LOCATING UNRECOGNIZED HIV INFECTIONS AMONG MEN WHO HAVE SIX WITH MEN: SAN FRANCISCO AND LOS ANGELES
LOCATING UNRECOGNIZED HIV INFECTIONS AMONG MEN WHO HAVE SIX WITH MEN: SAN FRANCISCO AND LOS ANGELES
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DOI：
10.1521/aeap.2008.20.5.408
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发表时间：
2008-10-01
影响因子：
1.8
通讯作者：
McFarland, Willi
中科院分区：
文献类型：
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作者：
Raymond, H. Fisher;Bingham, Trista;McFarland, Willi
未被识别的艾滋病毒感染，即个人不知道自己的艾滋病毒血清状态，可能在艾滋病毒的持续传播中发挥最重要的作用。使用来自国家HIV行为监测系统的场馆级数据，我们进行了初步的双变量分析，以确定与未识别的HIV感染相关的变量，然后将这些变量输入多个Logistic回归模型，然后表征洛杉矶和旧金山的未识别的HIV感染。在洛杉矶，公共性环境中男男性行为者(MSM)感染艾滋病毒的可能性最高(调整后的优势比(AOR)3.2，95%可信区间(CI)=1.3-7.9)。在旧金山，患有不明HIV感染的MSM最有可能在成人书店找到(AOR=8.0，95%CI=2.8-39)。我们确定了通过在男男性接触者中发现未发现的感染最集中的特定地点来促进艾滋病毒检测的机会。
Unrecognized HIV infections, where the individual is unaware of his or her HIV serostatus, may play the most important role in the continued spread of HIV. Using venue-level data from the National HIV Behavioral Surveillance System, we conducted preliminary bivariate analyses to identify variables associated with unrecognized HIV infection and subsequently entered those variables into multiple logistic regression models to then characterize unrecognized HIV infections in Los Angeles and San Francisco. In Los Angeles, public sex environments have the highest likelihood of having men who have sex with men (MSM) with unrecognized HIV infection (adjusted odds ratio (AOR) 3.2, 95% confidence interval (CI) = 1.3-7.9). For San Francisco, MSM with unrecognized HIV infection are most likely found in adult bookstores (AOR = 8.0, 95 % CI = 2.8-39). We identified opportunities to promote HIV testing through specific locations where unrecognized infections among MSM are found in highest concentrations.