根据国家艾滋病控制计划,针对性干预计划在Hijra和跨性别人口中的有效性:综合生物和行为监测的证据,2014-15年
Nishakar Thakur1, Sanjay Rai1, Shashi Kant1
1Centre for Community Medicine, AIIMS, New Delhi, India.
International journal of STD & AIDS
|December 18, 2023
概括
印度的有针对性的干预计划有效地增加了迁徙者和跨性别者 (H/TG) 之间的避孕套使用,降低了艾滋病毒风险. 这项研究强调了该计划在促进这个脆弱人群中更安全的性行为方面的成功.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会科学 社会科学 社会科学
背景情况:
- 印度的迁徙者和跨性别者 (H/TG) 面临着对艾滋病毒/艾滋病的高度脆弱性.
- 印度的有针对性的干预 (TI) 计划是为了减轻这种风险而建立的.
研究的目的:
- 评估TI计划在减少印度H/TG人口中艾滋病毒脆弱性的有效性.
主要方法:
- 分析了2014-15年国家综合行为和生物调查 (IBBS) 的数据.
- 利用双变量和多变量后勤回归和倾向分数匹配 (PSM) 来评估计划的影响.
- 关键指标包括在最后一次性交期间使用避孕套和在过去一个月内持续使用避孕套.
主要成果:
- 接受同行教育者/外展工作者的避孕套的参与者使用避孕套的几率显著更高 (aOR:最后一次性交1.74,aOR:持续使用1.40).
- 对PSM的分析表明,在最后一次性交期间,避孕套的使用率增加了13.0%,干预受益者持续使用避孕套的使用率增加了5.0%.
结论:
- 该TI计划在减少H/TG人口中艾滋病毒风险行为方面表现出有效性.
- 增加避孕套的使用,无论是最后一次性行为还是持续使用,都支持该计划的积极影响.
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