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HIV, syphilis infection, and sexual practices among transgenders, male sex workers, and other men who have sex with men in Jakarta, Indonesia.

机译:印度尼西亚雅加达的跨性别者,男性性工作者和其他男性中的艾滋病毒,梅毒感染和性行为。

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OBJECTIVES: To establish the prevalence of HIV, syphilis, and sexual risk behaviour among three groups of men who have sex with men in Jakarta, Indonesia, and to investigate sexual links between these men and broader heterosexual populations. METHODS: Anonymous, cross sectional surveys among community recruited transgender and male sex workers and self recognised men who have sex with men (MSM) were undertaken in mid-2002 in Jakarta, Indonesia. Places where transgender and male sex workers sell sex and where men go to meet non-commercial male sex partners were mapped. Probability samples were selected for the sex worker populations, while a mixed probability and convenience sample was drawn for self recognised MSM. Blood was drawn for HIV and syphilis serology and community interviewers administered a standardised questionnaire. RESULTS: HIV prevalence was 22% among transgender sex workers, 3.6% among male sex workers, and 2.5% among self recognised MSM, and syphilis prevalence was 19.3%, 2.0% and 1.1%respectively. 59.3% of transgender sex workers and 64.8% of male sex workers reported recent unprotected anal intercourse with clients, and 53.1% of other MSM reported unprotected anal sex with male partners. Some 54.4% of male sex workers and 18.3% of other MSM reported female partners in the preceding year. CONCLUSION: HIV has reached substantial levels among transgender sex workers, and is not negligible in other MSM groups. Risk behaviour is high in all subpopulations, and bisexual behaviour is common, meaning the threat of a wider epidemic is substantial. Prevention programmes targeting male-male sex are needed to reduce this threat.
机译:目的:确定印度尼西亚雅加达三组与男性发生性关系的男性中艾滋病毒,梅毒和性危险行为的流行,并调查这些男性与更广泛的异性恋人群之间的性联系。方法:2002年中在印度尼西亚雅加达进行了匿名横断面调查,调查对象是社区招募的跨性别者和男性性工作者以及自认与男性发生性关系的男性。绘制了变性者和男性性工作者出售性行为的地方,以及男人去见非商业性性伴侣的地方。为性工作者群体选择了概率样本,而针对自认MSM则抽取了混合的概率和便利样本。为艾滋病毒和梅毒血清学抽血,社区访调员管理了标准化问卷。结果:跨性别的性工作者中的艾滋病毒感染率分别为22%,男性中的3.6%和自我认可的男男性接触者中的2.5%,梅毒的患病率分别为19.3%,2.0%和1.1%。 59.3%的跨性别性工作者和64.8%的男性性工作者报告称最近与客户发生未保护的肛交,而其他MSM的53.1%的男性报告了与男性伴侣未进行保护的肛交。在上一年中,约有54.4%的男性性工作者和其他MSM的18.3%报告了女性伴侣。结论:跨性别的性工作者中的艾滋病毒已达到很高的水平,在其他MSM组中不可忽略。在所有亚人群中,危险行为较高,而双性恋行为很普遍,这意味着更广泛的流行病威胁很大。需要针对男性和男性的预防计划,以减少这种威胁。

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