Black men who have sex with men, sexual risk-taking, and willingness to use rapid home HIV tests.
Black men who have sex with men, sexual risk-taking, and willingness to use rapid home HIV tests.
复制标题
与男人发生性关系的黑人，性冒险和使用快速家庭艾滋病毒测试的意愿。
DOI：
10.1007/s11121-014-0496-9
复制
发表时间：
2015-02
影响因子：
3.5
通讯作者：
Cherry, Chauncey
中科院分区：
文献类型：
--
作者：
Eaton, Lisa A.;Driffin, Daniel D.;Smith, Harlan;Conway-Washington, Christopher;White, Denise;Cherry, Chauncey
在美国，基于家庭的快速艾滋病毒检测（RHT）的可用性为我们提供了一个有价值的新选择，帮助我们更快地识别更多的艾滋病毒感染者。此外，RHT可能会或正在被用作在进行无套性行为之前了解自己和伴侣艾滋病毒状况的一种手段。然而，关于使用RHT的知识和意愿的数据非常有限。特别是，没有研究调查过黑人男男性行为者（BMSM）的RHT使用情况。了解BMSM中RHT的使用是至关重要的，因为我们已经观察到这一群体中艾滋病毒流行率惊人，RHT可能提供了一个减缓HIV在BMSM中的传播的机会。为了更好地了解RHT，我们评估了参加美国东南部社区活动的387名HIV阴性BMSM和157名HIV阳性BMSM的知识，使用意愿和实际使用RHT， HIV检测史，物质使用和性风险。我们使用广义线性模型来评估与他们使用RHT意愿相关的因素。尽管这些男性对RHT的可用性的熟悉程度有限，但相当一部分BMSM确实报告对使用RHT感兴趣，包括与他们的性伴侣。然而，在HIV阴性的BMSM中，我们发现使用RHT的意愿与性风险承担之间存在负相关关系，即无避孕套肛交行为的数量越多，使用RHT的意愿就越低。报告说，感染艾滋病毒风险最大的男性似乎对RHT最不感兴趣。未来的研究应侧重于更好地了解对高危HIV阴性男性中RHT的关注，并应调查使用RHT作为HIV预防方法的有效性。
The availability of rapid, home-based HIV testing (RHT) in the US has provided us with a valuable, new option in our efforts to identify more people living with HIV and to do so sooner. Furthermore, it is possible that RHT will be or is currently being used as a means of learning one's own and one's partner's HIV status prior to engaging in condomless intercourse. Data regarding knowledge and willingness to use RHT, however, is very limited. In particular, no studies have investigated RHT use among Black men who have sex with men (BMSM). Understanding RHT use among BMSM is critical as we have observed alarming rates of HIV prevalence among this group and RHT may provide an opportunity to slow HIV transmission among BMSM. In order to better understand RHT we assessed knowledge, willingness to use and actual use of RHT, HIV testing history, substance use and sexual risk taking among 387 HIV negative BMSM and 157 HIV positive BMSM attending a community event in the southeastern US. We used generalized linear modeling to assess factors associated with their willingness to use RHT. Although familiarity with the availability of RHT was somewhat limited among these men, a substantial portion of BMSM did report an interest in using RHT, including with their sex partners. Among HIV negative BMSM, however, we found a negative relationship between willingness to use RHT and sexual risk taking, i.e., higher numbers of condomless anal sex acts were associated with a reduction in willingness to use RHT. It appears that men who report the greatest risk taking for HIV are least interested in RHT. Future research should focus on better understanding concerns regarding RHT among at-risk HIV negative men and should investigate the usefulness of using RHT as a HIV prevention method.
登录
查看更多内容
影响因子：
12.7
作者：
Eaton LA;Kalichman SC;Cherry C
通讯作者：
Cherry C
影响因子：
4.6
作者：
Chen, Yiyun
通讯作者：
Chen, Yiyun
影响因子：
4.4
作者：
Balan, Ivan C.;Carballo-Dieguez, Alex;Frasca, Timothy;Dolezal, Curtis;Ibitoye, Mobolaji
通讯作者：
Ibitoye, Mobolaji
影响因子：
4.4
作者：
Carballo-Dieguez, Alex;Frasca, Timothy;Balan, Ivan;Ibitoye, Mobolaji;Dolezal, Curtis
通讯作者：
Dolezal, Curtis
影响因子：
1.8
作者：
Halkitis, PN;Zade, DD;Marmor, M
通讯作者：
Marmor, M