Reasons for Not HIV Testing, Testing Intentions, and Potential Use of an Over-the-Counter Rapid HIV Test in an Internet Sample of Men Who Have Sex With Men Who Have Never Tested for HIV
Reasons for Not HIV Testing, Testing Intentions, and Potential Use of an Over-the-Counter Rapid HIV Test in an Internet Sample of Men Who Have Sex With Men Who Have Never Tested for HIV
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DOI：
10.1097/olq.0b013e31820369dd
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发表时间：
2011-05-01
影响因子：
3.1
通讯作者：
Sullivan, Patrick
中科院分区：
文献类型：
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作者：
MacKellar, Duncan A.;Hou, Su-I;Sullivan, Patrick
工作背景：相关性的主要原因没有艾滋病毒检测，艾滋病毒检测的意图，和潜在的使用非处方快速艾滋病毒检测（OTCRT）的男性发生性关系的男性谁从来没有测试过艾滋病毒（NTMSM）是unknown.Methods：我们评估了这些相关性之间的946 NTMSM从6个美国城市谁参加了一个基于互联网的调查在2007年。未检测的主要原因是感知风险低（32.2%），结构性障碍（25.1%）和害怕检测阳性（18.1%）。低感知风险与无保护的肛交（UAI）伴侣较少以及较少使用互联网获取艾滋病毒信息有关;结构性障碍与年龄较小和更多的UAI伴侣有关;对检测阳性的恐惧与黑人和西班牙裔种族/民族，更多的UAI伴侣以及更频繁地使用互联网获取艾滋病毒信息有关。25.9%的NTMSM和14.8%的因感知风险低而没有进行测试的人持有强烈的测试意图。在NTMSM谁有点不太可能，有点可能，很有可能测试艾滋病毒，47.4%，76.5%，和85.6%可能会使用OTCRT，如果它是可用的，respectively.Conclusions：在NTMSM谁使用互联网，主要原因不测试艾滋病毒有很大不同的年龄，种族/民族，UAI，和使用互联网的艾滋病毒信息。为了促进NTMSM的艾滋病毒检测，项目应扩大针对这种变化的干预措施和服务。如果获得批准，OTCRT可能会被许多NTMSM使用，否则他们可能不会检测HIV。
Background: Correlates of main reasons for not HIV testing, HIV testing intentions, and potential use of an over-the-counter rapid HIV test (OTCRT) among men who have sex with men who have never tested for HIV (NTMSM) are unknown.Methods: We evaluated these correlates among 946 NTMSM from 6 US cities who participated in an internet-based survey in 2007.Findings: Main reasons for not testing were low perceived risk (32.2%), structural barriers (25.1%), and fear of testing positive (18.1%). Low perceived risk was associated with having fewer unprotected anal intercourse (UAI) partners and less frequent use of the internet for HIV information; structural barriers were associated with younger age and more UAI partners; fear of testing positive was associated with black and Hispanic race/ethnicity, more UAI partners, and more frequent use of the internet for HIV information. Strong testing intentions were held by 25.9% of all NTMSM and 14.8% of those who did not test because of low perceived risk. Among NTMSM who were somewhat unlikely, somewhat likely, and very likely to test for HIV, 47.4%, 76.5%, and 85.6% would likely use an OTCRT if it was available, respectively.Conclusions: Among NTMSM who use the internet, main reasons for not testing for HIV vary considerably by age, race/ethnicity, UAI, and use of the internet for HIV information. To facilitate HIV testing of NTMSM, programs should expand interventions and services tailored to address this variation. If approved, OTCRT might be used by many NTMSM who might not otherwise test for HIV.