期刊
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY
卷 35, 期 6, 页码 1455-1460出版社
OXFORD UNIV PRESS
DOI: 10.1093/ije/dyl217
关键词
HIV; MSM; circumcision; heterosexual men; South Africa; rural
资金
- NIMH NIH HHS [MH64882-01] Funding Source: Medline
Objective To describe factors associated with HIV infection in men aged 15-26 years. Setting Rural Eastern Cape Province, South Africa. Sample A total of 1277 sexually experienced Xhosa male volunteers from 70 villages participating in a cluster randomized controlled trial of an HIV behavioural intervention. Xhosas circumcise during manhood initiation rituals. Design Cross-sectional, analysis of the study's baseline interviews. Main measure HIV sero-status, sexual practices measured with an interviewer-administered questionnaire. Results About 2% of the men were HIV positive. A logistic regression model showed HIV positivity to be associated with age (OR 1.55; 95%CI 1.22-1.95), having made a woman pregnant (OR 2.93; 95% CI 1.28-6.68), having been circumcised (OR 0.40; 95% CI 0.16-0.98), and having had sex with a man (OR 3.61; 95% CI 1.0-13.0). Conclusions Our findings provide further evidence to suggest that circumcision is protective. There was much heterosexual risk taking among men but only pregnancy (with its association with sexual frequency) predicted HIV sero-positivity. Although relatively rare, same-sex sexual experiences were a risk factor. Male-male sexual contact is rarely assessed in HIV research in Africa and almost never addressed in general HIV prevention programming. Our findings suggest that it should be given more attention.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据