HIV Status Communication with Sex Partners and Associated Factors Among High-Risk MSM and Transgender Women in Lima, Peru.

HIV Status Communication with Sex Partners and Associated Factors Among High-Risk MSM and Transgender Women in Lima, Peru.
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DOI:
10.1007/s10461-016-1444-4
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发表时间:
2017-01
期刊:
影响因子:
4.4
通讯作者:
Caceres, Carlos F.
Caceres, Carlos F.
中科院分区:
医学2区
文献类型:
--
作者:
Konda, Kelika A.;Castillo, Rostislav;Leon, Segundo R.;Silva-Santisteban, Alfonso;Salazar, Ximena;Klausner, Jeffrey D.;Coates, Thomas J.;Caceres, Carlos F.

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男男性行为者(MSM)和变性妇女(TW)是艾滋病毒流行的关键人群。性伴侣之间的艾滋病毒状况交流可以为性行为的决定提供信息。MSM和TW在基线、9个月和18个月时被问及与性伴侣的艾滋病毒状况。GEE模型在基线时使用流行比(pr)和纵向使用比值比(ORs)评估与艾滋病毒状态传播的关联。在基线时,那些以前接受过艾滋病毒检测的人向42%的性伴侣透露了他们的艾滋病毒状况。艾滋病毒状况交流与基线(aPR 5.20)和纵向(aOR 1.86)了解性伴侣的艾滋病毒状况相关。基线时的HIV阳性与随访期间的HIV状态通报呈负相关(aOR为0.55)。aPRs和aORs均< 0.05。应探讨促进艾滋病毒状况交流和更频繁地进行艾滋病毒检测的干预措施,因为目前的努力还不够。
Men who have sex with men (MSM) and transgender women (TW) are key populations in the HIV epidemic. HIV status communication between sex partners can inform decisions regarding sexual behavior. MSM and TW were asked about HIV status communication with sex partners at baseline, 9- and 18-months. GEE models assessed associations with HIV status communication at baseline using prevalence ratios (PRs) and longitudinally using odds ratios (ORs). At baseline, those who had previously had an HIV test, disclosed their HIV status to 42 % of their sex partners. HIV status communication was associated with knowing their sex partner’s HIV status at baseline (aPR 5.20) and longitudinally (aOR 1.86). HIV positivity at baseline was negatively associated with HIV status communication during follow-up (aOR 0.55). All reported aPRs and aORs havep< 0.05. Interventions promoting HIV status communication and more frequent HIV testing should be explored as current efforts are insufficient.
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