HIV Testing Frequency Among Men Who Have Sex With Men Attending Sexually Transmitted Disease Clinics: Implications for HIV Prevention and Surveillance
HIV Testing Frequency Among Men Who Have Sex With Men Attending Sexually Transmitted Disease Clinics: Implications for HIV Prevention and Surveillance
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DOI：
10.1097/qai.0b013e3181945f03
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发表时间：
2009-03-01
影响因子：
3.6
通讯作者：
Golden, Matthew R.
中科院分区：
文献类型：
--
作者：
Helms, Donna J.;Weinstock, Hillard S.;Golden, Matthew R.
目的：描述在4个美国性传播疾病（STD）诊所接受治疗的男男性行为者（MSM）中HIV检测的发生率和频率的趋势，并定义与HIV检测频率和阳性率相关的因素。研究设计：4城市57，131例MSM性病门诊就诊者的常规就诊情况（西雅图-金郡，弗朗西斯科，丹佛和哥伦比亚特区），2002-2006年。从2002年到2006年，城市特定中位数为69.1%的假定未感染艾滋病毒的男男性行为者接受了艾滋病毒检测，其中，86.7%的受访者曾接受过2002年至2006年期间，新诊断出艾滋病毒的人数（4.5%未知）和中位数为3.9%，接受过测试的男男性行为者中，报告以前没有接受过艾滋病毒检测的比例中位数从9.4%下降到5.4%（P=0.01）和城市特定的中位数间隔时间从302天减少到243天（P=0.03）。在新诊断HIV的MSM中，中位检测间隔从2002年的531天下降到2006年的287天（P=0.001）。新诊断的艾滋病毒感染的预测因素包括：年轻的年龄，较长的intertest间隔，黑人或西班牙裔种族/民族，诊所在旧金山弗朗西斯科，并同时诊断与细菌性STD.Conclusions：在男男性接触者在4性病诊所，以前从未检测过艾滋病毒的百分比正在下降，男男性接触者更频繁地测试。
Objectives: To describe trends in the occurrence and frequency of HIV testing among men who have sex with men (MSM) receiving care in 4 US sexually transmitted disease (STD) clinics and to define factors associated with HIV testing frequency and positivity.Study Design: Routine clinical encounters during 57,131 visits by MSM to STD clinics in 4 cities (Seattle-King County, San Francisco, Denver, and District of columbia), 2002-2006, were examined.Results: From 2002 to 2006, a city-specific median of 69.1% of presumptive HIV-uninfected MSM were tested for HIV, of which, a median of 86.7% had previously tested (4.5% unknown) and a median of 3.9% were newly diagnosed with HIV Between 2002 and 2006, the median percentage of tested MSM who reported no previous HIV testing decreased from 9.4% to 5.4% (P=0.01) and the city-specific median intertest interval decreased from 302 to 243 days (P=0.03). Among MSM with newly diagnosed HIV, the median intertest interval decreased from 531 days in 2002 to 287 days in 2006 (P=0.001). Predictors of newly diagnosed HIV infection included the following: younger age, longer intertest interval, black or Hispanic race/ethnicity, clinic in San Francisco, and concurrent diagnosis with a bacterial STD.Conclusions: In MSM seen at 4 STD clinics, the percentage of never previously HIV tested is decreasing and MSM are testing more frequently.