男性包皮环切术:减少肯尼亚卡车司机和女性性工作者之间艾滋病毒传播的一种手段

A. M. Kimulu, W. Mutuku, S. Mwalili, D. Malonza, A. Oke
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引用次数: 0

摘要

肯尼亚记录了超过150万例艾滋病毒感染病例,2019年成人患病率为4.8%,使肯尼亚成为世界第七大艾滋病毒感染者。最近的一项研究表明,55.9%的肯尼亚卡车司机会买好性服务,而46.6%的卡车司机除了在家里有妻子或女朋友外,还在运输途中有固定的伴侣。卡车司机性网络的复杂性可能是艾滋病毒传播的原因,因此有必要更好地了解卡车司机和女性性工作者之间艾滋病毒/艾滋病传播的动态。在这项研究中,制定了沿肯尼亚北部走廊高速公路的艾滋病毒/艾滋病动态模型。采用下一代矩阵法确定繁殖数、无病平衡点和地方病平衡点,并确定其稳定性。当R0u < 1、R0c < 1、R0f < 1时,无病平衡点稳定;当R0u > 1、R0c > 1、R0f > 1时,地方病平衡点稳定。研究发现,包皮环切术可以作为一种干预措施,以尽量减少卡车司机和女性性工作者感染艾滋病毒。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Male Circumcision: A Means to Reduce HIV Transmission between Truckers and Female Sex Workers in Kenya
Kenya records over 1.5 million cases of HIV-infected people with a prevalence of 4.8% among adultsin 2019, ranking Kenya as the seventh-largest HIV population in the world. A recent study showed that55.9% of Kenyan truckers pay for sex in while 46.6% had a regular partner along their trucking route inaddition to a wife or girlfriend at home. The complexity in the sexual network of Truckers, which can be aconduit for the widespread of HIV, necessitated the need to better understand the dynamics of transmissionof HIV/AIDS between truckers and female sex workers. In this study, a model is formulated for HIV/AIDSdynamics along the Northern corridor highway in Kenya. The reproduction number, disease-free equilibriumand endemic equilibrium points were determined and their stabilities were also determined using the nextgenerationmatrix method. The disease-free equilibrium is stable when R0u < 1, R0c < 1 and R0f < 1 whilethe endemic equilibrium point is stable when R0u > 1, R0c > 1 and R0f > 1. It is found that circumcision canbe used as an intervention to minimize the infection of HIV among truckers and female sex workers.
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