High HIV prevalence among men who have sex with men in Soweto, South Africa: results from the Soweto Men's Study.
High HIV prevalence among men who have sex with men in Soweto, South Africa: results from the Soweto Men's Study.
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DOI：
10.1007/s10461-009-9598-y
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发表时间：
2011-04
影响因子：
4.4
通讯作者：
McIntyre, James
中科院分区：
文献类型：
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作者：
Lane, Tim;Raymond, H. Fisher;Dladla, Sibongile;Rasethe, Joseph;Struthers, Helen;McFarland, Willi;McIntyre, James
索韦托男性研究评估了南非索韦托 MSM 中的艾滋病毒流行率和相关危险因素。使用受访者驱动抽样 (RDS) 招募方法，我们在 2008 年的 30 周内招募了 378 名 MSM（包括 15 名种子）。所有结果均根据 RDS 抽样设计进行了调整。 HIV 总体感染率估计为 13.2%（95% 置信区间为 12.4-13.9%），其中同性恋男性的感染率为 33.9%，双性恋男性的感染率为 6.4%，异性恋的 MSM 感染率为 10.1%。在多变量分析中，HIV 感染与年龄超过 25 岁（调整后比值比 (AOR) 3.8，95% CI 3.2–4.6）、同性恋自我认同（AOR 2.3，95% CI 1.8–3.0）、月收入低于 500 南非兰特（AOR 1.4，95% CI 1.2–1.7）、购买酒精或毒品以换取与他人发生性关系有关。男性（AOR 3.9，95% CI 3.2–4.7），报告任何 URAI（AOR 4.4，95% CI 3.5–5.7），报告过去 6 个月内有六到九个伴侣（AOR 5.7，95% CI 4.0–8.2），包皮环切术，（AOR 0.2，95% CI 0.1–0.2），普通女性伴侣（AOR 0.2，95% CI 0.2–0.3）、过去 6 个月吸食大麻（AOR 0.6，95% CI 0.5–0.8）、过去 6 个月无保护的阴道性交（AOR 0.5，95% CI 0.4–0.6）以及去年有 STI 症状（AOR 0.7， 95% CI 0.5–0.8）。索韦托男性研究的结果证实，男男性接触者感染艾滋病毒的风险很高，其中男同性恋者感染艾滋病毒的风险最高。 MSM 的 HIV 预防和治疗刻不容缓。
The Soweto Men’s Study assessed HIV prevalence and associated risk factors among MSM in Soweto, South Africa. Using respondent driven sampling (RDS) recruitment methods, we recruited 378 MSM (including 15 seeds) over 30 weeks in 2008. All results were adjusted for RDS sampling design. Overall HIV prevalence was estimated at 13.2% (95% confidence interval 12.4–13.9%), with 33.9% among gay-identified men, 6.4% among bisexual-identified men, and 10.1% among straight-identified MSM. In multivariable analysis, HIV infection was associated with being older than 25 (adjusted odds ratio (AOR) 3.8, 95% CI 3.2–4.6), gay self-identification (AOR 2.3, 95% CI 1.8–3.0), monthly income less than ZAR500 (AOR 1.4, 95% CI 1.2–1.7), purchasing alcohol or drugs in exchange for sex with another man (AOR 3.9, 95% CI 3.2–4.7), reporting any URAI (AOR 4.4, 95% CI 3.5–5.7), reporting between six and nine partners in the prior 6 months (AOR 5.7, 95% CI 4.0–8.2), circumcision, (AOR 0.2, 95% CI 0.1–0.2), a regular female partner (AOR 0.2, 95% CI 0.2–0.3), smoking marijuana in the last 6 months (AOR 0.6, 95% CI 0.5–0.8), unprotected vaginal intercourse in the last 6 months (AOR 0.5, 95% CI 0.4–0.6), and STI symptoms in the last year (AOR 0.7, 95% CI 0.5–0.8). The results of the Soweto Men’s Study confirm that MSM are at high risk for HIV infection, with gay men at highest risk. HIV prevention and treatment for MSM are urgently needed.
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DOI：
10.15288/jsa.2004.65.434
发表时间：
2004-07-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Simbayi, LC;Kalichman, SC;Cherry, C
通讯作者：
Cherry, C
影响因子：
4.4
作者：
Johnston, Lisa Grazina;Khanam, Rasheda;Azim, Tasnim
通讯作者：
Azim, Tasnim
影响因子：
3.6
作者：
Sandfort, T. G. M.;Nel, J.;Yi, H.
通讯作者：
Yi, H.
影响因子：
3.9
作者：
Meyer, Ilan H.;Wilson, Patrick A.
通讯作者：
Wilson, Patrick A.
影响因子：
3.5
作者：
Simbayi, Leickness C;Kalichman, Seth C;Mathiti, Vuyisile
通讯作者：
Mathiti, Vuyisile