Canadian results from the European Men-who-have-sex-with-men Internet survey (EMIS-2017).

N. Brogan, D. Paquette, N. Lachowsky, M. Blais, D. Brennan, T. Hart, B. Adam
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引用次数: 21

Abstract

Background In 2017, the international European Men-who-have-sex-with-men Internet Survey (EMIS-2017) collected data from 50 countries, including Canada for the first time. Objective To provide an overview of the Canadian EMIS-2017 data to describe the sexually transmitted and other bloodborne infection (STBBI) related needs of gay, bisexual and other men who have sex with men (gbMSM). Methods The EMIS-2017 questionnaire was an updated version of EMIS-2010. It included self-reported sociodemographic data, experience of discrimination, mental health and substance use, knowledge of preexposure prophylaxis (PrEP) for HIV, sexual practices and history of STBBI testing and diagnosis. Analysis was largely descriptive. Results Of the 6,059 respondents from Canada, 5,165 participants met the inclusion criteria for this analysis. The majority of participants were born in Canada (79.3%); and over half of the respondents (56.7%) were under the age of 39. In terms of discrimination related to their attraction to other men, participants reported high levels of intimidation (31.9%), verbal abuse (22.1%) and physical violence (1.5%) in the previous year. Regarding mental health, 23.9% had a moderate to severe depression/anxiety score. Almost two-thirds (64.1%) indicated substance use and one-fifth (21.5%) reported chemsex (or the use of stimulant drugs to make sex more intense or last longer). Only 8.4% of participants reported use of PrEP for HIV; however, 51.7% reported being likely to use PrEP if it was available and affordable. Sexual practices, such as condom use, varied by PrEP use with 91.3% of men using PrEP reporting condomless anal intercourse (CAI) compared with 71.5% of men not on PrEP. In terms of STBBI testing, 1.5% reported being diagnosed with hepatitis C and 9.0% reported an HIV diagnosis. Of those with an HIV diagnosis, most were on treatment (99.1%) and had an undetectable viral load (96.7%). Conclusion gbMSM in Canada experienced stigma, discrimination and mental health problems; substance use was high as were high-risk sexual practices, such as CAI, among some groups of men. There was a gap between the proportion of men who were interested in PrEP and those who actually used it; and comprehensive STBBI testing was low.These findings can inform public health action and provide a baseline to examine the impact of current and new interventions.
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欧洲男性网络调查(EMIS-2017)的加拿大结果。
2017年,国际欧洲男性网络调查(EMIS-2017)首次收集了包括加拿大在内的50个国家的数据。目的概述加拿大EMIS-2017数据,以描述男同性恋、双性恋和其他男男性行为者(gbMSM)的性传播和其他血源性感染(STBBI)相关需求。方法EMIS-2017问卷为EMIS-2010的更新版。它包括自我报告的社会人口统计数据、歧视经历、精神健康和药物使用、艾滋病毒暴露前预防(PrEP)知识、性行为和STBBI检测和诊断史。分析主要是描述性的。结果在来自加拿大的6059名受访者中,5165名参与者符合本分析的纳入标准。大多数参与者出生在加拿大(79.3%);超过一半(56.7%)的受访者年龄在39岁以下。在与异性吸引相关的歧视方面,参与者报告说,在过去的一年中,她们受到了很高程度的恐吓(31.9%)、言语虐待(22.1%)和身体暴力(1.5%)。在心理健康方面,23.9%的人有中度至重度抑郁/焦虑评分。近三分之二(64.1%)的人表示使用药物,五分之一(21.5%)的人报告了化学性行为(或使用兴奋剂来使性生活更强烈或持续更长时间)。只有8.4%的参与者报告使用了预防艾滋病毒的PrEP;然而,51.7%的人表示,如果PrEP可用且价格合理,他们可能会使用PrEP。使用安全套等性行为因使用PrEP而异,使用PrEP的男性报告无套肛交(CAI)的比例为91.3%,而未使用PrEP的男性为71.5%。在STBBI检测方面,1.5%报告被诊断为丙型肝炎,9.0%报告被诊断为艾滋病毒。在被诊断为艾滋病毒的患者中,大多数人正在接受治疗(99.1%),病毒载量无法检测(96.7%)。结论加拿大男同性恋者存在污名化、歧视和心理健康问题;在某些男性群体中,药物使用率很高,高危性行为(如CAI)也很高。对PrEP感兴趣的男性比例与实际使用PrEP的男性比例存在差距;综合STBBI检测较低。这些发现可为公共卫生行动提供信息,并为审查当前和新的干预措施的影响提供基线。
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