Sexual behaviors and risk factors for HIV infection among men who have sex with men in the Dominican Republic
Sexual behaviors and risk factors for HIV infection among men who have sex with men in the Dominican Republic
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DOI：
10.1097/00002030-199602000-00011
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发表时间：
1996-02-01
期刊：
影响因子：
3.8
通讯作者：
Ryan, CA
中科院分区：
文献类型：
--
作者：
Tabet, SR;deMoya, EA;Ryan, CA
目的：描述多米尼加共和国男男性行为者(MSM)自我报告的性身份类型，评估社会人口学和行为特征，并测量HIV-1和梅毒的患病率。设计：对不同社区招募的MSM进行横断面研究。方法：共有354名男性在给予口头知情同意后同意参与。使用评估人口统计数据和艾滋病相关信息的标准化问卷获得信息。结果：出现了5个主要的性别认同群体：变装者、同性恋者、男同性恋者、双性恋者和异性恋者。自认为变装者或同性恋者的男性通常会接受肛交和口交，而其余三组人几乎都只进行插入式性交。与女性的性接触也很常见；总体而言，持续使用避孕套的情况很少。HIV抗体阳性率为11.0%，梅毒血清学阳性率为7.3%。HIV感染的独立相关因素包括梅毒的血清学证据，1975-1985年间至少去过当地四家妓院中的一家，以及最近12个月与4名或4名以上的性伴侣发生过接受性肛交。结论：梅毒、性行为和性行为的社会背景(商业性行为)与HIV感染有关，而不是性身份本身。在这种情况下，MSM的复杂社会网络、插入性或接受性行为但不是两者兼而有之的倾向、不经常使用避孕套、梅毒感染率高以及与妇女发生性行为的频率需要被考虑在内，有针对性的艾滋病毒预防计划才能成功。
Objective: To describe self-reported types of sexual identity of men who have sex with men (MSM) in the Dominican Republic, assess sociodemographics and behavioral characteristics, and measure the prevalence of HIV-1 and syphilis.Design: Cross-sectional study of MSM recruited from a variety of community settings.Methods: A total of 354 men agreed to participate after giving verbal informed consent. Information was obtained using a standardized questionnaire assessing demographics and AIDS-relevant information. Blood was obtained for HIV and syphilis testing.Results: Five main sexual identity groups emerged: cross dressers, homosexuals, gigolos, bisexuals and heterosexuals. Receptive anal and oral intercourse were commonly reported by men self-identifying as cross dressers or homosexuals, whereas nearly all of the remaining three groups practiced only insertive intercourse. Sexual contact with women was also commonly reported; overall, consistent condom use was infrequent. HIV antibodies were detected in 11.0% and serologic evidence of syphilis was found in 7.3%. Factors independently associated with HIV infection included serologic evidence of syphilis, having visited at least one of four local brothels in 1975-1985, and having had receptive anal intercourse with four or more partners in the last 12 months.Conclusions: Syphilis, sexual practices and social context of sex (commercial sex), rather than sexual identity per se, were associated with HIV infection. The complex social networks of MSM in this setting, the tendency to practice either insertive or receptive sex, but not both, infrequent condom use, high rates of syphilis and the frequency of sex with women need to be taken into account for targeted HIV prevention programs to be successful.