Willingness to Take a Free Home HIV Test and Associated Factors among Internet-Using Men Who Have Sex with Men.
Willingness to Take a Free Home HIV Test and Associated Factors among Internet-Using Men Who Have Sex with Men.
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DOI：
10.1177/1545109711404946
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发表时间：
2011-11
期刊：
影响因子：
--
通讯作者：
Khosropour CM
中科院分区：
文献类型：
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作者：
Sharma A;Sullivan PS;Khosropour CM
在线艾滋病毒预防研究在获得生物样本以衡量研究结果方面受到限制。我们描述的因素与男男性接触者愿意采取免费的匿名家庭艾滋病毒检测，和自我识别的障碍，家庭检测的一部分，在线预防研究。在2009年3月至4月期间，我们招募了6163名使用互联网的自我报告的HIV阴性MSM，他们表示愿意使用市售的家庭收集试剂盒检测HIV感染，假设没有奖励，10美元，25美元或50美元。3833名男性（62%）报告说很可能和1236名男性（20%）报告说有点可能采取家庭艾滋病毒检测作为在线艾滋病毒预防研究的一部分。与没有提供任何假设激励的男性相比，愿意在家测试的几率大约是假设10美元（比值比（OR），1.8; 95%置信区间（CI），1.5-2.2），25美元（OR，1.8; CI，1.5-2.2）或50美元（OR，2.1; CI，1.8-2.6）的男性的两倍。黑人男男性接触者（OR，1.3; CI，1.1-1.7）、过去12个月内有过无保护肛交的男性（OR，1.3; CI，1.1-1.5）和不知道自己艾滋病毒感染状况的男性（OR，1.2; CI，1.0-1.4）愿意在家检测的几率增加。作为在线艾滋病毒预防研究的一部分提供的家庭检测是可以接受的，未来的研究和干预措施应侧重于解决男男性行为者使用家庭收集试剂盒进行检测所面临的自我识别障碍。
Online HIV prevention studies have been limited in their ability to obtain biological specimens to measure study outcomes. We describe the factors associated with willingness of MSM to take a free anonymous home HIV test, and the self-identified barriers to home testing as part of an online prevention study. Between March-April 2009 we recruited 6163 internet-using self-reported HIV negative MSM, who indicated their willingness to test for HIV infection using a commercially available home collection kit when offered hypothetically no incentive, $10, $25 or $50. 3833 (62%) men reported being very likely and 1236 (20%) men reported being somewhat likely to take a home HIV test offered as part of an online HIV prevention study. When compared to men who were not offered any hypothetical incentive, the odds of being willing to test at home were approximately twice as great for men offered hypothetically $10 (odds ratio (OR), 1.8; 95% confidence interval (CI), 1.5–2.2), $25 (OR, 1.8; CI, 1.5–2.2) or $50 (OR, 2.1; CI, 1.8–2.6). Black MSM (OR, 1.3; CI, 1.1–1.7), men who had unprotected anal intercourse in the past 12 months (OR, 1.3; CI, 1.1–1.5), and men who were unaware of their HIV status (OR, 1.2; CI, 1.0–1.4) had increased odds of being willing to test at home. Home testing offered as part of online HIV prevention research is acceptable, and future research and interventions should focus on addressing self-identified barriers faced by MSM to testing using home collection kits.