Transactional Sex and Incident Chlamydia and Gonorrhea Among Black Men Who Have Sex With Men in Atlanta, Georgia.
Transactional Sex and Incident Chlamydia and Gonorrhea Among Black Men Who Have Sex With Men in Atlanta, Georgia.
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佐治亚州亚特兰大男男性行为黑人中的性交易和衣原体和淋病事件。
DOI：
10.1097/olq.0000000000001168
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发表时间：
2020
影响因子：
3.1
通讯作者：
Earnshaw,ValerieA
中科院分区：
文献类型：
--
作者：
Rucinski,KatherineB;Eaton,LisaA;Learner,EmilyR;Watson,RyanJ;Maksut,JessicaL;Earnshaw,ValerieA
背景与男性发生性关系的黑人男性（BMSM）不成比例地受到性传播感染（STI）的影响，包括衣原体和淋病。transmandisex是一个假设的风险因素STI收购BMSM.MethodsWe估计的关联性交易与事件衣原体/淋球菌感染BMSM使用纵向数据从亚特兰大的随机试验（2012-2015）。如果BMSM的人类免疫缺陷病毒（HIV）抗体检测结果为阴性，并且在过去一年中报告了≥ 2名男性性伴侣和任何无安全套肛交，则有资格入选。我们将衣原体/淋病发病率定义为在入组时结果为阴性后首次发生直肠或泌尿生殖道衣原体或淋球菌感染。我们使用Poisson回归来估计12个月内衣原体/淋病的发病率（IR）。发病率比（IRR）比较了报告的性交易经验的估计值。亚组分析评估潜在的异质性的年龄和sexualidents.ResultsThis分析包括416 BMSM，其中191（46%）是同性恋者确定，146（42%）报告的历史性交易，和57（14%）有流行的衣原体/淋球菌感染在基线。在中位1年的随访中，又有55名男性的实验室检测结果呈衣原体/淋病阳性（IR，每100人年17.3人）。跨性别与衣原体/淋病发病率总体上无关。然而，在同性恋者中，性交易与衣原体/淋病事件相关（IRR，2.9; 95%置信区间，1.2-6.8）。
BackgroundBlack men who have sex with men (BMSM) are disproportionately affected by sexually transmitted infections (STI), including chlamydia and gonorrhea. Transactional sex is an hypothesized risk factor for STI acquisition in BMSM.MethodsWe estimated the association of transactional sex with incident chlamydia/gonococcal infection among BMSM using longitudinal data from a randomized trial in Atlanta (2012–2015). BMSM were eligible for inclusion if they tested human immunodeficiency virus (HIV)-antibody-negative and reported both≥ 2 male sex partners and any condomless anal sex in the last year. We defined chlamydia/gonorrhea incidence as the first occurrence of either rectal or urogenital chlamydia or gonococcal infections after a negative result at enrollment. We used Poisson regression to estimate the incidence rate (IR) for chlamydia/gonorrhea over 12 months. Incidence rate ratios (IRR) compared estimates by reported experience of transactional sex. Subgroup analyses assessed potential heterogeneity by age and sexual identity.ResultsThis analysis included 416 BMSM, of whom 191 (46%) were gay-identified, 146 (42%) reported a history of transactional sex, and 57 (14%) had prevalent chlamydia/gonococcal infection at baseline. Over a median of 1 year of follow-up, an additional 55 men tested laboratory-positive for chlamydia/gonorrhea (IR, 17.3 per 100 person-years). Transactional sex was not associated with chlamydia/gonorrhea incidence overall. However, among gay-identified BMSM, transactional sex was associated with incident chlamydia/gonorrhea (IRR, 2.9; 95% confidence interval, 1.2–6.8).Conclusions