Relative Risk for HIV Infection Among Men Who Have Sex with Men Engaging in Different Roles in Anal Sex: A Systematic Review and Meta-analysis on Global Data

被引：47

作者：

Meng, Xiaojun ^{[1
]}

Zou, Huachun ^{[2
,3
,4
,5
]}

Fan, Song ^{[6
]}

Zheng, Benfeng ^{[7
]}

Zhang, Lin ^{[8
]}

Dai, Xin ^{[3
]}

Deng, Minli ^{[9
]}

Zhang, Xuan ^{[1
]}

Lu, Bing ^{[1
]}

机构：

[1] Wuxi Ctr Dis Control & Prevent, Wuxi, Jiangsu, Peoples R China

[2] Univ New S Wales, Sch Publ Hlth & Community Med, Sydney, NSW 2052, Australia

[3] Univ Melbourne, Sch Populat & Global Hlth, Parkville, Vic 3052, Australia

[4] Alfred Hlth, Melbourne Sexual Hlth Ctr, Melbourne, Vic, Australia

[5] Burnet Inst, Ctr Populat Hlth, Melbourne, Vic, Australia

[6] Luzhou Med Coll, Sch Publ Hlth, Evidence Based Med Ctr, Luzhou, Sichuan, Peoples R China

[7] Suzhou Ctr Dis Control & Prevent, Suzhou, Jiangsu, Peoples R China

[8] Chinese Acad Med Sci, Peking Union Med Coll Hosp, Clin Lab, Beijing 100730, Peoples R China

[9] Maternal & Child Hlth Care Hosp Xiamen, Div Med Qual Control, Xiamen, Peoples R China

来源：

AIDS AND BEHAVIOR | 2015年 / 19卷 / 05期

关键词：

HIV; Men who have sex with men; Anal sex; Transmission; Relative risk; HUMAN-IMMUNODEFICIENCY-VIRUS; SEXUALLY-TRANSMITTED INFECTIONS; BISEXUAL MEN; HOMOSEXUAL-MEN; CONDOM USE; TRANSMISSION; BEHAVIORS; GAY; SEROCONVERSION; PREVALENCE;

D O I：

10.1007/s10461-014-0921-x

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

We systematically reviewed and meta-analyzed global data on the relative risk for HIV infection among men who have sex with men (MSM) engaging in different roles in anal sex. MSM engaging in receptive anal sex only (MRAI) and MSM engaging in both insertive and receptive anal sex (MIRAI) were 6.9 (95 % CI 5.5-8.6) and 4.3 (95 % CI 3.6-5.3) times more likely to have prevalent HIV compared to MSM engaging in insertive anal sex only (MIAI) in 1981-1985. These figures were 1.8 (95 % CI 1.6-2.0) and 2.2 (95 % CI 2.0-2.4) in 1986-2010. Overall, MRAI and MIRAI were 6.2 (95 % CI 3.3-11.8) and 6.6 (95 % CI 3.8-11.7) times more likely to develop incident HIV infection compared to MIAI. MRAI are at higher risk for HIV infection compared to MIAI. HIV prevalence among men engaging in all roles in anal sex is high enough that all MSM should be aware of potential risk.

引用

页码：882 / 889

页数：8

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