Risk Factors Associated With HIV Among Men Who Have Sex With Men (MSM) in Ecuador
| Autor: | Ayesha Johnson, Miguel Reina-Ortiz, Enrique Teran, Carlos Rosas, Santiago Terán, Isabel Hernández, Vinita Sharma, Eknath Naik, Hamisu M. Salihu, Ricardo Izurieta |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Adult Male Health (social science) Adolescent Cross-sectional study media_common.quotation_subject Population Prevalence lcsh:Medicine HIV Infections law.invention Men who have sex with men Condoms 03 medical and health sciences Young Adult 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Condom law Risk Factors Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Homosexuality Young adult Homosexuality Male education media_common education.field_of_study 030505 public health business.industry lcsh:R Public Health Environmental and Occupational Health virus diseases Middle Aged medicine.disease HIV/AIDS/STIs Cross-Sectional Studies Ecuador 0305 other medical science business Demography |
| Zdroj: | American Journal of Men's Health, Vol 11 (2017) |
| Popis: | The Joint United Nations Program on HIV/AIDS estimates that between 0.3% and 0.7% of adults aged 15 to 49 years were living with HIV in Ecuador in 2013. However, very little is known about the HIV prevalence rate among men who have sex with men (MSM) in that country. A cross-sectional survey was conducted to investigate the knowledge, attitudes, and practices regarding HIV/AIDS as well as to estimate the prevalence of HIV among MSM in one of the cities with high HIV prevalence rates in Ecuador. In this study, questionnaires were administered to 307 adult MSM. An HIV prevalence of 10% was observed. Knowledge about HIV was high; 91% of participants could identify how HIV is transmitted. Although consistent condom use for anal sex was relatively high (89%) among participants who reported having pay-for-service clients, only 64% reported using a condom during oral sex with a client. Participants who had multiple male sexual partners (i.e., their stable male partners plus other partner[s]) had 3.7 times higher odds of testing positive for HIV compared with those who did not. They also had reduced odds of condom use. Participants who were forced to have anal receptive sex had 3 times higher odds of testing positive for HIV. Despite the finding that participants exhibited high knowledge about HIV/AIDS, a high prevalence rate of HIV was observed, which warrants targeted behavioral interventions. These data are consistent with MSM being one of the highest at-risk population groups for HIV in this region of Ecuador. |
| Databáze: | OpenAIRE |
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