Who are the male sexual partners of adolescent girls and young women? Comparative analysis of population data in three settings prior to DREAMS roll-out.
Who are the male sexual partners of adolescent girls and young women? Comparative analysis of population data in three settings prior to DREAMS roll-out.
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DOI：
10.1371/journal.pone.0198783
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Birdthistle I
中科院分区：
文献类型：
--
作者：
Doyle AM;Floyd S;Baisley K;Orindi B;Kwaro D;Mthiyane TN;Muuo S;Shahmanesh M;Ziraba A;Birdthistle I
DREAMS（坚定的、有弹性的、有能力的、无艾滋病的、有指导的和安全的）伙伴关系旨在通过一套核心的循证干预措施，降低少女和年轻妇女（15- 24岁）的艾滋病毒发病率。一些干预措施，包括艾滋病毒自愿咨询和检测以及包皮环切术，将针对青年协会的男性性伙伴。DREAMS的一个优先事项是帮助男性伴侣进行有效的目标定位。我们使用肯尼亚和南非三个DREAM影响评估环境中基于人口的数据（2010-2015年），描述了AGYW报告的男性伴侣的人口统计特征和性行为，以及报告与AGYW发生性活动的男性的特征。在所有情况下，青年观察咨询公司报告的90%以上的近期男性伴侣年龄在35岁以下。在uMkhanyakude（南非农村），配偶和非配偶伴侣的中位年龄分别为29岁和23岁，在内罗毕（肯尼亚城市）分别为21岁和20岁。大多数报告有男青年女青年伴侣的男性从未结过婚（89%），许多人在上学（39%）。大多数男性伴侣报告说，过去一年中只有1名年龄较大的女青年伴侣;在Gem（肯尼亚农村）和内罗毕，25%-29%的男性伴侣报告说有2名以上（年龄较大的女青年或年龄较大的女性）伴侣。在Gem，16%的男性伴侣报告了同时性伴侣，在uMkhanyakude，3-4%的男性伴侣报告了同时性伴侣。在Gem，三分之二的男性伴侣报告在过去6个月内进行了艾滋病毒检测，在uMkhanyakude，不到一半的男性伴侣报告在过去一年内进行了艾滋病毒检测。在内罗毕，几乎所有（96%）伴侣都接受了包皮环切术，而在Gem和uMkhanyakude，这一比例分别为45%和43%。青年妇女总协会的性伴侣几乎都在15-34岁之间，这是DREAMS干预措施的适当目标群体。鼓励青年男子减少伴侣和同居人数，接受艾滋病毒检测、包皮环切术和抗逆转录病毒疗法等预防和治疗服务，对于减少青年女青年和青年男子的艾滋病毒感染至关重要。
The DREAMS (Determined Resilient Empowered AIDS-free, Mentored and Safe) Partnership aims to reduce HIV incidence among adolescent girls and young women (AGYW,15-24y) with a core package of evidence-based interventions. Some interventions, including voluntary HIV counselling and testing and circumcision, will be targeted at the male sexual partners of AGYW. A priority of DREAMS is to characterise the male partners for effective targeting. Using population-based data (2010–2015) in three DREAMS impact evaluation settings in Kenya and South Africa, we describe the demographic characteristics and sexual behaviour of male partners reported by AGYW, and the characteristics of males who report sexual activity with AGYW. In all settings, over 90% of recent male partners reported by AGYW were aged <35 years. Median ages of spousal and non-spousal partners were 29 and 23 years respectively in uMkhanyakude (rural South Africa) and 21 and 20 years respectively in Nairobi (urban Kenya). Most males reporting an AGYW partner had never been married (89%) and many were in school (39%). Most male partners reported only 1 AGYW partner in the past year; in Gem (rural Kenya) and Nairobi 25%-29% reported 2+(AGYW or older female) partners. Concurrent partners were reported by 16% of male partners in Gem and 3–4% in uMkhanyakude. Two thirds of male partners in Gem reported testing for HIV in the past 6 months and under half in uMkhanyakude reported testing for HIV in the past year. Almost all (96%) partners in Nairobi were circumcised, compared to 45% in Gem and 43% in uMkhanyakude. With almost all AGYW’s sexual partners aged 15–34 years, this is an appropriate target group for DREAMS interventions. Encouraging young men to reduce their number of partners and concurrency, and uptake prevention and treatment services such as HIV testing, circumcision and ART is crucial in the effort to reduce HIV among both AGYW and young men.
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影响因子：
3.8
作者：
Helleringer, Stephane;Kohler, Hans-Peter
通讯作者：
Kohler, Hans-Peter
影响因子：
3.7
作者：
Kripke, Katharine;Okello, Velephi;Njeuhmeli, Emmanuel
通讯作者：
Njeuhmeli, Emmanuel
DOI：
10.1097/qad.0000000000001553
发表时间：
2017-07-31
期刊：
AIDS (London, England)
影响因子：
--
作者：
Akullian A;Bershteyn A;Klein D;Vandormael A;Bärnighausen T;Tanser F
通讯作者：
Tanser F
影响因子：
3.7
作者：
Doyle, Aoife M.;Plummer, Mary L.;Ross, David A.
通讯作者：
Ross, David A.
影响因子：
6
作者：
Evan M;Risher K;Zungu N;Shisana O;Moyo S;Celentano DD;Maughan-Brown B;Rehle TM
通讯作者：
Rehle TM