男性とセックスをするPrEP使用者の間で,時間とともにケムセックスへの関与の軌跡:フランスのANRS-Prévenirコホートからの結果
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まとめ
この要約は機械生成です。男性とセックスをする男性 (MSM) の間で4つの異なるケムセックスエンゲージメントの軌跡が特定されました. 発見は様々なパターンと関連する要因を強調し,この集団に合わせたHIV予防戦略を提示しています.
科学分野
- 公衆衛生
- 流行病学について
- 性 的 な 健康
背景
- 性行為中に薬物を使用すると定義される化学性交は,男性と性交する男性 (MSM) の間で懸念されています.
- 効果的な予防戦略を策定するには 化学性交のパターンの進化を理解することが重要です
研究 の 目的
- MSMの間で時間とともに 異なったケムセックスの経路を特定する.
- 異なるキムセックス・エンゲージメントパターンに関連した要因を決定する.
主な方法
- フランスのANRS-PrévenirコホートでPrEPを使用した2518人のMSMのデータにグループベースの経路モデルが適用されました.
- オンラインのアンケートと電子記録を介して四半期ごとにデータを収集し,追跡期間は平均21ヶ月でした.
- 多変量モデルでは,軌道の参加と関与に関連する時間常数と時間変数要因を評価しました.
主要な成果
- 4つの軌跡が特定されました:ゼロ/低 (75%),増加 (6%),減少 (8%),高 (11%).
- 年齢は上昇と低下の軌跡と関連しており,年齢は上昇と低下の軌跡と関連している.
- うつ病,毎日PrEPを使用する,カジュアルなパートナーの数,コンドームなしのアナルセックスなどの要因は,ケムセックスへの関与の軌道を影響しました.
結論
- 特定の性行為と予防の必要性によって特徴づけられる,キムセックスの関与の明確なパターンがMSMの間に存在します.
- 個々のケムセックスへの関与の軌跡に合わせて,個別化された医療と予防アプローチが推奨されています.
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