Access to and use of unauthorised online HIV self-tests by internet-using French-speaking men who have sex with men
Access to and use of unauthorised online HIV self-tests by internet-using French-speaking men who have sex with men
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DOI：
10.1136/sextrans-2011-050405
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发表时间：
2012-08-01
影响因子：
3.6
通讯作者：
Spire, Bruno
中科院分区：
文献类型：
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作者：
Greacen, Tim;Friboulet, David;Spire, Bruno
目的虽然在法国未经授权，但艾滋病毒自我检测很容易在网上获得。作者询问了使用法语网络的男男性行为者(MSM)对此类测试的访问和使用情况。方法在线问卷调查性爱网站和同性恋及HIV社区网站。结果9169名男男性行为者完成了问卷调查。2748人(30%)知道在线自我检测，但在知道的人中只有82人(3.5%)声称已经访问过一次，只有69人使用过。在多因素模型中，与男性的性生活绝对保密(OR=3.90，95%CI 1.73至8.76)，通过性伴侣(OR=3.42，CI 1.39至8.41)或互联网搜索引擎(OR=2.18，CI 1.26至3.74)了解测试，但不通过一般(OR=0.21，CI 0.11至0.42)或同性恋媒体(OR=0.34，CI 0.16至0.73)了解测试，前一年与临时伴侣发生无保护肛交(OR=1.90，CI 1.17~3.06)，使用其他疾病自检(OR=2.66，CI 1.43~4.90)，使用兴奋剂(OR=2.23，CI 1.35~3.67)和兴奋剂(OR=3.53，CI 1.55~8)，前一年做过传统的HIV检测但前一年没有(OR=1.93，CI 1.14~3.32)，从未有过自杀念头(OR=0.54，不同省份(OR=1.80，CI 1.01~3.25)和居住在不同省份(OR=1.80，CI 1.01~3.25)的男男性行为者均与使用自检有关。结论尽管是否愿意接受使用未经授权的医疗产品可能会影响结果，但很少有男男性行为者意识到实际已使用过的自检的存在。访问自我测试与一个人在完全保密的情况下与男性的性生活以及在过去12个月中进行过无保护的肛交独立相关，这表明自主自我测试可能会降低这一弱势群体的测试障碍。
Objectives Although not authorised in France, HIV self-tests are easily available online. The authors questioned French-speaking internet-using men who have sex with men (MSM) concerning their access to and use of such tests.Methods Online questionnaire on sex websites and gay and HIV community websites. A multivariate logistic regression for rare events was used to identify factors associated with accessing self-tests.Results 9169 MSM completed the questionnaire. 2748 (30%) were aware of online self-tests, but only 82 of those aware and not already HIV positive (3.5%) declared having accessed one and only 69 using it. In the multivariate model, living one's sex-life with men in absolute secrecy (odds ratio (OR)=3.90, 95% CI 1.73 to 8.76), knowing of the tests via a sex partner (OR=3.42, CI 1.39 to 8.41) or an internet search engine (OR=2.18, CI 1.26 to 3.74) but not through the general (OR=0.21, CI 0.11 to 0.42) or the gay press (OR=0.34, CI 0.16 to 0.73), having unprotected anal intercourse with a casual partner in the preceding year (OR=1.90, CI 1.17 to 3.06), using self-tests for other diseases (OR=2.66, CI 1.43 to 4.90), using poppers (OR=2.23, CI 1.35 to 3.67) and doping products (OR=3.53, CI 1.55 to 8) in the preceding year, having done a traditional HIV test but not in the preceding year (OR=1.93, CI 1.14 to 3.32), never having had suicidal thoughts (OR=0.54, CI 0.32 to 0.90) and living in the provinces (OR=1.80, CI 1.01 to 3.25) were all independently associated with accessing self-tests.Conclusions Although readiness to admit use of unauthorised medical products may have influenced results, few MSM aware of the existence of self-tests actually declared having accessed one. Accessing the self-test was independently associated with both living one's sex-life with men in total secrecy and having had unprotected anal intercourse in the last 12 months, indicating that autonomous self-testing may reduce barriers to testing for this vulnerable population.