Facilitators and Barriers of HIV Self-Testing Among Chinese Men Who Have Sex With Men: A Qualitative Study.
Facilitators and Barriers of HIV Self-Testing Among Chinese Men Who Have Sex With Men: A Qualitative Study.
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中国男男性行为者HIV自我检测的促进因素与障碍：一项质性研究。
DOI：
10.1097/jnc.0000000000000218
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发表时间：
2021-09-01
期刊：
影响因子：
--
通讯作者：
Koniak-Griffin D
中科院分区：
文献类型：
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作者：
Zhang C;Li X;Heilemann MV;Chen X;Wang H;Koniak-Griffin D
补充数字内容在文本中可用。艾滋病毒自我检测（HIVST）可以增加艾滋病毒检测。然而，中国男男性行为者（MSM）的HIV感染率较低。本研究对23名MSM、4名社区工作人员、7名省级疾病预防控制中心及所属市级疾病预防控制中心的工作人员进行定性访谈，以探讨中国MSM人群艾滋病病毒感染的促进因素和障碍因素。确定了八个障碍，包括害怕被假测试欺骗，担心费用，害怕透露性取向，有限的机会，缺乏咨询服务，生物安全问题，缺乏政策支持，以及担心失去将男子与护理联系起来的机会。确定了五个促进因素，包括便利性、保密性、易操作性、伴侣艾滋病毒检测和同伴影响。官员和学者应紧急解决结构性障碍，提供可获得的、负担得起的和高质量的艾滋病毒/艾滋病防治服务，并辅之以咨询，以制定文化上适当的艾滋病毒/艾滋病防治指南。
Supplemental Digital Content is Available in the Text. HIV self-testing (HIVST) could increase HIV testing. However, HIVST uptake rate among Chinese men who have sex with men (MSM) is low. We conducted qualitative interviews with 23 MSM, 4 workers from community-based organizations, and 7 officials from both provincial Centers for Disease Control and Prevention and affiliated city-level Centers for Disease Control and Preventions to explore facilitators and barriers of HIVST among Chinese MSM. Eight barriers were identified, including fear of being duped by a fake test, concern for cost, fear of disclosing sexual orientation, limited access, lack of consulting services, biosafety concerns, lack of policy support, and concern for lost opportunities to link men to care. Five facilitators were identified, including convenience, confidentiality, easy operation, partner HIV testing, and peers' influence. Officials and scholars should urgently address structural barriers and provide accessible, affordable, and high-quality HIVST services that are accompanied by counseling to develop culturally appropriate HIVST guidelines.