Correlates of HIV Testing Among Men Who have Sex with Men in Three Urban Areas of Mozambique: Missed Opportunities for Prevention.
Correlates of HIV Testing Among Men Who have Sex with Men in Three Urban Areas of Mozambique: Missed Opportunities for Prevention.
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DOI：
10.1007/s10461-015-1044-8
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发表时间：
2015-11
影响因子：
4.4
通讯作者：
Raymond HF
中科院分区：
文献类型：
--
作者：
Horth RZ;Cummings B;Young PW;Mirjahangir J;Sathane I;Nalá R;Lane T;Raymond HF
这是第一项确定莫桑比克男男性行为者 (MSM) 近期艾滋病毒检测水平和相关因素的研究。使用 2011 年通过受访者驱动抽样收集的马普托 (n = 493)、贝拉 (n = 572) 和楠普拉/纳卡拉 (n = 347) 的数据，并排除那些先前已知感染的人，我们发现 30.4% [95% 置信区间 (CI) 25.0–36.3%]、42.1% (95% CI)分别有 36.8–47.3%）和 29.8%（95% CI 22.9–36.9%）最近接受过 HIV 检测（≤12 个月），而每 10 名 MSM 中就有三到五人从未接受过检测。一系列因素与最近的艾滋病毒检测有关，例如对传播方式的熟悉程度、对艾滋病毒抗逆转录病毒治疗的了解、与同伴教育者的接触以及对伴侣血清状况的认识；然而，令人惊讶的是，最近的医疗保健利用与最近的测试无关。研究结果证明，MSM 的结构和行为干预可能在增加艾滋病毒检测方面发挥重要作用。本文的在线版本 (doi:10.1007/s10461-015-1044-8) 包含补充材料，可供授权用户使用。
This is the first study to identify levels of recent HIV testing and associated factors among men who have sex with men (MSM) in Mozambique. Using data from Maputo (n = 493), Beira (n = 572), and Nampula/Nacala (n = 347), collected via respondent-driven sampling in 2011, and excluding those with prior known infection, we found that 30.4 % [95 % confidence interval (CI) 25.0–36.3 %], 42.1 % (95 % CI 36.8–47.3 %) and 29.8 % (95 % CI 22.9–36.9 %), respectively, had recently tested for HIV (≤12 months), while between three and five out of 10 MSM had never tested. A range of factors was associated with recent HIV testing such as familiarity with the modes of transmission, knowledge of antiretroviral treatment for HIV, contact with peer educators and awareness of partner serostatus; yet, surprisingly recent healthcare utilization was not associated with recent testing. Findings provide evidence that structural and behavioral interventions among MSM may play an important role in increasing HIV testing. The online version of this article (doi:10.1007/s10461-015-1044-8) contains supplementary material, which is available to authorized users.