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引用次数: 0
摘要
导言：印度的男男性行为者（MSM）群体很容易感染艾滋病毒/艾滋病。印度制定了一项有针对性的干预（TI）计划，以降低这种易感性。我们的目的是对男男性行为者针对性干预计划进行评估：2014-2015 年开展了全国生物和行为综合调查（IBBS）。我们分析了 IBBS 中的 MSM 数据，并使用双变量和多变量逻辑回归计算了未调整和调整后的几率比率及 95% 的置信区间。在最后一次性交中使用安全套以及在前一个月中持续使用安全套被认为是计划有效性的指标。采用倾向得分匹配法评估了技术倡议计划的有效性：配对样本估计值（即对受治疗者的平均治疗效果）显示，与未获得安全套的受治疗者相比，从同伴教育者/外展工作者处获得安全套的受治疗者在最近一次性交中使用安全套的比例提高了 10.0% (0.10; 95% 置信区间 [CI] 0.08-0.12)，在上个月持续使用安全套的比例提高了 9.0% (0.09; 95% CI 0.07-0.10)：男男性行为者中的 TI 项目干预措施能有效减少 HIV 风险行为，这体现在他们在最近一次性交中使用安全套的比例有所提高，并且在最近一个月中坚持使用安全套。
Assessment of targeted intervention programme under the National AIDS Control Program among men who have sex with men in India.
Introduction: The population of men who have sex with men (MSM) in India is vulnerable to HIV/AIDS. India instituted a targeted intervention (TI) programme to reduce this vulnerability. We aimed to measure the assessment of the TI programme for MSM.
Materials and methods: The national Integrated Biological and Behavioural Survey (IBBS) was carried out in 2014-2015. We analysed MSM data from the IBBS and used bivariate and multivariate logistic regression to calculate the unadjusted and adjusted odds ratios with 95% confidence intervals. The use of a condom during their last sexual intercourse and consistent condom use during the previous month were considered indicators of programme effectiveness. The propensity score matching method was used to assess the effectiveness of the TI programme.
Results: The matched-samples estimate (i.e., average treatment effect on treated) for the use of condoms during their last sexual intercourse increased by 10.0% (0.10; 95% confidence interval [CI] 0.08-0.12), and consistent condom use during the previous month increased by 9.0% (0.09; 95% CI 0.07-0.10) among those who had received condoms from the peer educator/outreach worker compared with those who had not received condoms.
Conclusions: The TI programme intervention among MSM was effective in reducing HIV risk behaviours, as evidenced by an increase in the use of condoms during their last sexual intercourse and consistent condom use during the last month.
期刊介绍：
HIV Medicine aims to provide an alternative outlet for publication of international research papers in the field of HIV Medicine, embracing clinical, pharmocological, epidemiological, ethical, preclinical and in vitro studies. In addition, the journal will commission reviews and other feature articles. It will focus on evidence-based medicine as the mainstay of successful management of HIV and AIDS. The journal is specifically aimed at researchers and clinicians with responsibility for treating HIV seropositive patients.
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