Sexual practices, HIV and sexually transmitted infections among self-identified men who have sex with men in four high HIV prevalence states of India
Sexual practices, HIV and sexually transmitted infections among self-identified men who have sex with men in four high HIV prevalence states of India
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DOI：
10.1097/01.aids.0000343763.54831.15
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发表时间：
2008-12-01
期刊：
影响因子：
3.8
通讯作者：
Ramesh, Banadakoppa M.
中科院分区：
文献类型：
--
作者：
Brahmam, Ginnela N. V.;Kodavallaa, Venkaiah;Ramesh, Banadakoppa M.
目的：描述的社会人口学特征，高风险的性行为，艾滋病毒，性传播感染（STI）的患病率，并在自我认定的男性与男性发生性关系（MSM）在四个印度南部states.Methods的风险认知：4597自我认定的男男性接触者在选定的地区，从四个州在印度南部进行了横断面的概率为基础的调查。自我定义的性身份，性行为和STI/艾滋病毒知识进行了评估，使用结构化问卷。对血液和尿液样本进行了艾滋病毒和性传播感染检测。招募标准略有不同的状态。结果：当分组的自我认同，艾滋病毒感染率为：hijra（变性人）18.1%;双性恋15.9%; kothis（肛门接受）13.5%;双层（肛门插入/肛门接受）10.51%;和panthis（肛门插入）7.6%。在所有州和类别中，报告的与最后一个付费男性伴侣一起使用避孕套的比例超过80%。在自我认定的男男性行为者中，安全套的持续使用率总体较低，与非商业性非固定男性伴侣的安全套使用率不到29%，与固定男性伴侣的安全套使用率不到49%。在各州，自我认同的男男性行为者与固定女性伴侣的比例为4-43%，与商业女性伴侣的比例为14-36%，并且一致使用安全套的情况因自我认同而异。在kothis和hijras人群中，梅毒患病率较高（分别为15.8%和13.6%）。尿道淋病患病率低于1%，衣原体感染率为0.4%~ 4.0%。结论：印度南部这些自认为的MSM社区中艾滋病毒感染率和危险行为较高。此外，她们中很大一部分有女性伴侣，包括固定伴侣和商业伴侣。国家方案将重点放在为这些高危男男性行为者提供艾滋病毒预防服务上是有道理的。(C)2008年威科健康|利平科特威廉姆斯&威尔金斯
Objective: To describe the sociodemographic characteristics, prevalence of high-risk sexual behaviours, HIV, sexually transmitted infections (STI), and perception of risk in self-identified men who have sex with men (MSM) in four south Indian states.Methods: A cross-sectional probability-based survey of 4597 self-identified MSM in selected districts from four states in south India was undertaken. Self-defined sexual identity, sexual behaviour, and STI/HIV knowledge were assessed using a structured questionnaire. Blood and urine samples were tested for HIV and STI. Recruitment criteria differed slightly across states.Results: When grouped by self-identity, the HIV prevalence was: hijra (transgender) 18.1%; bisexuals 15.9%; kothis (anal-receptive) 13.5%; double-deckers (both anal-insertive/anal-receptive) 10.51%; and panthis (anal-insertive) 7.6%. Reported condom use with last paid male partner was over 80% in all states and categories. Consistent condom use was overall low among self-identified MSM, with less than 29% with non-commercial non-regular male partners and less than 49% with regular male partners. The percentage of self-identified MSM with regular female partners was 4-43% and with commercial female partners was 14-36% across states, and consistent condom use differed by self-identity. Syphilis prevalence was high among kothis and hijras (15.8 and 13.6%, respectively). Urethral gonorrhoea prevalence was less than 1% and chlamydia prevalence ranged from 0.4 to 4.0%.Conclusion: HIV prevalence and risk behaviour within these self-identified MSM communities in south India is high. Moreover, a significant proportion of them had female partners, both regular and commercial. The national programme's focus on HIV prevention services for these high-risk MSM is justified. (C) 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins