Risk Factors for HIV and Unprotected Anal Intercourse among Men Who Have Sex with Men (MSM) in Almaty, Kazakhstan 英文参考文献.docVIP

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Risk Factors for HIV and Unprotected Anal Intercourse among Men Who Have Sex with Men (MSM) in Almaty, Kazakhstan 英文参考文献.doc

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Risk Factors for HIV and Unprotected Anal Intercourse among Men Who Have Sex with Men (MSM) in Almaty, Kazakhstan 英文参考文献

RiskFactorsforHIVandUnprotectedAnalIntercourse amongMenWhoHaveSexwithMen(MSM)inAlmaty, Kazakhstan MarkBerry1*,AndreaL.Wirtz1,AsselJanayeva2,ValentinaRagoza2,AsselTerlikbayeva3, BauyrzhanAmirov3,StefanBaral1,ChrisBeyrer1 1JohnsHopkinsBloombergSchoolofPublicHealth,DepartmentofEpidemiology,Baltimore,Maryland,UnitedStatesofAmerica,2AmuletPublicOrganization,Almaty, Kazakhstan,3GlobalHealthResearchCenterofCentralAsia,Almaty,Kazakhstan Abstract Introduction:Menwhohavesexwithmen(MSM)areathighriskforHIVinfection.MSMinCentralAsia,however,arenot adequatelystudiedtoassesstheirriskofHIVtransmission.Methods:Thisstudyusedrespondentdrivensamplingmethods torecruit400MSMinAlmaty,thelargestcityinKazakhstan,intoacross-sectionalstudy.Participationinvolvedaone-time interviewer-administered questionnaire and rapid HIV screening test. Prevalence data were adjusted for respondent networksizeandrecruitmentpatterns.MultivariatelogisticregressionwasusedtoinvestigatetheassociationbetweenHIV andselectedriskfactors,andunprotectedanalintercourse(UAI)andselectedriskfactors. Results: After respondent driven sampling (RDS) weighted analysis, 20.2% of MSM were HIV-positive, and 69.0% had unprotectedsexwithatleastonemalepartnerinthelast12months.RegressionanalysisshowedthatHIVinfectionwas associatedwithunprotectedreceptiveanalsex(AOR:2.00;95%CI:1.04–3.84).Havingunprotectedanalintercoursewith malepartners,ameasureofHIVriskbehaviors,wasassociatedwithbeingsingle(AOR:0.38;95%CI:0.23–0.64);verydifficult accesstolubricants(AOR:11.08;95%CI:4.93–24.91);STIsymptoms(AOR:3.45;95%CI:1.42–8.40);transactionalsex(AOR: 3.21;95%CI:1.66–6.22);andnon-injectiondruguse(AOR:3.10;95%CI:1.51–6.36). Conclusions:ThisstudyfoundahighHIVprevalenceamongMSMinAlmaty,andapopulationofMSMengaginginmultiple high-risk behavior in Almaty. Greater access to HIV education and prevention interventions is needed to limit the HIV epidemicamongMSMinAlmaty. Citation:BerryM,WirtzAL,JanayevaA,RagozaV,TerlikbayevaA,etal.(2012)RiskFactorsforHIVandUn