Bisexuality, sexual risk taking, and HIV prevalence among men who have sex with men accessing voluntary counseling and testing services in Mumbai, India.
Bisexuality, sexual risk taking, and HIV prevalence among men who have sex with men accessing voluntary counseling and testing services in Mumbai, India.
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印度孟买接受自愿咨询和检测服务的男同性恋者的双性恋、性冒险和艾滋病毒感染率。
DOI：
10.1097/qai.0b013e3181c354d8
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发表时间：
2010-02
期刊：
影响因子：
--
通讯作者：
Mayer KH
中科院分区：
文献类型：
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作者：
Kumta S;Lurie M;Weitzen S;Jerajani H;Gogate A;Row-kavi A;Anand V;Makadon H;Mayer KH
描述印度孟买男男性行为者（MSM）的社会人口学特征、性风险行为，并估计HIV和性传播感染（STI）的患病率。2003年1月至2004年12月，831名男男性行为者参加了Humsafar信托基金会的自愿咨询和检测（VCT）服务，回答了行为问卷，并同意接受性病研究实验室和艾滋病毒检测。对社会人口统计学、性风险行为和以HIV结果为结局的STI进行多变量logistic回归分析。男男性行为者艾滋病病毒感染率为12.5%。文盲[校正比值比（AOR）2.28; 95%置信区间（CI）：1.08至4.84]，已婚（AOR 2.70; 95% CI：1.56 - 4.76），首选男性伴侣（AOR 4.68; 95% CI：1.90 - 11.51），有两性伴侣（AOR 2.73; 95% CI：1.03 - 7.23），存在STI（AOR 3.31; 95% CI：1.96 - 5.61）;或出现反应性性病研究实验室检查（AOR 4.92; 95% CI：2.55至9.53），在他们的VCT访问更有可能是艾滋病毒感染。在孟买，获得自愿咨询和检测服务的男男性行为者感染性传播感染和艾滋病毒的风险很高。需要采取文化上适当的干预措施，重点关注性风险行为，并在男男性行为者，特别是双性恋男性的桥梁人群中推广安全套的使用，以减缓印度城市艾滋病的流行。
To describe sociodemographics, sexual risk behavior, and estimate HIV and sexually transmitted infection (STI) prevalence among men who have sex with men (MSM) in Mumbai, India. Eight hundred thirty-one MSM attending voluntary counseling and testing (VCT) services at the Humsafar Trust, answered a behavioral questionnaire and consented for Venereal Disease Research Laboratory and HIV testing from January 2003 through December 2004. Multivariate logistic regression was performed for sociodemographics, sexual risk behavior, and STIs with HIV result as an outcome. HIV prevalence among MSM was 12.5%. MSM who were illiterate [adjusted odds ratio (AOR) 2.28; 95% confidence interval (CI): 1.08 to 4.84], married (AOR 2.70; 95% CI: 1,56 to 4.76), preferred male partners (AOR 4.68; 95% CI: 1.90 to 11.51), had partners of both genders (AOR 2.73; 95% CI: 1.03 to 7.23), presented with an STI (AOR 3.31; 95% CI: 1.96 to 5.61); or presented with a reactive venereal disease research laboratory test (AOR 4.92; 95% CI: 2.55 to 9.53) at their VCT visit were more likely to be HIV infected. MSM accessing VCT services in Mumbai have a high risk of STI and HIV acquisition. Culturally appropriate interventions that focus on sexual risk behavior and promote condom use among MSM, particularly the bridge population of bisexual men, are needed to slow the urban Indian AIDS epidemic.