Background: Mobile males are vulnerable to HIV and are potential bridge for HIV transmission to their sex partners, including spouses. To understand how mobility accentuates vulnerability to HIV, we assessed the assoc...Background: Mobile males are vulnerable to HIV and are potential bridge for HIV transmission to their sex partners, including spouses. To understand how mobility accentuates vulnerability to HIV, we assessed the association of degree of male mobility with paid sex, alcohol use and condom use at all places visited by migrants in past two years. Methods: A cross-sectional survey was done among male migrant workers [n = 2991] in five high in-migration districts of Maharashtra in India during 2007-08. Results: Multivariate logistic regression analysis revealed that higher mobility [moving 3+ places in the past two years] was associated with “sexual debut” in paid sex [3.7% Vs 6.9%, AOR = 1.70, p < 0.001] and having sex with sex worker at the current place of destination [8.7% Vs 16.9%, AOR = 2.10, p < 0.001], at the previous place of destination [7.2% Vs 15.1%, AOR = 2.05, p < 0.001], and at the place of origin [0.6% Vs 1.6%, AOR = 2.31, p < 0.001]. However, higher mobility was associated with unpaid sex with non-marital female partners [28.4% Vs 37.2%, AOR = 1.48, p < 0.001] and less consistent condom use at the current place [26.6% Vs 23.4%, AOR = 0.45, p < 0.05] as well as at place of origin [12.2% Vs 7.2%, AOR = 0.48, p < 0.01]. In addition, alcohol use prior to sex was more among more mobile migrants relative to less mobile migrants at current place [6.1% Vs 11.2%, AOR = 1.82, p < 0.001] and previous place [7.0% Vs 13.0%, AOR = 1.77, p < 0.001] of destination. Conclusion: Findings suggest that compared to the less mobile, highly mobile men report higher HIV risk behaviours: paid sex, alcohol use prior to paid sex and inconsistent condom use, at all locations along the routes of mobility. Interventions need to target men who are highly mobile along the routes of mobility and not at destination sites alone.展开更多
目的了解MSM(men who have sex with men)人群性行为状况,为实施有针对性的干预措施和制定相应的防治策略提供科学的依据。方法对MSM进行面对面的问卷调查,资料经SPSS12.0进行统计分析。结果共计调查1000名MSM,平均年龄(27.8±9.1)...目的了解MSM(men who have sex with men)人群性行为状况,为实施有针对性的干预措施和制定相应的防治策略提供科学的依据。方法对MSM进行面对面的问卷调查,资料经SPSS12.0进行统计分析。结果共计调查1000名MSM,平均年龄(27.8±9.1)岁。调查发现,78.6%的MSM与男性有过肛交性行为,近6个月的男性性伴数平均是(3.62±4.73)人。最近1次与男性性伴发生肛交时,56.4%的人都使用了安全套,最近6个月只有31.6%的MSM每次都使用了安全套。24.3%的MSM在最近6个月有与女性发生性行为史,最近1次与女性性伴发生性行为时,只有36.5%的使用了安全套,最近6个月与女性发生性关系时,只有22.4%的人每次都使用了安全套。结论MSM人群多性伴,与男性发生肛交时安全使用率低,与女性性伴发生性行为时安全套使用率更低,这些因素将促使HIV在MSM人群中的传播和蔓延,急需开展针对MSM人群的干预工作。展开更多
Background: The gap in the understanding of the context of the sexually transmitted infections (STIs) and risky behaviours among men who have sex with men (MSM) could lead to the development and implementation of inap...Background: The gap in the understanding of the context of the sexually transmitted infections (STIs) and risky behaviours among men who have sex with men (MSM) could lead to the development and implementation of inappropriate interventions, which could exacerbate the rapid spread of STIs, especially HIV, among MSM. The aim of the study was to qualitatively assess the understanding of the STIs and the risky sexual behaviours of men who have sex with men in the North-West region of Tshwane. Methods: An exploratory qualitative design was employed to assess the STIs and the risky sexual behaviour of the MSM population. The study participants were enrolled in an HPV clinical trial at MECRU, which is a clinical research unit at the Sefako Makgatho Health Sciences University. Data collection occurred from September 2016 to May 2017. A convenience sampling method was used and n = 30 participants were selected. Face-to-face in-depth interviews were conducted on MSM 18 years and older, using a semi-structured interview guide. Thematic content analysis was used for data analysis, using NVivo version 10 software. Results: The mean age of the sample was 26 years, and the age range was 18 to 44 years. All were unmarried, and all of them came from townships, rural villages and informal settlements in the vicinity of the clinical research unit. The high-risk behaviours noted among the majority of the MSM in this study were having multiple sexual partners and exchanging partners, alcohol abuse, inconsistent condom-use, having unprotected anal sex, and having transactional sex. There was a high level of knowledge of STIs in the heterosexual population with poor understanding of STIs affecting MSM through anal sex. Most of the MSM played a female or bottom role, which made them vulnerable because they could not successfully negotiate condom use, and they reported that they sometimes accepted gifts or money in exchange for anal sex. Conclusion: The study concludes that the MSM in this study had casual sex, and are involved in sex work without practising safe sex. There is a need for health promotion on STIs and risky behaviours among MSM in communities as well as in health facilities for MSM in the North-West region of Tshwane.展开更多
目的了解2011-2015年芜湖市男男性行为人群(men who have sex with men,MSM)安全套使用情况及其影响因素,为当地制订该人群的艾滋病防治措施提供依据。方法利用《全国艾滋病哨点监测方案》的问卷,在2011-2015年哨点监测期内对约400例MS...目的了解2011-2015年芜湖市男男性行为人群(men who have sex with men,MSM)安全套使用情况及其影响因素,为当地制订该人群的艾滋病防治措施提供依据。方法利用《全国艾滋病哨点监测方案》的问卷,在2011-2015年哨点监测期内对约400例MSM进行问卷调查,收集有关艾滋病知识、高危行为等资料,并采集血液进行艾滋病、梅毒、丙肝检测。结果 5年共调查MSM 2 037例。调查对象中最近半年发生肛交性行为安全套每次使用率分别是23.24%、38.13%、37.41%、47.15%和82.22%,呈现逐年上升趋势(X_(趋势)~2=266.778,P<0.001);多因素Logistic回归分析结果显示最近半年发生同性商业性行为、与女性发生性行为、最近一年诊断过性病的调查对象最近半年每次肛交性行为坚持使用安全套比例较低;血清学检测结果显示调查对象艾滋病、梅毒和丙肝检测阳性率分别是5.84%、12.37%和0.69%,5年的艾滋病阳性率分别是4.36%、3.36%、6.48%、6.48%和8.64%。结论芜湖市MSM安全套使用率有所提升,但仍然不高;艾滋病、梅毒感染率还在逐年上升,应继续加强该人群针对性宣传教育和行为干预工作。展开更多
文摘Background: Mobile males are vulnerable to HIV and are potential bridge for HIV transmission to their sex partners, including spouses. To understand how mobility accentuates vulnerability to HIV, we assessed the association of degree of male mobility with paid sex, alcohol use and condom use at all places visited by migrants in past two years. Methods: A cross-sectional survey was done among male migrant workers [n = 2991] in five high in-migration districts of Maharashtra in India during 2007-08. Results: Multivariate logistic regression analysis revealed that higher mobility [moving 3+ places in the past two years] was associated with “sexual debut” in paid sex [3.7% Vs 6.9%, AOR = 1.70, p < 0.001] and having sex with sex worker at the current place of destination [8.7% Vs 16.9%, AOR = 2.10, p < 0.001], at the previous place of destination [7.2% Vs 15.1%, AOR = 2.05, p < 0.001], and at the place of origin [0.6% Vs 1.6%, AOR = 2.31, p < 0.001]. However, higher mobility was associated with unpaid sex with non-marital female partners [28.4% Vs 37.2%, AOR = 1.48, p < 0.001] and less consistent condom use at the current place [26.6% Vs 23.4%, AOR = 0.45, p < 0.05] as well as at place of origin [12.2% Vs 7.2%, AOR = 0.48, p < 0.01]. In addition, alcohol use prior to sex was more among more mobile migrants relative to less mobile migrants at current place [6.1% Vs 11.2%, AOR = 1.82, p < 0.001] and previous place [7.0% Vs 13.0%, AOR = 1.77, p < 0.001] of destination. Conclusion: Findings suggest that compared to the less mobile, highly mobile men report higher HIV risk behaviours: paid sex, alcohol use prior to paid sex and inconsistent condom use, at all locations along the routes of mobility. Interventions need to target men who are highly mobile along the routes of mobility and not at destination sites alone.
文摘目的了解MSM(men who have sex with men)人群性行为状况,为实施有针对性的干预措施和制定相应的防治策略提供科学的依据。方法对MSM进行面对面的问卷调查,资料经SPSS12.0进行统计分析。结果共计调查1000名MSM,平均年龄(27.8±9.1)岁。调查发现,78.6%的MSM与男性有过肛交性行为,近6个月的男性性伴数平均是(3.62±4.73)人。最近1次与男性性伴发生肛交时,56.4%的人都使用了安全套,最近6个月只有31.6%的MSM每次都使用了安全套。24.3%的MSM在最近6个月有与女性发生性行为史,最近1次与女性性伴发生性行为时,只有36.5%的使用了安全套,最近6个月与女性发生性关系时,只有22.4%的人每次都使用了安全套。结论MSM人群多性伴,与男性发生肛交时安全使用率低,与女性性伴发生性行为时安全套使用率更低,这些因素将促使HIV在MSM人群中的传播和蔓延,急需开展针对MSM人群的干预工作。
文摘Background: The gap in the understanding of the context of the sexually transmitted infections (STIs) and risky behaviours among men who have sex with men (MSM) could lead to the development and implementation of inappropriate interventions, which could exacerbate the rapid spread of STIs, especially HIV, among MSM. The aim of the study was to qualitatively assess the understanding of the STIs and the risky sexual behaviours of men who have sex with men in the North-West region of Tshwane. Methods: An exploratory qualitative design was employed to assess the STIs and the risky sexual behaviour of the MSM population. The study participants were enrolled in an HPV clinical trial at MECRU, which is a clinical research unit at the Sefako Makgatho Health Sciences University. Data collection occurred from September 2016 to May 2017. A convenience sampling method was used and n = 30 participants were selected. Face-to-face in-depth interviews were conducted on MSM 18 years and older, using a semi-structured interview guide. Thematic content analysis was used for data analysis, using NVivo version 10 software. Results: The mean age of the sample was 26 years, and the age range was 18 to 44 years. All were unmarried, and all of them came from townships, rural villages and informal settlements in the vicinity of the clinical research unit. The high-risk behaviours noted among the majority of the MSM in this study were having multiple sexual partners and exchanging partners, alcohol abuse, inconsistent condom-use, having unprotected anal sex, and having transactional sex. There was a high level of knowledge of STIs in the heterosexual population with poor understanding of STIs affecting MSM through anal sex. Most of the MSM played a female or bottom role, which made them vulnerable because they could not successfully negotiate condom use, and they reported that they sometimes accepted gifts or money in exchange for anal sex. Conclusion: The study concludes that the MSM in this study had casual sex, and are involved in sex work without practising safe sex. There is a need for health promotion on STIs and risky behaviours among MSM in communities as well as in health facilities for MSM in the North-West region of Tshwane.
文摘目的了解2011-2015年芜湖市男男性行为人群(men who have sex with men,MSM)安全套使用情况及其影响因素,为当地制订该人群的艾滋病防治措施提供依据。方法利用《全国艾滋病哨点监测方案》的问卷,在2011-2015年哨点监测期内对约400例MSM进行问卷调查,收集有关艾滋病知识、高危行为等资料,并采集血液进行艾滋病、梅毒、丙肝检测。结果 5年共调查MSM 2 037例。调查对象中最近半年发生肛交性行为安全套每次使用率分别是23.24%、38.13%、37.41%、47.15%和82.22%,呈现逐年上升趋势(X_(趋势)~2=266.778,P<0.001);多因素Logistic回归分析结果显示最近半年发生同性商业性行为、与女性发生性行为、最近一年诊断过性病的调查对象最近半年每次肛交性行为坚持使用安全套比例较低;血清学检测结果显示调查对象艾滋病、梅毒和丙肝检测阳性率分别是5.84%、12.37%和0.69%,5年的艾滋病阳性率分别是4.36%、3.36%、6.48%、6.48%和8.64%。结论芜湖市MSM安全套使用率有所提升,但仍然不高;艾滋病、梅毒感染率还在逐年上升,应继续加强该人群针对性宣传教育和行为干预工作。
