Sexual identity and risk of HIV/STI among men who have sex with men in Nairobi

Sexual identity and risk of HIV/STI among men who have sex with men in Nairobi
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DOI:
10.1097/olq.0b013e31815e6320
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发表时间:
2008-04-01
影响因子:
3.1
通讯作者:
Holmes, King K.
Holmes, King K.
中科院分区:
医学4区
文献类型:
--
作者:
Sharma, Anjali;Buklisi, Elizabeth;Holmes, King K.

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尽管存在很大的区域差异,但由于通过肛交传播的高效率,全球人类免疫缺陷病毒(HIV/ AIDS)感染者中有很大一部分是男男性行为者(MSM)。(1)这一相对少数的人与更广泛的人群相比,可能面临不成比例的艾滋病毒传播风险,特别是在社会或法律的报复伴随着公开披露的国家。最近的短期估计表明,2005年肯尼亚约有82,300例新的艾滋病毒感染者,其中4.5%是男男性行为者。(2-3)这些男性中的发病率可能更高,因为模型假设只有1%的伴侣人群与男性发生性关系,并且没有考虑到这一人群中的男性性工作者(2)。
ALTHOUGH THERE IS GREAT regional variation, a significant proportion of those with human immunodeficiency virus (HIV/ AIDS) globally are men who have sex with men (MSM) due to the high efficiency of transmission via anal intercourse.(1) This relatively small number of individuals may be disproportionately at risk of HIV transmission vis-a-vis the wider population, particularly in countries where social or legal retribution accompanies public disclosure. Recent short-term estimates suggest that of the approximately 82,300 new HIV infections in Kenya in 2005, 4.5% were in MSM.(2-3) The incidence among these men may be even higher, as the models assumed that only 1% of the mate population had sex with men and did not account for male sex workers in this population(2).