Factors associated with recency of HIV testing amongst men residing in Scotland who have sex with men
Factors associated with recency of HIV testing amongst men residing in Scotland who have sex with men
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DOI：
10.1080/09540121.2013.824543
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发表时间：
2014-03-04
影响因子：
1.7
通讯作者：
McDaid, Lisa M.
中科院分区：
文献类型：
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作者：
Knussen, Christina;Flowers, Paul;McDaid, Lisa M.
在苏格兰和英国，男男性行为者（MSM）的艾滋病毒检测率正在上升。然而，鼓励男男性行为者进行艾滋病毒检测仍然至关重要。本研究的目的是确定哪些因素区分三组男男性行为者：那些在过去一年内检测过艾滋病毒的人，那些在一年前检测过的人，以及那些从未检测过的人。横断面数据收集自2010年7月在苏格兰格拉斯哥男同性恋场所频繁的男同性恋者自我报告，匿名问卷调查（N = 822，应答率62.6%）。那些确认自己为HIV阳性（n = 38），通常不居住在苏格兰（n = 88），并没有提供关于HIV检测的信息（n = 13），被排除在外（139排除，留下N = 683）。约57%（n = 391）在过去一年内进行了艾滋病毒检测，23%（n = 155）在一年前进行了检测，20%（n = 137）从未进行过检测。与前一年内接受过检测的人相比，那些一年前接受过检测的人和那些从未接受过检测的人对阳性艾滋病毒检测结果的恐惧更大，艾滋病毒检测的规范更弱，并且更有可能在前一年内根本没有肛交伴侣。那些一年前接受测试的人明显比其他两组年龄大（他们更有可能在25岁以下）。无保护的肛交（UAI）在HIV检测组中没有歧视。研究结果强调，需要在苏格兰25岁以下和45岁以上的人、对检测高度恐惧的人以及性行为使他们处于危险之中的人中推广艾滋病毒检测。增加艾滋病毒检测的干预措施应促进积极的规范，消除对阳性结果的恐惧。
Rates of HIV testing are increasing among men who have sex with men (MSM) in Scotland and the UK. However, it remains vital to encourage MSM to test for HIV. The aim of the current study was to determine which factors discriminated among three groups of MSM: those tested for HIV within the previous year, those who had tested over one year previously, and those who had never tested. Cross-sectional data were collected using self-report, anonymous questionnaires from MSM frequenting gay venues in Glasgow, Scotland, during July 2010 (N = 822, response rate 62.6%). Those who identified themselves as HIV positive (n = 38), did not normally reside in Scotland (n = 88), and did not provide information on HIV testing (n = 13), were excluded (139 excluded, leaving N = 683). Around 57% (n = 391) had tested for HIV within the previous year, 23% (n = 155) had tested over one year previously and 20% (n = 137) had never tested. Compared with those tested within the previous year, those tested over one year previously and those never tested had greater fear of a positive-HIV test result, a weaker norm for HIV testing, and were more likely to have had no anal sex partners at all within the previous year. Those tested over one year previously were significantly older than both other groups (who were more likely to be under 25 years of age). Unprotected anal intercourse (UAI) did not discriminate among the HIV testing groups. The results highlight the need to promote HIV testing in Scotland among those under 25 years and over 45 years, those with high fear of testing, and those whose sexual behaviour puts them at risk. Interventions to increase HIV testing should promote positive norms and challenge the fear of a positive result.