Men who have sex with men in Mozambique: identifying a hidden population at high-risk for HIV.

Men who have sex with men in Mozambique: identifying a hidden population at high-risk for HIV.
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DOI:
10.1007/s10461-014-0895-8
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发表时间:
2015-02
期刊:
影响因子:
4.4
通讯作者:
Lane, Tim
Lane, Tim
中科院分区:
医学2区
文献类型:
--
作者:
Nala, Rassul;Cummings, Beverley;Horth, Roberta;Inguane, Celso;Benedetti, Marcos;Chissano, Marcos;Sathane, Isabel;Young, Peter;da Silva, Danilo;Mirjahangir, Joy;Grasso, Mike;Raymond, H. Fisher;McFarland, Willi;Lane, Tim

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在莫桑比克与艾滋病毒有关的政策和方案中,男男性行为者(MSM)人口在很大程度上被忽视了,关于MSM对艾滋病毒流行的贡献的信息很少。2011年在马普托、贝拉和楠普拉/纳卡拉对男男性接触者进行了一项综合生物学和行为研究,采用了受访者驱动的抽样方法。报告在过去12个月内与其他男性发生口交或肛交的男性回答了一份问卷,并提供了供艾滋病毒检测的血液样本。艾滋病毒感染率分别为8.2%(马普托,n=496)、9.1%(贝拉,n=8584)和3.1%(楠普拉/纳卡拉,n=353)。MSM和≥的患病率分别为33.8%比2.4%(P<0.001),32.1%比2.8%(P<0.001),10.3%比2.7%(P<0.06)。流行率的差异表明,需要加强对感染艾滋病毒的年轻男男性接触者的预防,并确保对感染艾滋病毒的老年男男性接触者进行护理和治疗。
The population of men who have sex with men (MSM) has been largely ignored in HIV-related policies and programming in Mozambique and there is little information about the contribution of MSM to the HIV epidemic. An integrated biological and behavioral study among MSM using respondent-driven sampling was conducted in 2011 in Maputo, Beira and Nampula/Nacala. Men who reported engaging in oral or anal sex with other men in the last 12 months answered a questionnaire and provided a blood sample for HIV testing. The prevalence of HIV was 8.2 % (Maputo, n = 496), 9.1 % (Beira, n = 584) and 3.1 % (Nampula/Nacala, n = 353). Prevalence was higher among MSM ≥ 25 vs. 18–24 years: 33.8 % vs. 2.4 % (p < 0.001), 32.1 vs. 2.8 % (p < 0.001), and 10.3 vs. 2.7 % (p < 0.06), in each city respectively. The difference in prevalence demonstrates the need to increase prevention for younger MSM at risk for HIV and ensure care and treatment for older HIV-infected MSM.
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