麦德林三组年轻人中的艾滋病毒:普通人群、社会经济弱势群体组织和与其他男性发生性关系的男性。

IF 1.5 Q4 INFECTIOUS DISEASES
HIV AIDS-Research and Palliative Care Pub Date : 2023-11-01 eCollection Date: 2023-01-01 DOI:10.2147/HIV.S434036
Jaiberth Antonio Cardona-Arias, Nicole Nahomy Narváez Moreno, Luis Felipe Higuita-Gutiérrez
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引用次数: 0

摘要

引言:在哥伦比亚,没有研究分析社会经济脆弱性和属于与其他男性发生性关系的男性群体对年轻人艾滋病毒流行率的影响。目的:比较哥伦比亚麦德林三组年轻人的艾滋病毒流行率:普通人群、社会经济脆弱性和男男性行为者。方法:这项横断面分析研究包括2449名来自普通人群的年轻人、1736名来自为处于社会经济弱势的年轻人服务的机构的年轻人和2269名男男性行为者。确定各组的感染率,使用Pearson卡方和Trend卡方确定统计差异,并使用95%置信区间的逻辑回归估计粗略和调整后的比值比。在SPSS 29.0中进行分析。结果:艾滋病毒在普通人群中的流行率为0.8%,在有社会经济脆弱性的年轻人中为1.3%,在男男性行为者中为5.6%。艾滋病毒感染率最高的群体如下:(i)男男性行为者与普通人群相比为4.1,(ii)25-28岁之间与20岁以下人群相比为2.9倍,(iii)男性是女性的10倍,(iv)在小学、中学、技术和大学学习的年轻人中为7.1;6.7;11.0倍和14.5倍,(v)在补贴医疗制度的附属机构中,与缴费医疗制度附属机构的感染相比,这是2.2倍,在没有附属机构的人中是2.4倍。结论:艾滋病毒的流行率很高,这可以用社会经济脆弱性、男性之间的性行为、性别、年龄、教育程度和健康关系来解释,这表明卫生系统的决定因素、社会经济地位和个体在麦德林年轻人中感染艾滋病毒的决定因素之间存在交叉性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

HIV in Three Groups of Young People from Medellín: General Population, Organizations for People with Socioeconomic Vulnerability, and Men Who Have Sex with Other Men.

HIV in Three Groups of Young People from Medellín: General Population, Organizations for People with Socioeconomic Vulnerability, and Men Who Have Sex with Other Men.

Introduction: In Colombia, there are no studies that analyze the effect of socioeconomic vulnerability and belonging to the group of men who have sex with other men (MSM) on the prevalence of HIV in young people.

Objective: To compare the prevalence of HIV in three groups of young people from Medellín-Colombia: general population, socioeconomic vulnerability and MSM.

Methods: This cross-sectional analytical study included 2449 young people from the general population, 1736 from institutions that serve young people in situations of socioeconomic vulnerability, and 2269 MSM. The prevalence of infection in each group was determined, statistical differences were identified using Pearson's Chi-square and Trend's Chi-square, and crude and adjusted odds ratios were estimated using logistic regression with 95% confidence intervals. Analyses were performed in SPSS 29.0.

Results: HIV prevalence was 0.8% in the general population group, 1.3% in young people with socioeconomic vulnerability, and 5.6% in MSM. The groups with the highest HIV were as follows: (i) in MSM it was 4.1 compared to the general population, (ii) between 25-28 years of age it was 2.9 times compared to those under 20 years, (iii) in men it was 10 times that registered in women, (iv) in young people with primary, secondary, technical and university studies it was 7.1; 6.7; 11.0 and 14.5 times that found in those who did not register studies, (v) in affiliates of the subsidized health regime it was 2.2 times and in those without affiliation 2.4 times compared to the infection in affiliates of the contributory health regime.

Conclusion: HIV prevalence was high, and explained by socioeconomic vulnerability, having sex between men, gender, age, education, and health affiliation, demonstrating the intersectionality of determinants of the health system, socioeconomic status, and determinants individuals in the occurrence of HIV in young people in Medellín.

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来源期刊
CiteScore
3.00
自引率
6.70%
发文量
61
审稿时长
16 weeks
期刊介绍: About Dove Medical Press Dove Medical Press Ltd is part of Taylor & Francis Group, the Academic Publishing Division of Informa PLC. We specialize in the publication of Open Access peer-reviewed journals across the broad spectrum of science, technology and especially medicine. Dove Medical Press was founded in 2003 with the objective of combining the highest editorial standards with the ''best of breed'' new publishing technologies. We have offices in Manchester and London in the United Kingdom, representatives in Princeton, New Jersey in the United States, and our editorial offices are in Auckland, New Zealand. Dr Scott Fraser is our Medical Director based in the UK. He has been in full time clinical practice for over 20 years as well as having an active research interest.
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