High HIV prevalence among men who have sex with men in Jamaica is associated with social vulnerability and other sexually transmitted infections

摘要: BACKGROUND: Human immunodeficiency virus (HIV) prevalence among men who have sex with (MSM) is thought to be high in Jamaica. The objective of this study was estimate HIV and identify risk factors order improve prevention approaches. METHODS: With the help influential MSM an experienced research nurse approached four parishes participate a cross-sectional survey 2007. Men were interviewed blood taken for syphilis tests urine gonorrhoea chlamydia trichomonas testing using transcription-mediated amplification assays. A structured questionnaire administered by nurse. RESULTS: One third (65 201; 32% 95% Confidence Interval (CI) 25.2 47.9) positive. Prevalence other sexually transmitted infections (STI) was: 11% 6% 3.5% 0%. (34%) identified themselves as being homosexual 64% bisexual 1.5% heterosexual. positive significantly more likely ever been told doctor that they had STI (48% vs 27% OR 2.48 CI 1.21 5.04 p = 0.01) receptive sexual partner at last (41% 23% 2.41 4.71 0.008). low socio-economic status homeless victims physical violence twice majority (60%) not disclosed their over 50% comfortable disclosing anyone. CONCLUSIONS: important factor driving epidemic More effective ways need found reduce including measures social vulnerability combat stigma discrimination empower them practice safe sex.