HIV testing and self-reported HIV status in South African men who have sex with men: results from a community-based survey
HIV testing and self-reported HIV status in South African men who have sex with men: results from a community-based survey
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DOI：
10.1136/sti.2008.031500
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发表时间：
2008-11-01
影响因子：
3.6
通讯作者：
Yi, H.
中科院分区：
文献类型：
--
作者：
Sandfort, T. G. M.;Nel, J.;Yi, H.
目的：调查南非男性与男性发生性关系（MSM）谁（1）已被检测为HIV和（2）是HIV positive.Methods的特点：数据收集从1045 MSM在社区调查问卷，管理无论是面对面的，通过邮件或在互联网上。男性的平均年龄为29.9岁。结果：男男性接触者HIV检测率为69.7%，年龄大、对同性恋持开放态度、同性恋倾向而非双性恋倾向与HIV检测率独立相关;黑人男男性行为者、学生和居住在夸祖鲁-纳塔尔的男男性行为者接受检测的可能性较小。在接受检测的728名男男性行为者中，14.1%（n = 103）报告为艾滋病毒阳性（占总样本的9.9%）。艾滋病毒阳性是独立相关的两个因素：男性谁是积极的更有可能有一个较低的教育水平，并知道其他人谁有艾滋病毒/艾滋病;种族是不是独立与艾滋病毒状态之间的那些谁已经tested.Conclusions：已被检测为艾滋病毒的可能性似乎随着社会脆弱性的增加而减少。从种族上看，艾滋病毒在男男性行为者中的分布似乎与南非一般人口不同，这表明，虽然与异性恋流行病交织在一起，但南非男男性行为者中也有一种流行病，具有特定的动态。这些研究结果表明，深入的研究是迫切需要解决缺乏了解艾滋病毒检测的做法和艾滋病毒在南非男男性行为者的流行。
Objective: To investigate the characteristics of South African men who have sex with men (MSM) who ( 1) have been tested for HIV and ( 2) are HIV positive.Methods: Data were collected from 1045 MSM in community surveys using questionnaires that were administered either face-to-face, by mail or on the internet. The mean age of the men was 29.9 years. The race distribution was 35.3% black, 17.0% coloured, 5.3% Indian and 41.1% white.Results: The proportion of MSM tested for HIV was 69.7%; having been tested was independently associated with being older, being more open about one's homosexuality and being homosexually instead of bisexually attracted; black MSM, students and MSM living in KwaZulu-Natal were less likely to have been tested. Of the 728 MSM who had been tested, 14.1% (n = 103) reported to be HIV positive (9.9% of the total sample). Being HIV positive is independently associated with two factors: men who were positive were more likely to have a lower level of education and to know other people who had HIV/AIDS; race was not independently associated with HIV status among those who had been tested.Conclusions: The likelihood of having been tested for HIV seems to decrease with increasing social vulnerability. Racially, the distribution of HIV among MSM seems to differ from that of the general South African population, suggesting that while intertwined with the heterosexual epidemic there is also an epidemic among South African MSM with specific dynamics. These findings suggest that in-depth research is urgently needed to address the lack of understanding of HIV testing practices and HIV prevalence in South African MSM.