Patterns of lifetime and recent HIV testing among men who have sex with men in New York City who use Grindr.

Patterns of lifetime and recent HIV testing among men who have sex with men in New York City who use Grindr.
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DOI:
10.1007/s10461-013-0573-2
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发表时间:
2014-01
期刊:
影响因子:
4.4
通讯作者:
Parsons, Jeffrey T.
Parsons, Jeffrey T.
中科院分区:
医学2区
文献类型:
--
作者:
Rendina, H. Jonathon;Jimenez, Ruben H.;Grov, Christian;Ventuneac, Ana;Parsons, Jeffrey T.

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男男性行为者(MSM)的艾滋病毒感染率继续上升,部分原因可能是在艾滋病毒感染风险群体中缺乏检测。尽管需要更多的研究来解决这一人群的检测模式,但移动应用程序已经证明有希望识别有风险的男同性恋者。我们对纽约市(NYC)地区从Grindr招募的1351名男男性行为者进行了在线调查,并使用Pearson卡方统计、Fisher精确检验和逻辑回归分析了寿命和过去一年检验的预测因子。大多数(90%)男性在其一生中接受过检测,大多数(71%)在前一年接受过检测。在从未接受过检测的人中(n = 135),三分之一的人在前3个月内进行过无保护肛交(UAI),近三分之一的人认为自己是hiv阴性而不是未知。年龄较大,报告hiv阴性(相对未知)状态,以及最近的UAI与终生检测独立相关。与没有进行过人工流产的男性相比,最近进行过人工流产的男性报告在过去一年内进行了检测的比例更高。总体而言,该样本中男同性恋者的检测率超过了普通人群,包括纽约市的普通人群。与纽约市以人群为基础的MSM样本相比,这个样本中更大比例的人从未接受过检测,尽管在过去一年中接受过检测的比例更高。这项研究表明,使用Grindr的纽约男性中有十分之一,18-24岁的男性中有五分之一从未接受过艾滋病毒检测。利用现有的基础设施和流行的移动技术(如Grindr)来识别男性并将其与艾滋病毒检测信息联系起来,可能是一种有用的预防策略。
Rates of HIV infection continue to rise for men who have sex with men (MSM), and may be partially due to lack of testing among groups at risk for HIV. Mobile applications have demonstrated promise to identify at-risk MSM, though more research is needed to address testing patterns among this population. We conducted an online survey of 1,351 MSM in the New York City (NYC) area recruited from Grindr and analyzed predictors of lifetime and past-year testing using Pearson’s chi-squared statistic, Fisher’s exact tests, and logistic regression. A majority (90 %) of men had been tested within their lifetimes, and most (71 %) had been tested within the prior year. Among those who had never been tested (n = 135), one-third had engaged in unprotected anal intercourse (UAI) in the prior 3 months and nearly one-third identified themselves as HIV-negative rather than unknown. Older age, reporting an HIV-negative (versus unknown) status, and recent UAI were independently associated with lifetime testing. Greater proportions of men who had recently engaged in UAI reported testing within the past year compared with those who had not engaged in UAI. Overall, rates of testing among MSM in this sample exceeded those of the general population, including the general population in NYC. A greater proportion of this sample had never tested compared to a population-based sample of NYC MSM, though a higher percentage had also tested in the past year. This study demonstrated that 1 in 10 NYC men using Grindr and 1 in 5 who were 18–24 years of age had never received an HIV test in their lives. Using the existing infrastructure and popularity of mobile technology such as Grindr to identify and link men to information regarding HIV testing may be a useful strategy for prevention.
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