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移民,性行为和性别认同:对艾滋病毒和其他性传播感染的存在的三重脆弱性
Angel Emanuel Rogel-González1,2, Miguel Angel Sánchez-Alemán1, Dayana Nicté Vergara-Ortega1
1Centro de Investigación Sobre Enfermedades Infecciosas, Instituto Nacional de Salud Pública, Universidad No. 655 Colonia Santa María Ahuacatitlán, Cerrada Los Pinos y Caminera, 62100, Cuernavaca, MOR, México.
Archives of sexual behavior
|February 4, 2026
概括
在墨西哥过境的移民中,艾滋病毒,梅毒和简单疹病毒2型 (HSV-2) 的高发病率. 性行为和社会脆弱性等因素增加了性传播疾病的风险,特别是在与男性发生性关系的男性和跨性别女性中.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 移民 卫生 移民 卫生
背景情况:
- 性传播感染 (STIs),包括艾滋病毒,梅毒和简单疹病毒-2型 (HSV-2),是相互关联的.
- 由于复杂的政治,社会和经济环境,移民面临着更容易感染性传播疾病的风险.
- 了解移民人口中性传播感染的流行率和风险因素对于有针对性的干预至关重要.
研究的目的:
- 为了确定艾滋病毒,梅毒和HSV-2在墨西哥恰帕斯州塔帕丘拉过境的移民中的血清流行率.
- 确定与在这个脆弱人群中获得这些性传播感染相关的因素.
- 分析社会,环境和临床因素的相互作用,这些因素有助于STI风险.
主要方法:
- 一项从2021-2022年在墨西哥塔帕丘拉的移民护理中心进行的横截面研究.
- 数据收集包括行为问卷和血液样本分析,以检测艾滋病毒,梅毒和HSV-2.
- 用多变量二元逻辑回归模型来确定相关的风险因素.
主要成果:
- 共有655名移民参与了这项研究;HIV的血清流行率为8.9%,梅毒为10.5%,HSV-2为33.3%.
- 艾滋病毒和梅毒血清流行率在男性中明显高于女性,特别是在与男性发生性关系的男性 (MSM) 和跨性别女性中.
- 相关因素包括先前的性传播感染,生殖器损伤,初次性交的早期年龄,多年的性活动和同性关系.
结论:
- 在塔帕丘拉过境的移民表现出艾滋病毒,梅毒和HSV-2的大量血清流行率.
- 像MSM和跨性别女性这样的关键人群面临着由于其移民身份和社会环境背景的复杂脆弱性.
- 解决临床,行为和社会决定因素的综合方法对于减轻移民人口中性传播感染的传播至关重要.
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