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首页> 外文期刊>Sexually transmitted diseases >A nested case-control study of sexual practices and risk factors for prevalent HIV-1 infection among young men in Kisumu, Kenya.
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A nested case-control study of sexual practices and risk factors for prevalent HIV-1 infection among young men in Kisumu, Kenya.

机译:嵌套的病例对照研究,涉及肯尼亚基苏木年轻男性中性行为和流行HIV-1感染的危险因素。

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摘要

OBJECTIVES: To investigate sexual practices and risk factors for prevalent HIV infection among young men in Kisumu, Kenya. GOAL: The goal of this study was to identify behaviors associated with HIV in Kisumu to maximize the effectiveness of future prevention programs. STUDY DESIGN: Lifetime sexual histories were collected from a nested sample of 1337 uncircumcised participants within the context of a randomized controlled trial of male circumcision to reduce HIV incidence. RESULTS: Sixty-five men (5%) tested positive for HIV. Multiple logistic regression revealed the following independent predictors of HIV: older age, less education, being married, being Catholic, >4 lifetime sex partners, prior treatment for an STI, sex during partner's menstruation, ever practicing bloodletting, and receipt of a medical injection in the last 6 months. Prior HIV testing and postcoital cleansing were protective. CONCLUSIONS: This analysis confirms the importance of established risk factors for HIV and identifies practices that warrant further investigation.
机译:目的:调查肯尼亚基苏木(Kisumu)年轻男子中性行为和艾滋病毒流行的危险因素。目标:这项研究的目的是确定基苏木中与艾滋病毒有关的行为,以最大程度地提高未来预防计划的有效性。研究设计:在男性包皮环切术以减少HIV发生的随机对照试验的背景下,从1337名未行包皮环切术的参与者的嵌套样本中收集了终生的性史。结果:65名男性(5%)检测出HIV阳性。多元逻辑回归分析显示以下独立的艾滋病毒预测因素:年龄大,受教育程度低,结婚,天主教,> 4个终身性伴侣,性传播感染的既往治疗,月经期间的性行为,曾经进行过放血和接受过药物注射在过去的6个月中。先前的艾滋病毒检测和性交后清洁具有保护作用。结论:该分析证实了已建立的艾滋病毒危险因素的重要性,并确定了值得进一步调查的做法。

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