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首页> 外文期刊>AIDS care. >Prevalence and factors associated to disclosure of same-sex practices to family members and health care workers among men who have sex with men in Togo
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Prevalence and factors associated to disclosure of same-sex practices to family members and health care workers among men who have sex with men in Togo

机译：与多哥与男子发生性关系的家庭成员和医疗保健工人的普遍存在和因素相关

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摘要

Disclosure of same-sex practices is associated with improved access to health services and better health outcomes. Our aim was to estimate the prevalence of same-sex practice disclosure to family members and health care workers (HCW) in two cities in Togo. 683 MSM >= 18 years of age were surveyed using respondent driven sampling (RDS) for a cross-sectional survey using a structured questionnaire in Lome (354 (51.8%)) and Kara (n = 329 (48.2%)). Median age was lower in Lome than in Kara. A significantly higher proportion of MSM in Lome (RDSa: 37.0%; 95% CI: 29.7, 44.3) than in Kara (RDSa: 8.0%; 95% CI: 4.7, 11.3) told a HCW that they have sex with men. Disclosure to a family member was associated with female gender, living with HIV, difficulties accessing health services, and blackmail. Disclosure to a HCW was associated with living with HIV, and physical abuse. MSM had decreased odds of disclosure to a HCW if they were living in Kara, reported female gender or intersex, or if had difficulties accessing health services. These data highlight the positive health outcomes associated with disclosure contextualized by the complex environments in which disclosure of same-sex practices takes place.
机译：披露同性实践与改善对健康服务和更好的健康结果的获取有关。我们的宗旨是估计多哥两个城市的家庭成员和医疗工作者（HCW）的同性惯例披露的普遍存在。使用基于洛姆的结构化问卷（354（51.8％）和卡拉（n = 329（48.2％）），使用受访者驱动的采样（RDS）对683 MSM> = 18岁进行调查横断面调查。洛马中位年龄较低，而不是卡拉。在洛姆（RDSA：37.0％; 95％CI：29.7,44.3）中显着更高的MSM（RDSA：8.0％; 95％CI：4.7,11.3）告诉他们与男人发生性关系的HCW。对家庭成员的披露与女性性别有关，居住在艾滋病毒困难，获得卫生服务和勒索的困难。对HCW的公开内容与艾滋病毒和身体虐待有关。如果他们居住在卡拉，报告女性性别或跨性别，或者如果困难访问卫生服务，MSM将降低披露的几率。这些数据突出显示与复杂环境中的披露相关的阳性健康结果，其中发生了披露的披露。

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