男男性行为者无套性行为与HIV检测:德克萨斯州两个大都市统计区的比较研究

Journal of behavioral health Pub Date : 2018-01-01 DOI:10.5455/jbh.20170924070142

O. Mgbere, S. Arbona, S. Melville, Jonathon Poe, Shane U. Sheu, S. Khuwaja, Z. López

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摘要

背景:无避孕套肛交(CAS)是男男性行为者(MSM)中HIV感染的主要原因。通过常规检测了解自己的艾滋病毒状况对于减少艾滋病毒传播仍然至关重要。我们评估了2008年和2014年德克萨斯州达拉斯和休斯顿大都市地区从事CAS和HIV检测的MSM人群的人口统计学、行为和预防特征之间的关系，并研究了这一时期CAS和HIV检测流行率的变化。方法:使用达拉斯和休斯顿2008年和2014年全国艾滋病毒行为监测数据进行分析。我们比较了自我报告的CAS和HIV检测的比例，并使用广义估计方程确定了调整患病率(aPR)。结果:随着时间的推移，达拉斯和休斯顿MSM中CAS的总体调整患病率保持稳定。MSM中有1个性伴侣者9例(aPR=9.21, 95%CI=3.83 ~ 14.91, p

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Sex without Condom and HIV Testing among Men Who Have Sex with Men: A Comparative Study of Two Metropolitan Statistical Areas in Texas

Background: Condomless anal sex (CAS) accounts for most HIV infections among men who have sex with men (MSM). Knowledge of ones HIV status through routine testing remains essential for reducing HIV transmission. We assessed the associations between demographic, behavioral, and prevention characteristics of MSM who engaged in CAS and HIV testing in the Dallas and Houston, Texas metropolitan areas in 2008 and 2014, and examined changes in CAS and HIV testing prevalence during this period. Methods: Data from the National HIV Behavioral Surveillance for 2008 and 2014 MSM cycles in Dallas and Houston were used for this analysis. We compared proportions of self-reported CAS and HIV testing and determined the adjusted prevalence ratios (aPR) using generalized estimating equations. Results: The overall adjusted prevalence of CAS among MSM in Dallas and Houston remained stable over time. MSM who had one sexual partner were 9 (aPR=9.21, 95%CI=3.83-14.91, p

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Journal of behavioral health

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