Trends in HIV testing among homosexual and bisexual men in eastern Australian states
Trends in HIV testing among homosexual and bisexual men in eastern Australian states
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DOI：
10.1071/sh07081
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发表时间：
2008-01-01
期刊：
影响因子：
1.6
通讯作者：
Pitts, Marian
中科院分区：
文献类型：
--
作者：
Prestage, Garrett;Jin, Fengyi;Pitts, Marian
目的：我们研究了基于社区的男性同性恋样本的艾滋病毒检测趋势是否可以解释澳大利亚东部各州男性同性恋者艾滋病毒通报率的趋同。方法：我们检查了 1998 年至 2006 年间在悉尼、墨尔本和布里斯班对同性恋男性进行的年度横断面、自我完成的匿名调查中自我报告的艾滋病毒检测数据。在同性恋社区场所和活动中招募男性。对三个城市之间和不同时间段的艾滋病毒检测情况进行了比较。我们还比较了《私人生活》中各州报告的艾滋病毒检测率，《私人生活》是 2005 年非异性恋人群健康和福祉在线调查。结果：从诊所招募的男性的艾滋病毒检测率要高得多，因此被排除在进一步分析之外。在非诊所地点完成的 48 263 份问卷中，悉尼（从 8.1% 降至 5.1%，P 趋势 < 0.001）和布里斯班（从 11.8% 降至 7.9%，P 趋势 = 0.002）从未接受过 HIV 检测的男性比例明显下降，但墨尔本没有变化。悉尼从未接受过检测的男性比例低于墨尔本或布里斯班 (P < 0.001)。在所有三个城市中，去年接受过艾滋病毒检测的非艾滋病毒阳性男性的比例都有所增加，尽管墨尔本的这一比例低于其他两个城市。结论：这些数据表明，男同性恋者艾滋病毒检测率的变化不足以解释澳大利亚东部艾滋病毒通知趋势的最新差异。
Objectives: We examined whether trends in HIV testing in community-based samples of homosexual men may account for the convergence in HIV notification rates in homosexual men across the eastern states of Australia. Methods: We examined data on self-reported HIV testing from annual cross-sectional, self-completed anonymous surveys of homosexual men conducted between 1998 and 2006 in Sydney, Melbourne and Brisbane. Men were recruited at gay community venues and events. Comparisons of HIV testing between the three cities and across time were carried out. We also compared reported rates of HIV testing across states in Private Lives, the 2005 online survey of health and wellbeing among non-heterosexual people. Results: Men recruited from clinics had a much higher prevalence of HIV testing and were excluded from further analyses. Among the 48 263 completed questionnaires obtained in non-clinic sites, there was a marked decline in the proportion of men who had never been tested for HIV in Sydney (from 8.1 to 5.1%, P trend < 0.001) and Brisbane (from 11.8 to 7.9%, P trend = 0.002) but no change in Melbourne. This proportion of men who had never been tested was lower in Sydney than in either Melbourne or Brisbane (P < 0.001). There were increases in the proportion of non-HIV-positive men who had been tested for HIV in the previous year across all three cities, although the proportion in Melbourne was lower than in the other two cities. Conclusion: These data suggest that changes in HIV testing rates among homosexual men are insufficient to account for the recent differences in trends in HIV notifications in eastern Australia.