ĐẶC ĐIỂM DỊCH TỄ VÀ HÀNH VI NGUY CƠ CỦA BỆNH NHÂN NAM QUAN HỆ TÌNH DỤC ĐỒNG GIỚI NHIỄM HIV/AIDS CÓ NHIỄM TRÙNG CƠ HỘI TẠI BỆNH VIỆN BỆNH NHIỆT ĐỚI

Abstract

Background: Men who have sex with men (MSM) are currently the largest group of HIV/AIDS patients. Unlike other groups such as prostitution or injecting drugs, MSM has many differences in epidemiological factors and risk behaviors as well as self-awareness and understanding of HIV infection. Objectives: Describe the (1) sociodemographic characteristics, (2) sexual behavior, and (3) understanding and self-awareness of HIV of HIV-infected MSM with opportunistic infection (s) at the Hospital for Tropical Diseases. Result: Case series study. From February 2023 to June 2023, there were 93 eligible patients. The average age was 30.04 ± 6.34; the average BMI was 19.58 ± 2.80 kg/m²; 38/93 (40.9%) have high school degrees, 31/93 (33.3%) had college/university/postgraduate degrees; 42/93 (45.2%) worked in the entertainment, service, and commercial industries; Average monthly income was 8 (IQR: 7 – 9) million VND. The median age for the first homosexual intercourse was 21 (IQR: 20 – 25) years. The number of male sexual partners in the last 12 months was 3 (IQR: 2 - 4), 15/93 (16.1%) had sexual intercourse with women; 48/93 (51.6%) played the role of "receiver", 27/93(29.0%) changed between the two game roles of "giver" and "receiver" when having sex; 7/13 (7.4%) used condoms regularly; 34/93 (36.6%) only used alcohol, 8/93 (8.6%) only used drugs, and 6/93 (6.4%) used both drugs and alcohol. 53/93 (56.9%) were newly diagnosed with HIV infection and 12/93 (12.9%) were diagnosed with HIV infection for less than 3 months. 32/93 (34.4%) took ARV; 21/32 (65.6%) adhered well to treatment; 10/93 (10.8%) knew their sexual partner was infected with HIV. 30/93 (32.3%) knew that homosexual intercourse has a higher risk of spreading HIV than heterosexual intercourse.