七个撒哈拉以南非洲国家的男性对艾滋病毒阳性状况的不认识:年龄,行为和结构决定因素
Mansoor Farahani1, Shannon M Farley2, David Hoos2
1ICAP at Columbia University, 60 Haven Ave, New York, NY, 10032, USA. mf3086@cumc.columbia.edu.
AIDS and behavior
|February 24, 2026
概括
撒哈拉以南非洲的许多男性仍然不知道自己的艾滋病毒状况,特别是年轻男性和那些从事危险行为的人. 有针对性的再检测策略对于提高艾滋病毒意识和减少传播至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 与撒哈拉以南非洲的女性相比,男性的艾滋病毒检测和意识率在男性中较低.
- 在该地区的不同国家和年龄段,艾滋病毒意识存在显著差异.
研究的目的:
- 确定撒哈拉以南非洲男性中未被诊断的艾滋病毒的患病率.
- 确定与男性对艾滋病毒状况不知所措相关的因素.
- 为改善艾滋病毒检测和意识的战略提供信息.
主要方法:
- 汇集了2019-2023年7个撒哈拉以南非洲国家的基于人口的艾滋病毒影响评估数据.
- 分析了59293名男性的数据,包括艾滋病毒的流行率和意识状况.
- 使用调查加权的波桑回归来确定未诊断的艾滋病毒的相关性.
主要成果:
- 总体艾滋病毒感染率为5.9%,有22.1%的艾滋病毒阳性男性不知道自己的状况.
- 年轻男性 (41.0%在15-29岁) 的不知情度更高,并因国家而异 (8.4%斯瓦西尼至31.5%莫桑比克).
- 独立的相关性包括无避孕套的性行为,危险饮酒,不经常的先前测试和更高的社会经济地位;年龄放大了行为差距.
结论:
- 在撒哈拉以南非洲,相当一部分男性未被诊断为艾滋病毒感染者,尤其是年轻男性.
- 行为因素和社会经济地位与艾滋病无意识有关.
- 以年轻人为中心,以行为量身定制的再测试策略对于缩小艾滋病毒意识差距至关重要.
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