巴布亚新几内亚年轻重点人群的艾滋病毒和性健康需求:生物行为调查结果(2016-2017年)。

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-11-03 DOI:10.1080/09540121.2024.2414083
Angela Kelly-Hanku, Xinyi Li, Ruthy Boli, Barne Willie, Janet Gare, Simon Pekon, Josephine Gabuzzi, Rebecca Narokobi, Angelyn Amos, Herick Aeno, Martha Kupul, Sophie Ase, Parker Hou, Lesley Bola, Damian Weikum, Steven G Badman, Peniel Boas, Andrew J Vallely, Avi J Hakim
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摘要

巴布亚新几内亚缺乏有关年轻关键人群(KP)性健康需求特征的数据,这些关键人群包括女性性工作者(FSW)和遭受商业和性剥削的女童(CSE)、男男性行为者(MSM)以及变性妇女(TGW)。我们在三个城市对 KP 进行了生物行为调查。我们分别对样本和人口比例进行了非加权和加权分析。年轻与年长(15-24 岁与≥25 岁)的相关变量被纳入多变量分析。与年龄较大的同龄人相比,年轻的 FSW/CSEG 同时感染淋病奈瑟菌和沙眼衣原体(aOR:3.2, 95%CI 2.0-5.0)或其中一种感染(aOR:2.2, 95%CI 1.2-4.1)的几率更高。他们接受 HIV 检测的几率也较低(aOR:0.6,95%CI 0.4-0.8)。年轻的 MSM/TGW 在以下情况下支付性费用的几率更高
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HIV and sexual health needs of young key populations in Papua New Guinea: results of biobehavioural surveys (2016-2017).

Papua New Guinea lacks data characterising the sexual health needs of younger key populations (KP): female sex workers (FSW) and commercially and sexually exploited girls (CSE), men who have sex with men (MSM), and transgender women (TGW). Biobehavioural surveys among KP were conducted in three cities. We conducted unweighted and weighted analysis for sample and population proportions, respectively. Variables associated with younger versus older age (15-24 versus ≥25 years) were included in the multivariable analysis. Younger FSW/CSEG had greater odds of having both Neisseria gonorrhoea and Chlamydia trachomatis (aOR:3.2, 95%CI 2.0-5.0), or having either infection (aOR:2.2, 95%CI 1.2-4.1) than older peers. They also had lower odds of having tested for HIV (aOR: 0.6, 95%CI 0.4-0.8). Younger MSM/TGW had greater odds of paying for sex in the <6 months (aOR:2.2, 95%CI: 1.5-3.1) and of having been paid for sex (aOR:1.6, 95%CI 1.1-2.4) than their older peers (≥25 years). Younger MSM/TGW had lower odds of having contact with a peer educator ≤12 months (aOR:0.6, 95%CI 0.4-0.9) and having tested for HIV (aOR:0.6, 95%CI: 0.4-0.9). All key populations have substantial sexual health needs, but those of younger members are greatest. Younger key populations would likely benefit from health services designed specifically for them.

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