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在巴西与男性发生性关系的移民男性中进行艾滋病毒检测

Aiala Xavier Felipe da Cruz¹, João Cruz Neto², Agostinho Antônio Cruz Araújo³

¹UNINOVAFAPI University Center, Teresina, Piauí, Brazil.

Public health nursing (Boston, Mass.)

|August 1, 2023

概括

在巴西,绝大多数与男性发生性关系的移民男性从未接受过艾滋病毒检测. 关系状况和在巴西逗留的时间等因素与不进行测试有关,突出了针对性预防的需要.

科学领域:

公共卫生公共卫生
流行病学流行病学
性健康性的健康

背景情况:

艾滋病毒仍然是一个重要的全球健康问题,特别是在弱势群体中.
与男性发生性关系的移民男性 (MSM) 是艾滋病毒预防工作的关键人口.
了解这一群体的测试行为对于有效的公共卫生干预至关重要.

研究的目的:

确定在巴西居住的与男性发生性关系的移民男性 (MSM) 中从未接受过人类免疫缺陷病毒 (HIV) 检测的患病率.
确定与缺乏艾滋病毒检测相关的社会人口和行为因素.

主要方法:

在2020年1月至2021年5月期间,对来自巴西葡萄牙语国家804名移民MSM进行了分析性网络调查.
统计分析,包括几率比率 (OR) 和调整几率比率 (AOR) 与95%信心区间 (CI),用于评估关联.
采用多变量逻辑回归模型来确定非艾滋病毒检测的独立预测因素.

主要成果:

63.7%的参与者报告从未接受过艾滋病毒检测.
与不进行测试的可能性增加相关的因素包括有一个稳定的伴侣 (AOR:1.5),多个伴侣 (AOR:1.8),不从事裸体性行为 (AOR:1.91),在巴西的时间较短 (<12个月,AOR:3.7),以及对插入性 (AOR:1.5) 或接受性 (AOR:2.9) 性角色的偏好.
实践chemsex被发现可以防止不进行测试 (AOR: 4).

结论:

这项研究强调了巴西移民MSM在艾滋病毒检测方面的巨大差距.
需要有针对性的干预措施来解决诸如关系状况,逗留时间和性行为等障碍.
提高可访问性,确保保密性和减少耻辱是改善艾滋病毒检测普及率和预防策略的关键.

关键词:

艾滋病病毒艾滋病病毒艾滋病病毒有助于补贴,有助于援助.化学性爱化学性爱是一个移民移民移民与男性发生性关系的男性.性行为性行为性行为.

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