Down on the farm: homosexual behaviour, HIV risk and HIV prevalence in rural communities in Khanh Hoa province, Vietnam
Down on the farm: homosexual behaviour, HIV risk and HIV prevalence in rural communities in Khanh Hoa province, Vietnam
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DOI：
10.1136/sti.2008.031294
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发表时间：
2008-11-01
影响因子：
3.6
通讯作者：
Toan, T. T.
中科院分区：
文献类型：
--
作者：
Colby, D.;Minh, T. Tan;Toan, T. T.
目的：为了确定艾滋病病毒的流行率，衡量风险行为，并确定在城市和农村地区的男性与男性发生性关系（MSM）在庆和省，Vietnam.Methods：295 MSM招募使用响应驱动的抽样从一个城市和四个农村地区。使用标准化问卷获得有关人口统计学、风险行为、知识和态度的信息。所有subjects.Results：农村男男性接触者有较少的风险行为时，与城市男男性接触者在该省：他们成为性活跃在较晚的年龄，不太可能购买或出售性，不太可能使用毒品。然而，他们对艾滋病毒传播和预防的知识较差，不太可能知道无保护的肛交是艾滋病毒的高风险。农村和城市男男性行为者的安全套使用率都很高，但农村地区的大多数男男性行为者从未使用过水基润滑剂。没有295名男子检测艾滋病毒感染（艾滋病毒感染率为0%）。结论：虽然大多数方案的男男性接触者在越南和其他亚洲国家的目标城市地区，有大量的男男性接触者在农村地区谁可以通过同伴教育干预达到。农村男男性行为者获得有关同性性行为的具体艾滋病预防信息的机会较少，对如何保护自己免受艾滋病感染的知识也较少。需要为越南农村地区的男男性行为者制定更多的方案。
Objectives: To determine HIV prevalence, measure risk behaviour and determine levels of knowledge among men who have sex with men (MSM) in both urban and rural districts within Khanh Hoa province, Vietnam.Methods: 295 MSM were recruited using respondent-driven sampling from one urban and four rural districts. Information on demographics, risk behaviour, knowledge and attitudes was obtained using a standardised questionnaire. HIV testing was performed on all subjects.Results: Rural MSM had fewer risk behaviours when compared with urban MSM in the province: they became sexually active at a later age, were less likely to buy or sell sex and were less likely to use drugs. However, they had poorer knowledge about HIV transmission and prevention and were less likely to know that unprotected anal sex was high risk for HIV. Condom use was high among both rural and urban MSM, but most MSM in rural areas had never used water-based lubricant. None of the 295 men tested for HIV were infected ( HIV prevalence 0%).Conclusions: Although most programmes for MSM in Vietnam and other Asian countries target urban areas, there are significant numbers of MSM in rural areas who can be reached through peer educator interventions. Rural MSM have less access to specific HIV prevention information on homosexual sex and less knowledge about how to protect themselves from HIV infection. More programmes are needed for MSM in the rural areas of Vietnam.