Recent HIV testing among young men who have sex with men: Correlates, contexts, and HIV seroconversion
Recent HIV testing among young men who have sex with men: Correlates, contexts, and HIV seroconversion
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DOI：
10.1097/01.olq.0000204507.21902.b3
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发表时间：
2006-03-01
影响因子：
3.1
通讯作者：
Janssen, RS
中科院分区：
文献类型：
--
作者：
MacKellar, DA;Valleroy, LA;Janssen, RS
目的：我们评估的相关性和背景下的艾滋病毒检测在过去的一年中，随后的风险降低，和艾滋病毒血清转化的年轻男子之间发生性行为的男子（MSM）。方法：年轻男子年龄在23至29岁的接触，采访，咨询，并在181个随机抽样的男男性接触者确定的场地在1998年至2000年在美国6个城市进行艾滋病毒检测。分析仅限于2，797男男性接触者报告从未测试HIV阳性。结果：在2，797男男性接触者中，1，281（46%）以前从未测试过或在过去一年中没有测试过（从未/远程测试者）; 1，516（54%）在过去一年中测试过（最近的测试者）; 271（10%）作为研究的一部分测试HIV阳性。在HIV感染者报告的1，885名最近的性伴侣中，68%是从未/远程测试者的伴侣。在最近的测试者中，50%的人匿名测试，51%的人因为特定的风险而测试，59%的人接受了咨询，47%的人报告在测试后降低了他们的风险，8%的人测试出艾滋病毒阳性（按种族分列的艾滋病毒感染百分比：黑人24%;西班牙裔6%;白人4%;亚洲人1%）。近一半的年轻男男性接触者在过去一年中没有进行过检测，从未/远程检测过艾滋病毒的人占最近可能接触艾滋病毒的伴侣的约三分之二。在最近接受检测的人中，许多男男性行为者，特别是黑人，已经感染了艾滋病毒。为了减少艾滋病毒传播，促进早期诊断和进入护理，需要在美国年轻的高危男男性行为者中增加艾滋病毒检测，特别是那些黑人。
Objectives: We evaluated the correlates and contexts of HIV testing within the past year, subsequent risk reduction, and HIV seroconversion among young men who have sex with men (MSM).Methods: Young men aged 23 to 29 years were approached, interviewed, counseled, and tested for HIV at 181 randomly sampled MSM-identified venues in six U.S. cities from 1998 through 2000. Analyses were restricted to 2,797 MSM who reported never testing HIV-positive.Results: Of the 2,797 MSM, 1,281 (46%) either never previously tested or had not tested in the past year (never/remote testers); 1,516 (54%) had tested in the past year (recent testers); and 271 (10%) tested HIV-positive as part of the study. Of 1,885 recent sex partners reported by HIV-infected participants, 68% were partners of never/remote testers. Of recent testers, 50 % tested anonymously, 51 % tested because of specific risks, 59% were counseled, 47% reported reducing their risks after testing, and 8% tested HIV-positive (percent HIV-infected by race: blacks, 24 %; Hispanics, 6 %; whites, 4 %; Asians, 1 %).Conclusion: Nearly half of young MSM participants had not tested in the past year and HIV-infected never/remote testers accounted for approximately two thirds of recent partners potentially exposed to HIV. Of those who had tested recently, many MSM, especially those who are black, had already acquired HIV. To reduce HIV transmission and facilitate early diagnosis and entry into care, increased HIV testing among young at-risk MSM in the United States, especially those who are black, is needed.