BACKGROUND Sexual minorities, such as men who have sex with men (MSM), are dis-proportionately impacted by HIV/AIDS compared to heterosexual men . The increased prevalence of HIV/AIDs among this group of individuals is associated with increased participation in HIV-related risk behavior, such as multiple sexual partnerships and in-jection drug use. However, very little is known about the prevalence of HIV and the risk behaviors related to HIV infection among MSM in Iran. This absence of data is due to the increased discrimination and stigmatization MSM, and other vulnerable popula-tions, face in Iran. This study was conducted to identify HIV-related risks, HIV preva-lence and sociodemographic characteristics of the MSM population in Iran. METHOD A cross-sectional study was conducted among MSM attending the Sexual Health Clinic at Imam Khomeini Hospital in 2018. A sexual health screening question-naire was used to aid in identifying HIV-related risk behaviors. HIV status was deter-mined using an HIV rapid test and confirmed by an ELISA. RESULTS One hundred MSM enrolled in this study, from whom 41% aged 18-25 years old. The majorities were single; almost one-third had a diploma degree. Only a fifth were employed, and about a quarter (25%) reported substance abuse. Among eighty-three people (83%) reported having sex during the past three months, and only 27 (27.3%) of participants always used condoms for sex. Among 80 participants tested for HIV, two positive results were detected (2.5%). CONCLUSION Data collected through a sexual health questionnaire indicate that the prevalence of HIV is increased among MSM in Iran. This finding sheds light on the urgent need for the implemenation of social programs providing counseling and healthcare to vulnerable populations in Iran.

中文翻译：

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伊朗德黑兰弱势男性的社会人口统计学特征，与HIV相关的风险行为和HIV流行率。

背景技术与异性恋男人相比，性少数群体，例如与男人发生性关系（MSM）的男人，受到艾滋病毒/艾滋病的影响不成比例。在这一类人群中，艾滋病毒/艾滋病的患病率增加与艾滋病毒相关的风险行为（如多重性伴侣和注射毒品的使用）的参与增加有关。但是，对于伊朗的男男性接触者中艾滋病毒的流行以及与艾滋病毒感染相关的危险行为知之甚少。缺乏数据是由于伊朗面临着越来越多的歧视和污名化MSM，以及其他易受伤害的人群。进行这项研究的目的是确定伊朗MSM人群的HIV相关风险，HIV流行率和社会人口统计学特征。方法对2018年在伊玛目霍梅尼医院性健康诊所就诊的MSM进行了横断面研究。性健康筛查问卷用于帮助识别与HIV相关的危险行为。使用HIV快速测试确定HIV状况，并通过ELISA确认。结果这项研究招募了100名MSM，其中41％的年龄介于18-25岁之间。多数是单一的；几乎有三分之一拥有文凭。仅雇用了五分之一，大约四分之一（25％）的人报告了药物滥用情况。在过去的三个月中，有八十三人（占83％）报告有过性行为，只有27人（占27.3％）始终使用避孕套进行性行为。在80位接受HIV检测的参与者中，检测到两个阳性结果（2.5％）。结论通过性健康调查表收集的数据表明，伊朗男男性接触者中艾滋病毒的患病率上升。这一发现揭示了迫切需要实施为伊朗的弱势群体提供咨询和医疗保健的社会计划。