在津巴布韦的社交场所的男性中,艾滋病毒的流行,病毒抑制和一致的避孕套使用:来自2022年当地艾滋病控制工作优先事项的见解 (PLACE) 调查
Galven Maringwa1,2, Sungai T Chabata3,4, Fortunate Machingura3,4
1Centre for Sexual Health, HIV/AIDS Research Zimbabwe (CeSHHAR Zimbabwe), 10 Coronation Road, Greendale, Harare, Zimbabwe. galven.maringwa@ceshhar.org.
AIDS and behavior
|March 14, 2026
概括
参加社交场所的男性面临着显著的艾滋病毒风险,无论他们是否为性付费. 这项研究发现,在津巴布韦,为性付费的男性和不付费的男性之间,在艾滋病毒流行率或治疗结果上没有差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 艾滋病毒/艾滋病研究研究
背景情况:
- 酒吧和夜总会等社交场所是男性之间性伙伴关系的关键场所.
- 由于社会网络分散,这些环境对预防艾滋病毒提出了挑战.
- 这些场所的男性可能会从事交易性行为,增加艾滋病毒传播风险.
研究的目的:
- 在津巴布韦参加社交场所的男性中调查艾滋病毒的流行,病毒抑制和预防行为.
- 为了在这些场馆中比较与性行为付费的男性和不付费的男性之间的与艾滋病毒相关的结果.
主要方法:
- 在津巴布韦 (2022年4月至12月) 使用本地艾滋病控制工作重点 (PLACE) 方法的横截面研究.
- 收集了来自190个社交场所的2827名男性的数据.
- 包括艾滋病毒检测,通过干燥的血液斑点测量病毒载量,以及性行为问卷.
主要成果:
- 总体而言,艾滋病毒感染率为10.7%,艾滋病毒感染者中病毒抑制率为67.9%.
- 40.1%的男性报告说在过去12个月中为性行为付费;15.1%的男性报告说经常使用避孕套.
- 支付性爱费用与艾滋病毒状况,避孕套使用或病毒抑制没有显著关联.
结论:
- 参加社交场所的男性呈现出大量的艾滋病毒风险和与预防和治疗服务的不理想参与.
- 干预措施应针对这些场所的所有男性,无论他们是否为性付费.
- 在这一群体中解决艾滋病毒需要针对性战略,而不仅仅是交易性考虑.
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