HIV risk profiles differed by gender and experience of men who had sex with men among attendees of anonymous voluntary counseling and testing in Taiwan

Autor:	Nai Ying Ko, Chi Jung Wu, Hsin Chun Lee, Fan Chen Tseng, Wen Chien Ko, Chien-Ching Hung
Rok vydání:	2013
Předmět:	Adult Counseling Male medicine.medical_specialty Health (social science) Adolescent Social Psychology Substance-Related Disorders Sexual Behavior Southern taiwan Voluntary counseling and testing Sexually Transmitted Diseases Taiwan Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Hiv risk Young Adult Risk-Taking Hiv test Risk Factors Surveys and Questionnaires HIV Seropositivity medicine Humans Homosexuality Male Heterosexuality Potential risk business.industry Public Health Environmental and Occupational Health virus diseases Middle Aged Hiv seropositivity Sexual Partners Socioeconomic Factors Data Interpretation Statistical Physical therapy Anonymous Testing Population study Female business Demography
Zdroj:	AIDS Care. 25:1092-1101
ISSN:	1360-0451 0954-0121
Popis:	Free voluntary counseling and testing (VCT) has been available in Taiwan as a part of HIV surveillance and prevention program since 1999, but related data were seldom reported. We aimed to examine characteristics of individuals who attended anonymous client-initiated VCT service and factors associated with HIV infection. The study population consisted of clients at two large VCT sites located in northern and southern Taiwan in 2004- 2008. Information on socio-demographic factors and potential risk behaviors was obtained by a questionnaire. Of 5671 clients, 65.1% were younger than 30 years; 42.0%, 41.2%, and 16.8% were men who ever had sex with men (MSM), non-MSM males, and women with HIV seropositivity of 8.0%, 1.2%, and 1.5%, respectively. The proportion of clients who confirmed having a prior HIV test was 66.5% in MSM, followed by 43% in non-MSM, and 30.2% in women. Correlates of HIV seropositivity differed between genders: ever engaging in commercial sex, being married or less educated were associated with increased risks among women but not for men. Different independent predictors were revealed among three groups of clients by multivariable analyses: illicit drug use, anal sex behavior, sexual partner(s) with HIV, and one-night stand in MSM; injection drug use and history of sexually transmitted infections in non-MSM; and injection drug use, sexual partner(s) with HIV and trading sex in women. Of all three groups, illicit drug or injection drug use was associated with the highest risks among all independent predictors. In this population of VCT clients in Taiwan, risk profiles of HIV infection differed according to gender and MSM experience, and different prevention strategies are needed to target different risk groups. In women, risk factors related to low social demographic and relationship power deserves attention in planning future prevention efforts.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9036e11b889a819b0c8fea0f7e0dc003 https://doi.org/10.1080/09540121.2012.749338 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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