The Impact of Providing Free HIV Self-testing on Sexual Risk Behaviors Among Men who have Sex with Men in Hunan, China: A Randomized Controlled Trial.
The Impact of Providing Free HIV Self-testing on Sexual Risk Behaviors Among Men who have Sex with Men in Hunan, China: A Randomized Controlled Trial.
复制标题
提供免费艾滋病毒自我检测对中国湖南男男性行为者性危险行为的影响：一项随机对照试验。
DOI：
10.1007/s10461-022-03804-4
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发表时间：
2023
影响因子：
4.4
通讯作者：
Koniak-Griffin,Deborah
中科院分区：
文献类型：
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作者：
Zhang,Ci;Goldsamt,LloydA;Zheng,Shimin;Qian,Han-Zhu;Wang,Honghong;Li,Qing;Li,Xianhong;Koniak-Griffin,Deborah
HIV 自我检测 (HIVST) 增加了男男性行为者 (MSM) 的检测频率。然而，它对性危险行为的影响尚不清楚。在中国湖南省进行的一项随机对照试验中，HIV 阴性 MSM 被随机接受两种干预措施之一，为期一年：(1) 机构 HIV 检测，或 (2) 机构 HIV 检测加免费 HIVST。 2018年4月至6月，注册了230名男男性行为者。他们在 12 个月内每 3 个月自我报告一次性行为。在 216 名进行随访的 MSM 中（干预组：110 名；对照组：106 名），调整广义估计方程模型中的潜在混杂因素后，与男性伴侣（定期/临时）或女性伴侣一致使用安全套，以及男性或女性性伴侣的数量没有统计学上的显着差异。提供免费的艾滋病毒检测试剂盒不会增加危险的性行为，应将其纳入全面的艾滋病毒预防方案中，特别是对于中国的性少数男性。
HIV self-testing (HIVST) increases testing frequency among men who have sex with men (MSM). However, its impact on sexual risk behaviors is unclear. In a randomized controlled trial conducted in Hunan Province, China, HIV-negative MSM were randomized to receive one of two interventions for one year: (1) facility-based HIV testing, or (2) facility-based HIV testing augmented with free HIVST. From April to June 2018, 230 MSM were enrolled. They self-reported sexual behaviors every 3 months for 12 months. Among 216 MSM with follow-ups (intervention: 110; control: 106), adjusting for potential confounders in Generalized Estimating Equation models, there were no statistically significant differences in consistent condom use with male partners (regular/casual) or female partners, nor on number of male or female sexual partners. Provision of free HIVST kits does not increase risky sex and should be included in comprehensive HIV prevention packages, particularly for sexual minority men in China.