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Characteristics and HIV epidemiologic profiles of men who have sex with men and transgender women in key population-led test and treat cohorts in Thailand

机译：在泰国由主要人群主导的测试和治疗人群中，与男性和变性女性发生性行为的男性特征和艾滋病毒流行病学特征

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摘要

Men who have sex with men (MSM) and Transgender Women (TGW) in Thailand contribute to more than half of all new HIV infections annually. This cross-sectional study describes epidemiologic profiles of these key populations (KP) in Key Population-led Test and Treat study. Baseline data were collected using self-administered questionnaires and HIV/STI testing from MSM and TGW aged ≥18 years enrolled in a cohort study in six community sites in Thailand between October 2015 and February 2016. Factors associated with HIV prevalence were determined by logistic regression. TGW in the cohorts had lower education and income levels than MSM. TGW also engaged in sex work more, though similar proportions between MSM and TGW reported to have multiple sexual partners and STI diagnosis at baseline. HIV prevalence was 15.0% for MSM and 8.8% for TGW in the cohorts. HIV prevalence among TGW was more associated with sociodemographic characteristics, whereas factors related to behavioral risks were determined to be associated with HIV prevalence among MSM. TGW and MSM in the cohorts also had high prevalence of STI. Key Population-driven HIV services are able to capture harder-to-reach key populations who are at heightened risk for HIV.
机译：在泰国，每年与男性发生性关系的男性（MSM）和跨性别女性（TGW）造成的艾滋病毒感染占一半以上。这项横断面研究描述了关键人群主导的测试和治疗研究中这些关键人群的流行病学概况。于2015年10月至2016年2月在泰国的六个社区进行的队列研究中，使用自我管理的问卷调查表和来自年龄≥18岁的MSM和TGW的HIV / STI测试收集了基线数据。 。队列中的TGW的教育和收入水平低于MSM。尽管MSM和TGW之间的比例相似，据报道在基线时有多个性伴侣和性传播感染诊断，但TGW也更多地从事性工作。在该人群中，MSM的艾滋病毒感染率为15.0％，TGW的艾滋病毒感染率为8.8％。 TGW中的HIV流行与社会人口统计学特征相关，而与行为风险相关的因素被确定与MSM中的HIV流行有关。队列中的TGW和MSM也具有很高的性传播感染率。关键人群驱动的艾滋病毒服务能够捕获难以接触的关键人群，这些人群感染艾滋病毒的风险较高。

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