目的了解我国城市男男性行为人群（men who have sex with men,MSM）HIV感染者性伴类型和性行为特征,为预防控制HIV传播提供依据。方法本研究以2008年4月~2009年9月在北京、哈尔滨、郑州和成都4个城市的MSM人群中检出的HIV阳性者为对象...目的了解我国城市男男性行为人群（men who have sex with men,MSM）HIV感染者性伴类型和性行为特征,为预防控制HIV传播提供依据。方法本研究以2008年4月~2009年9月在北京、哈尔滨、郑州和成都4个城市的MSM人群中检出的HIV阳性者为对象,以匿名的方式进行一对一问卷调查,并采集研究对象静脉血进行梅毒抗体检测。结果本次调查203名对象,平均年龄为（30.9±9.3）岁,约1/3的MSM曾与女性结婚,自认为是同性和双性性取向者所占的比例分别为68.5%和28.1%。梅毒现感染检出率为27.1%。近6个月有46.6%的研究对象通过互联网寻找性伴,28.0%在洗浴场所结识性伴。分别有63.2%、34.2%和29.5%的研究对象在过去6个月中拥有男性偶然性伴、男朋友和男性固定性伴,9.3%和4.7%的研究对象拥有妻子和女朋友,近6个月中拥有1、2和3种性伴者所占的比例分别为60.1%、32.6%和6.2%。近6个月研究对象曾与男性发生肛交和商业肛交性行为的比例分别为89.7%和9.0%,27.2%的调查对象与女性发生阴道性交,10.4%的研究对象有过群交性行为。调查对象与各种性伴发生性行为（不包括口交）坚持使用安全套的比例在25.5%~43.8%之间。结论 MSM人群HIV感染者在各种不同场所寻找性伴和拥有不同类型的性伴,且安全套的使用率较低,将加速HIV在MSM人群中流行,并向女性人群传播。展开更多
目的：调查广州、重庆、成都市HIV感染者中男男性行为人群（ MSM）男性固定性伴告知情况，并分析其影响因素。方法于2012年12月至2013年5月，采用“滚雪球”方法在广州、重庆、成都市开展调查。纳入≥18岁、HIV感染者、发生过男男性行...目的：调查广州、重庆、成都市HIV感染者中男男性行为人群（ MSM）男性固定性伴告知情况，并分析其影响因素。方法于2012年12月至2013年5月，采用“滚雪球”方法在广州、重庆、成都市开展调查。纳入≥18岁、HIV感染者、发生过男男性行为、接受调查时分别居住于3个城市者，调查其男性固定性伴告知状况，采用多因素非条件logistic回归模型分析其影响因素。本次调查共发放问卷600份，获得有效问卷541份，有效率为90.2％。结果541例HIV感染者年龄为（30.2±7.7）岁，拥有男性固定性伴者占78.2％（423／541），其中，有配偶者占10.9％（46／423），拥有1名男性固定性伴者占58.9％（249／423），拥有2名以上男性固定性伴者占41.1％（174／423）。将自身 HIV 感染状况告知全部男性固定性伴、配偶和部分男性固定性伴的比例分别为41.8％（177／423）、4.5％（19／423）和20.3％（86／423），未告知任何男性固定性伴者占37.8％（160／423）。近6个月，拥有HIV阳性性伴的调查对象占35.2％（149／423），其男性固定性伴告知率为70.5％（105／149），高于拥有HIV阴性性伴者[26.3％（72／274）]（χ^2=77.46，P＜0.01）。拥有HIV感染状况未知性伴的调查对象占52.7％（223／423），其男性固定性伴告知率为22.4％（50／223），低于拥有已知HIV感染状况者[63.5％（127／200）]（χ^2=73.11，P＜0.01）。拥有HIV阳性性伴者将自身HIV感染状况告知男性固定性伴的可能性是拥有HIV阴性性伴者的6.36（3.75～10.80）倍，拥有未知HIV感染状况性伴者将自身HIV感染情况告知男性固定性伴的可能性是拥有HIV已知感染状况性伴者的0.44（0.25～0.76）倍，与男性固定性伴有肛交行为的调查对象，其男性固定性伴告知的可能性是无肛交行为者的0.46（0.22～0.95）倍。结论广州、重庆、成都市HIV感染者中MSM的男性固定性�展开更多
目的了解中国青年学生男男性行为人群(men who have sex with men,MSM)性伴特征和多性伴现象对性行为前使用物质行为的影响,为制定青年学生MSM艾滋病防控干预提供科学依据。方法2019年11—12月通过受试者推荐和滚雪球2种抽样方法进行抽...目的了解中国青年学生男男性行为人群(men who have sex with men,MSM)性伴特征和多性伴现象对性行为前使用物质行为的影响,为制定青年学生MSM艾滋病防控干预提供科学依据。方法2019年11—12月通过受试者推荐和滚雪球2种抽样方法进行抽样,以北京和天津为中心对220名青年MSM进行问卷调查,采用χ2检验和广义线性模型多因素Logistic回归分析性行为前物质使用的影响因素。结果研究对象平均年龄(22.39±2.57)岁,84.5%为在读学生,首次性行为年龄为(18.83±2.45)岁,44.1%有2个及以上性伴(包括固定性伴、临时性伴和商业性伴),22.7%有多个男性固定性伴。调整年龄和受教育水平的影响后,多性伴与性行为前饮酒(aOR=2.97)或滥用药物(aOR=2.39)呈正相关;有男性临时性伴与性行为前使用物质呈正相关(OR=4.10)。结论青年MSM的性伴特征复杂,多性伴比例较高,单一固定性伴可降低性行为前使用物质行为的风险,应进一步加强青年学生MSM的预防艾滋病教育。展开更多
Patients with cardiovascular disease and their partners expect health care providers to provide sexual counseling to assist them in maintaining sexual quality of life. Evidence suggests however, that there is a gap in...Patients with cardiovascular disease and their partners expect health care providers to provide sexual counseling to assist them in maintaining sexual quality of life. Evidence suggests however, that there is a gap in integrating evidence into practice and that relatively few cardiac patients receive sexual counseling. This can result in negative psychological, physical, and quality of life outcomes for couples who may needlessly decide sexual activity is too risky and cease all sexual activity. Two scientific statements now exist that provide ample guidance to health care providers in discussing this important topic. Using a team approach that includes physicians, nurses, physical therapists, rehabilitation staff, and others is important to ensure that sexual counseling occurs throughout recovery. In addition, several trials using interventional approaches for sexual counseling provide insight into successful approaches for sexual counseling in practice. This article provides practical strategies and evidence-based approaches for assessment and sexual counseling for all cardiac patients and their partners, and specific counseling for those with ischemic conditions, heart failure, and implanted devices.展开更多
Introduction: In C?te d’Ivoire, people living with HIV are estimated to 460,000 with about 290,000 who know their HIV status. Index testing is a strategy for screening unidentified HIV carriers. This study aimed at a...Introduction: In C?te d’Ivoire, people living with HIV are estimated to 460,000 with about 290,000 who know their HIV status. Index testing is a strategy for screening unidentified HIV carriers. This study aimed at analyzing the screening of contact subjects of people living with HIV at the anti-venereal health center of Treichville in Abidjan. Methods: We carried out a cross-sectional study from January 2009 to December 2018. The target population was index patients and their sexual partners. After giving their consent, index patients and their sexual partners were interviewed during their medical visit. Data were analyzed using Epi info 3.5.4. The khi<sup>2</sup> test was performed at 5% significance level. Results: A total of 114 index patients have been included in the study. The majority of sexual partners were men (sex ratio M/F = 1.5) with an average age of 43 years (±9.77). 87.7% of index patients lived in pairs. The analysis showed that 87.7% of index patients had disclosed their HIV status to their sexual partners and 94.3% of index patients invited their sexual partners to be tested. 85.8% of sexual partners had been tested. 19.8% of sexual partners who have been tested were HIV positive. All the 8 children of female index patients were HIV negative. HIV test acceptability was statistically associated with living in pairs (P Conclusion: Screening sexual partners from index patients has been an effective way to detect HIV carriers who did not know their status.展开更多
文摘目的了解我国城市男男性行为人群（men who have sex with men,MSM）HIV感染者性伴类型和性行为特征,为预防控制HIV传播提供依据。方法本研究以2008年4月~2009年9月在北京、哈尔滨、郑州和成都4个城市的MSM人群中检出的HIV阳性者为对象,以匿名的方式进行一对一问卷调查,并采集研究对象静脉血进行梅毒抗体检测。结果本次调查203名对象,平均年龄为（30.9±9.3）岁,约1/3的MSM曾与女性结婚,自认为是同性和双性性取向者所占的比例分别为68.5%和28.1%。梅毒现感染检出率为27.1%。近6个月有46.6%的研究对象通过互联网寻找性伴,28.0%在洗浴场所结识性伴。分别有63.2%、34.2%和29.5%的研究对象在过去6个月中拥有男性偶然性伴、男朋友和男性固定性伴,9.3%和4.7%的研究对象拥有妻子和女朋友,近6个月中拥有1、2和3种性伴者所占的比例分别为60.1%、32.6%和6.2%。近6个月研究对象曾与男性发生肛交和商业肛交性行为的比例分别为89.7%和9.0%,27.2%的调查对象与女性发生阴道性交,10.4%的研究对象有过群交性行为。调查对象与各种性伴发生性行为（不包括口交）坚持使用安全套的比例在25.5%~43.8%之间。结论 MSM人群HIV感染者在各种不同场所寻找性伴和拥有不同类型的性伴,且安全套的使用率较低,将加速HIV在MSM人群中流行,并向女性人群传播。
文摘目的：调查广州、重庆、成都市HIV感染者中男男性行为人群（ MSM）男性固定性伴告知情况，并分析其影响因素。方法于2012年12月至2013年5月，采用“滚雪球”方法在广州、重庆、成都市开展调查。纳入≥18岁、HIV感染者、发生过男男性行为、接受调查时分别居住于3个城市者，调查其男性固定性伴告知状况，采用多因素非条件logistic回归模型分析其影响因素。本次调查共发放问卷600份，获得有效问卷541份，有效率为90.2％。结果541例HIV感染者年龄为（30.2±7.7）岁，拥有男性固定性伴者占78.2％（423／541），其中，有配偶者占10.9％（46／423），拥有1名男性固定性伴者占58.9％（249／423），拥有2名以上男性固定性伴者占41.1％（174／423）。将自身 HIV 感染状况告知全部男性固定性伴、配偶和部分男性固定性伴的比例分别为41.8％（177／423）、4.5％（19／423）和20.3％（86／423），未告知任何男性固定性伴者占37.8％（160／423）。近6个月，拥有HIV阳性性伴的调查对象占35.2％（149／423），其男性固定性伴告知率为70.5％（105／149），高于拥有HIV阴性性伴者[26.3％（72／274）]（χ^2=77.46，P＜0.01）。拥有HIV感染状况未知性伴的调查对象占52.7％（223／423），其男性固定性伴告知率为22.4％（50／223），低于拥有已知HIV感染状况者[63.5％（127／200）]（χ^2=73.11，P＜0.01）。拥有HIV阳性性伴者将自身HIV感染状况告知男性固定性伴的可能性是拥有HIV阴性性伴者的6.36（3.75～10.80）倍，拥有未知HIV感染状况性伴者将自身HIV感染情况告知男性固定性伴的可能性是拥有HIV已知感染状况性伴者的0.44（0.25～0.76）倍，与男性固定性伴有肛交行为的调查对象，其男性固定性伴告知的可能性是无肛交行为者的0.46（0.22～0.95）倍。结论广州、重庆、成都市HIV感染者中MSM的男性固定性�
文摘目的了解中国青年学生男男性行为人群(men who have sex with men,MSM)性伴特征和多性伴现象对性行为前使用物质行为的影响,为制定青年学生MSM艾滋病防控干预提供科学依据。方法2019年11—12月通过受试者推荐和滚雪球2种抽样方法进行抽样,以北京和天津为中心对220名青年MSM进行问卷调查,采用χ2检验和广义线性模型多因素Logistic回归分析性行为前物质使用的影响因素。结果研究对象平均年龄(22.39±2.57)岁,84.5%为在读学生,首次性行为年龄为(18.83±2.45)岁,44.1%有2个及以上性伴(包括固定性伴、临时性伴和商业性伴),22.7%有多个男性固定性伴。调整年龄和受教育水平的影响后,多性伴与性行为前饮酒(aOR=2.97)或滥用药物(aOR=2.39)呈正相关;有男性临时性伴与性行为前使用物质呈正相关(OR=4.10)。结论青年MSM的性伴特征复杂,多性伴比例较高,单一固定性伴可降低性行为前使用物质行为的风险,应进一步加强青年学生MSM的预防艾滋病教育。
文摘Patients with cardiovascular disease and their partners expect health care providers to provide sexual counseling to assist them in maintaining sexual quality of life. Evidence suggests however, that there is a gap in integrating evidence into practice and that relatively few cardiac patients receive sexual counseling. This can result in negative psychological, physical, and quality of life outcomes for couples who may needlessly decide sexual activity is too risky and cease all sexual activity. Two scientific statements now exist that provide ample guidance to health care providers in discussing this important topic. Using a team approach that includes physicians, nurses, physical therapists, rehabilitation staff, and others is important to ensure that sexual counseling occurs throughout recovery. In addition, several trials using interventional approaches for sexual counseling provide insight into successful approaches for sexual counseling in practice. This article provides practical strategies and evidence-based approaches for assessment and sexual counseling for all cardiac patients and their partners, and specific counseling for those with ischemic conditions, heart failure, and implanted devices.
文摘Introduction: In C?te d’Ivoire, people living with HIV are estimated to 460,000 with about 290,000 who know their HIV status. Index testing is a strategy for screening unidentified HIV carriers. This study aimed at analyzing the screening of contact subjects of people living with HIV at the anti-venereal health center of Treichville in Abidjan. Methods: We carried out a cross-sectional study from January 2009 to December 2018. The target population was index patients and their sexual partners. After giving their consent, index patients and their sexual partners were interviewed during their medical visit. Data were analyzed using Epi info 3.5.4. The khi<sup>2</sup> test was performed at 5% significance level. Results: A total of 114 index patients have been included in the study. The majority of sexual partners were men (sex ratio M/F = 1.5) with an average age of 43 years (±9.77). 87.7% of index patients lived in pairs. The analysis showed that 87.7% of index patients had disclosed their HIV status to their sexual partners and 94.3% of index patients invited their sexual partners to be tested. 85.8% of sexual partners had been tested. 19.8% of sexual partners who have been tested were HIV positive. All the 8 children of female index patients were HIV negative. HIV test acceptability was statistically associated with living in pairs (P Conclusion: Screening sexual partners from index patients has been an effective way to detect HIV carriers who did not know their status.
