绪状态和耻辱相关的数据。产生了具有95%置信区间的群体估计值。调查加权逻辑回归被用来评估与不一致的安全套使用在过去12个月的因素。大多数男男性行为者年龄在24岁或以下（63.9%），至少受过小学教育（84.4%）。艾滋病毒风险行为，如低避孕套和水基润滑剂的使用，大量的男性和女性性伴侣，性工作以及口头，身体和性虐待经常被报告。66.0%的男男性行为者在过去12个月内与男性伴侣肛交时不一致地使用安全套，这与强迫性行为史、饮酒、有固定伴侣和临时伴侣、买春以及自我认为艾滋病毒风险低呈正相关。阿比让的男男性行为者表现出多种和频繁的艾滋病毒相关风险行为。为了解决这些行为，鉴于污名化、仇视同性恋和暴力的背景，需要结合个人和结构性干预措施。
Men who have sex with men (MSM) are at high risk of HIV. Few data are available on MSM and HIV-related risk behaviors in West Africa. We aimed to describe risk behaviors and vulnerability among MSM in Abidjan, Cote d′Ivoire. We conducted a cross-sectional respondent-driven sampling survey with 601 MSM in 2011–2012. Sociodemographic and behavioural data as well as data related to emotional state and stigma were collected. Population estimates with 95% confidence intervals were produced. Survey weighted logistic regression was used to assess factors associated with inconsistent condom use in the prior 12 months. Most MSM were 24 years of age or younger (63.9%) and had attained at least primary education (84.4%). HIV risk behaviors such as low condom and water-based lubricant use, high numbers of male and female sex partners, and sex work were frequently reported as well as verbal, physical and sexual abuse. Inconsistent condom use during anal sex with a male partner in the prior 12 months was reported by 66.0% of the MSM and was positively associated with history of forced sex, alcohol consumption, having a regular partner and a casual partner, having bought sex, and self-perception of low HIV risk. MSM in Abidjan exhibit multiple and frequent HIV-related risk behaviors. To address those behaviours, a combination of individual but also structural interventions will be needed given the context of stigma, homophobia and violence.
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影响因子：
56.3
作者：
Boily, Marie-Claude;Baggaley, Rebecca F.;Wang, Lei;Masse, Benoit;White, Richard G.;Hayes, Richard J.;Alary, Michel
通讯作者：
Alary, Michel
DOI：
10.1037/1099-9809.10.3.255
发表时间：
2004-08-01
影响因子：
3.3
作者：
Diaz, Rafael M;Ayala, George;Bein, Edward
通讯作者：
Bein, Edward
影响因子：
4.4
作者：
Alvy, Lisa M.;McKirnan, David J.;Hudson, Sharon
通讯作者：
Hudson, Sharon
DOI：
10.1111/j.1467-9531.2007.00188.x
发表时间：
2007-01-01
期刊：
SOCIOLOGICAL METHODOLOGY 2007, VOL 37
影响因子：
--
作者：
Heckathorn, Douglas D.
通讯作者：
Heckathorn, Douglas D.
影响因子：
3.1
作者：
Huebner, DM;Davis, MC;Aiken, LS
通讯作者：
Aiken, LS