Brief Report: Self-Reported Knowledge of HIV Status Among Cisgender Male Sex Partners of Transgender Women in Lima, Peru.
Brief Report: Self-Reported Knowledge of HIV Status Among Cisgender Male Sex Partners of Transgender Women in Lima, Peru.
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DOI：
10.1097/qai.0000000000002920
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发表时间：
2022-05-01
期刊：
影响因子：
--
通讯作者：
Duerr A
中科院分区：
文献类型：
--
作者：
Long JE;Sanchez H;Dasgupta S;Huerta L;Garcia DC;Lama JR;Duerr A
了解艾滋病毒状况是艾滋病毒护理级联的关键第一步。跨性别女性（MSTW）的顺性别男性性伴侣感染艾滋病毒的风险高得不成比例，但他们接受艾滋病毒检测或了解艾滋病毒状况的情况却很少。我们使用来自一项受访者驱动的抽样研究的横断面数据来分析秘鲁利马MSTW中自我报告的艾滋病毒状况和艾滋病毒状况知识的预测因素。混合效应模型用于生成粗略和调整后的流行率（aPR）和95%置信区间（CI），用于HIV状况知识与感兴趣的预测因子（包括社会人口统计学和最近的性行为）之间的关联。从2018年2月至7月，196名符合条件的MSTW注册，其中90名（46%）报告不知道自己的艾滋病毒状况。84%的MSTW表示最近有过偶遇或一次性伴侣，54%的MSTW表示有过性行为。在调整分析中，如果MSTW参与者报告购买性行为（aPR 0.43, 95% CI:0.32 - 0.59）或报告≥16个近期性伴侣（aPR 0.32,[0.20-0.50]），则他们不太可能知道自己的艾滋病毒状况。那些报告有男性性伴侣的人知道自己性伴侣状况的可能性高出80% （aPR为1.80,[1.33-2.44]）。据报道，利马的MSTW对艾滋病毒状况的了解程度较低，而未知的艾滋病毒状况与艾滋病毒感染相关的行为有关。报告男性伴侣的女同性恋者更有可能知道自己的状况，这可能表明男同性恋者更容易接受艾滋病毒检测。
Knowledge of HIV status is a critical first step in the HIV care cascade. Cisgender male sex partners of transgender women (MSTW) are at a disproportionately high risk of HIV, but little is known about their access to HIV testing or knowledge of HIV status. We used cross-sectional data from a respondent-driven sampling study to analyze self-reported HIV status and predictors of knowledge of HIV status among MSTW in Lima, Peru. Mixed effects models were used to generate crude and adjusted prevalence ratios (aPR) and 95% confidence intervals (CI) for the association between knowledge of HIV status and predictors of interest, including socio-demographics and recent sexual behavior. From February – July 2018, 196 eligible MSTW enrolled, of which 90 (46%) reported not knowing their HIV status. Recent casual or one-time partners were reported by 84% of MSTW, and 54% reported purchasing sex. In adjusted analyses, MSTW participants were less likely to know their HIV status if they reported buying sex (aPR 0.43, 95% CI:0.32–0.59) or reported ≥16 recent sex partners compared to ≤5 partners (aPR 0.32, [0.20–0.50]). Those who reported male sex partners were 80% more likely to know their status (aPR 1.80, [1.33–2.44]). Reported knowledge of HIV status was low among MSTW in Lima, and unknown HIV status was associated with behaviors linked to HIV acquisition. MSTW who reported male partners were more likely to know their status, potentially indicating that HIV testing is more accessible to men who have sex with men (MSM).
影响因子：
3.6
作者：
Clark, J. L.;Konda, K. A.;Segura, E. R.;Salvatierra, H. J.;Leon, S. R.;Hall, E. R.;Caceres, C. F.;Klausner, J. D.;Coates, T. J.
通讯作者：
Coates, T. J.