风险性行为的比较:津巴布韦基于人口的艾滋病毒影响评估2020年证据
Solomon Mukwenha1, Munyaradzi Mapingure2, Tafadzwa Dzinamarira2,3
1Innovative Public Health and Development Solutions, Harare, Zimbabwe.
IJID regions
|March 24, 2025
概括
了解艾滋病毒状况和病毒抑制是减少风险性行为和艾滋病毒传播的关键. 干预措施应针对那些不知道自己的身份或病毒未被抑制的人,以制疫情.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 风险性行为是获得性传播感染的主要驱动因素,包括艾滋病毒/艾滋病.
- 了解性行为的动态对于控制艾滋病毒流行病至关重要.
- 90-90-90目标旨在增加艾滋病毒感染者之间的诊断,治疗和病毒抑制.
研究的目的:
- 基于艾滋病毒状况意识和病毒抑制,比较风险性行为.
- 确定性行为,艾滋病毒知识和病毒负载抑制之间的关联.
主要方法:
- 分析了津巴布韦2958名艾滋病毒感染者的数据.
- 利用津巴布韦基于人口的艾滋病毒影响评估数据.
- 检查了风险性行为,艾滋病毒状况意识和病毒抑制之间的关联.
主要成果:
- 没有意识到自己的艾滋病毒状况的人报告了更多的性伴侣 (aOR=1.18).
- 与非常规伴侣不使用避孕套增加了不知道艾滋病毒状况的可能性 (aOR=2.11).
- 在最后一次性交期间不使用避孕套与病毒不抑制有关 (aOR=2.25);女性不太可能比男性病毒不抑制.
结论:
- 艾滋病毒知识和病毒抑制方面的差距对持续的艾滋病毒传播有很大影响.
- 预防性干预必须优先考虑那些不知道自己的艾滋病毒状况的人或那些没有病毒抑制的人.
- 解决这些差距对于减少风险性行为和进一步传播艾滋病毒至关重要.
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