Acceptability and intended usage preferences for six HIV testing options among internet-using men who have sex with men.
Acceptability and intended usage preferences for six HIV testing options among internet-using men who have sex with men.
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DOI：
10.1186/2193-1801-3-109
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Sullivan PS
中科院分区：
文献类型：
--
作者：
Sharma A;Stephenson RB;White D;Sullivan PS
在美国，男男性行为者（MSM）继续受到人类免疫缺陷病毒（HIV）流行病的不成比例的影响。艾滋病毒检测是全面预防工作的基石，也是感染者尽早接受医疗护理的途径。我们试图确定对六种不同的艾滋病毒检测方式的态度，这些方式集体呈现给使用互联网的男男性行为者，并确定哪种选择在预期使用偏好方面排名高于其他选择。在2012年10月至11月期间，我们调查了973名hiv阴性或未知状态的男男性行为者，并评估了他们对以下服务的接受程度：在医生办公室进行检测；个人自愿咨询和检测（VCT）；夫妇艾滋病咨询和检测（CHCT）；加快/表达测试;使用口腔液体测试进行快速家庭自我检测；家庭干血斑（DBS）标本自行采集用于实验室检测。使用Kruskal-Wallis测试来确定使用每种模式的陈述可能性是否因选定的被调查者特征而不同。男性还被要求按照预期使用偏好对这些选项进行排序，并使用改进的Borda计数（MBC）方法确定共识排名。大多数参与者报告极有可能或有可能使用除DBS自我收集外的所有艾滋病毒检测方式进行实验室检测。年轻的男同性恋者更容易接受快速/快速检测（P < 0.001），而低教育水平的男同性恋者更有可能使用CHCT （P < 0.001）。非西班牙裔黑人MSM对VCT的可接受性较低（P < 0.001）。在所有人口和行为阶层中，使用口腔液体测试的快速家庭自我检测和在医生办公室进行检测是最受欢迎的两种选择。迫切需要新的方法来增加美国男男性行为者的艾滋病毒检测频率。综合检测方案可使高风险男男性行为者根据其具体情况制定个性化的年度检测策略，并应作为综合艾滋病毒预防方案的一个组成部分予以适当考虑。
Men who have sex with men (MSM) continue to be disproportionately impacted by the Human Immunodeficiency Virus (HIV) epidemic in the United States (US). Testing for HIV is the cornerstone of comprehensive prevention efforts and the gateway to early engagement of infected individuals in medical care. We sought to determine attitudes towards six different HIV testing modalities presented collectively to internet-using MSM and identify which options rank higher than others in terms of intended usage preference. Between October and November 2012, we surveyed 973 HIV-negative or -unknown status MSM and assessed their acceptability of each of the following services hypothetically offered free of charge: Testing at a physician’s office; Individual voluntary counseling and testing (VCT); Couples’ HIV counseling and testing (CHCT); Expedited/express testing; Rapid home self-testing using an oral fluid test; Home dried blood spot (DBS) specimen self-collection for laboratory testing. Kruskal-Wallis tests were used to determine whether the stated likelihood of using each of these modalities differed by selected respondent characteristics. Men were also asked to rank these options in order of intended usage preference, and consensual rankings were determined using the modified Borda count (MBC) method. Most participants reported being extremely likely or somewhat likely to use all HIV testing modalities except DBS self-collection for laboratory testing. Younger MSM indicated greater acceptability for expedited/express testing (P < 0.001), and MSM with lower educational levels reported being more likely to use CHCT (P < 0.001). Non-Hispanic black MSM indicated lower acceptability for VCT (P < 0.001). Rapid home self-testing using an oral fluid test and testing at a physician’s office were the two most preferred options across all demographic and behavioral strata. Novel approaches to increase the frequency of HIV testing among US MSM are urgently needed. Combination testing packages could enable high risk MSM in putting together annual testing strategies personalized to their circumstances, and warrant due consideration as an element of combination HIV prevention packages.
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DOI：
10.1080/0954012021000005533a
发表时间：
2002-10-01
影响因子：
1.7
作者：
Colfax, GN;Lehman, JS;Hecht, FM
通讯作者：
Hecht, FM
影响因子：
3.8
作者：
Jansen, Iralice A. V.;Geskus, Ronald B.;Stolte, Ineke G.
通讯作者：
Stolte, Ineke G.
影响因子：
4.4
作者：
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通讯作者：
Fisher, JD
影响因子：
120.7
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Janssen, Robert S.
影响因子：
12.7
作者：
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通讯作者：
Donenberg, Geri Rachel