Prior HIV testing behaviour is associated with HIV testing results among men, trans women and trans men who have sex with men in the United States.
Prior HIV testing behaviour is associated with HIV testing results among men, trans women and trans men who have sex with men in the United States.
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在美国，男性、跨性别女性和男同性恋者的艾滋病毒检测结果与之前的艾滋病毒检测行为有关。
DOI：
10.1136/jech-2019-213493
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发表时间：
2020
影响因子：
6.3
通讯作者：
Nash,Denis
中科院分区：
文献类型：
--
作者：
Grov,Christian;Westmoreland,Drew;Golub,SaritA;Nash,Denis
背景在艾滋病毒高危人群中，重要的是要检查最近接受过艾滋病毒检测的人与未接受过艾滋病毒检测的人可能有何不同。方法2017-2018 年，美国各地总共 5001 名男性、跨性别女性和男男性行为者完成了一项关于他们近期检测行为以及自行收集的艾滋病毒检测口腔样本的在线调查。结果总共有 3.8% 的检测结果呈艾滋病毒阳性 在那些呈阳性结果的人中，35% 是最近感染过 HIV（即在入组前 12 个月内自我报告的 HIV 检测结果呈阴性）。那些艾滋病毒呈阳性的人——无论他们在入学前多久进行了艾滋病毒检测——与那些结果呈阴性的人在已知与艾滋病毒风险相关的方面有所不同：种族和收入差距、住房不稳定、最近的性交易和最近使用甲基苯丙胺。在入组时艾滋病毒检测结果呈阳性的患者中，只有初级保健医生才能区分那些在入组前最近检测结果呈阴性的患者和未检测出阴性的患者。在 HIV 结果呈阴性的人群中，最近在入学前进行过 HIV 检测的人群与未进行过 HIV 检测的人群之间存在许多差异，因此最近未进行检测的人群更有可能报告感染 HIV 的风险较高。 甲基苯丙胺的使用。
BackgroundAmong those at high risk for HIV, it is important to examine the ways in which someone who has recently tested for HIV might differ from someone who has not.MethodsIn 2017–2018, a total of 5001 men, trans women and trans men who have sex with men from across the United States completed an online survey about their recent testing behaviour as well as self-collected oral samples for HIV testing.ResultsIn total, 3.8% tested HIV-positive and—among those with positive results—35% were recent HIV infections (ie, self-reported an HIV-negative test result within the 12 months prior to enrollment). Those with HIV-positive results—regardless of how recent their HIV test was prior to enrollment—differed from those with negative results in ways that are known to be associated with HIV risk: racial and income disparities, housing instability, recent transactional sex and recent methamphetamine use. Among those with HIV-positive results at enrollment, only having a primary care physician distinguished those who recently tested negative prior to enrollment versus not. Among those with HIV-negative results, there were numerous differences between those who had recently tested for HIV prior to enrollment, versus not, such that those who had not recently tested were significantly more likely to report being at higher risk for HIV.ConclusionStrategies aimed at improving more frequent HIV testing among HIV-negative persons at high risk for HIV should address other needs including stable housing, transactional sex, access to a primary care provider and methamphetamine use.