HIV surveillance in homosexual men is poor in most countries, as this risk group is difficult to sample.
The aim of this study is to test the feasibility of reaching homosexual men for national HIV surveillance using gay community media.
In 1989, a questionnaire on general gay issues, with a section on AIDS, was included in a widely sold gay magazine in the Netherlands.
Among 17,700 sold copies, 1134 responses were obtained from males (6%). Of these, 669 men (59%) gave their address, of which in turn 84% responded to a questionnaire on risk behaviour in 1990.
In 1991/1992, the 669 men were asked to participate in an HIV serosurvey, in which eventually 308 participated with a blood test (46%) and 147 without (total 68%). Participation in the serosurvey with blood test was associated with reporting multiple partners in 1989.
Twenty participants were infected (6.5%).
In logistic regression analysis, risk factors for infection were recent unprotected receptive anal intercourse with multiple partners (odds ratio (OR) : 10.7 ; 95% confidence interval (CI) : (2.18-52.2) ; one partner 1.17 (0.31-4.48) ; none 1) and living in Amsterdam (OR : 3.92 ; 95% CI : (0.99-15.5) ; urbanised western Netherlands 2.15 (0.57-8.03) ; elsewhere 1), while a high educational level was protective (OR : 0.29 (0.08-0.96) ; middle 0.41 (0.11-1.54) ; low 1). (...)
Mots-clés Pascal : SIDA, Virose, Infection, Virus immunodéficience humaine, Lentivirus, Retroviridae, Virus, Homosexualité, Comportement sexuel, Facteur risque, Surveillance sanitaire, Document publié, Média, Evaluation, Epidémiologie, Prévalence, Estimation, Faisabilité, Homme, Mâle, Pays Bas, Europe, Questionnaire, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Human immunodeficiency virus, Lentivirus, Retroviridae, Virus, Homosexuality, Sexual behavior, Risk factor, Sanitary surveillance, Published document, Media, Evaluation, Epidemiology, Prevalence, Estimation, Feasibility, Human, Male, Netherlands, Europe, Questionnaire, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0414008
Code Inist : 002B05C02D. Création : 22/03/2000.