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A Venue-Based Approach to Reaching MSM IDUs and the General Population with VCT: A Three Study Site in Kenya

机译：基于场地的方法来达到MSMIDU和VCT的一般人群：肯尼亚的三个学习网站

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摘要

A venue-based HIV prevention study which included Voluntary Counseling and Testing (VCT) was conducted in three diverse areas of Kenya— Malindi, Nanyuki and Rachounyo. Aims of the study were to: 1) assess the acceptability of VCT for the general population, men who have sex with men (MSM), and injecting drug users (IDUs) within the context of a venue-based approach; 2) determine if there were differences between those agreeing and not agreeing to testing; and 3) study factors associated with being HIV positive. Approximately 98% of IDUs and 97% of MSM agreed to VCT, providing evidence that populations with little access to services and whose behaviors are stigmatized and often considered illegal in their countries can be reached with needed HIV prevention services. Acceptability of VCT in the general population ranged from 60% in Malindi to 48% in Nanyuki. There were a few significant differences between those accepting and declining testing. Notably in Rachuonyo and Malindi those reporting multiple partners were more likely to accept testing. There was also evidence that riskier sexual behavior was associated with being HIV positive for both men in Rachounyo and women in Malindi. Overall HIV prevalence was higher among the individuals in this study compared to individuals sampled in the 2008–2009 Kenya Demographic and Health Survey, indicating the method is an appropriate means to reach the highest risk individuals including stigmatized populations.
机译：包括自愿咨询和测试（VCT）的基于场地的艾滋病毒预防研究是在肯尼亚 - 马林迪，Nanyuki和Rachounyo的三个不同地区进行的。该研究的目标是：1）评估vct对一般人群的可接受性，与男人（MSM）发生性关系，并在基于场地的方法的背景下注射吸毒者（IDU）; 2）确定这些同意是否存在差异，不同意测试; 3）与艾滋病毒阳性相关的研究因素。大约98％的IDU和97％的MSM同意vct，提供了众所周知的人口，并且其行为在其各国的行为侮辱，并且经常被认为是非法的，所以可以获得所需的艾滋病毒预防服务。一般人群VCT的可接受性范围从马林迪60％到Nanyuki的48％。在接受和测试下降之间存在一些显着差异。值得注意的是，在Rachuonyo和Malindi那些报告多个合作伙伴的人更有可能接受测试。还有证据表明，风险较大的性行为与休眠阳性与马林迪的痛假和女性的艾滋病毒阳性有关。与2008 - 2009年肯尼亚人口统计和健康调查中的个人相比，本研究中的个人艾滋病毒患病率较高，表明该方法是达到最高风险个人的适当手段，包括耻辱人口。

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