Determinants of never having tested for HIV among MSM in the Netherlands.
Determinants of never having tested for HIV among MSM in the Netherlands.
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DOI：
10.1136/bmjopen-2015-009480
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发表时间：
2016-01-12
期刊：
影响因子：
2.9
通讯作者：
Op de Coul E
中科院分区：
文献类型：
--
作者：
den Daas C;Doppen M;Schmidt AJ;Op de Coul E
男男性行为者（MSM）如果不知道自己感染了艾滋病毒，更有可能感染他人，并且无法接受治疗。因此，我们的目的是确定荷兰男男性接触者的比例和特点谁从来没有检测过艾滋病毒。2010年，欧洲MSM互联网调查（EMIS）通过25种语言的匿名在线问卷招募了来自38个国家的174，209名男性。 我们分析了生活在荷兰的参与者（N=3787）的数据。我们调查的结果是从未（终身）接受过艾滋病毒检测。共有770名男男性行为者（20.4%）从未接受过艾滋病毒检测。在多变量回归分析中，非阿姆斯特丹人（调整后的OR，aOR 1.54，CI 1.17至2.03）、低教育程度（aOR 1.28，CI 1.04至1.57）和对HIV检测知识低（aOR 2.23，CI 1.37至3.64）与从未检测显著相关。较低的性风险（包括性伴侣较少（aOR 2.19，CI 1.57至3.04）和无肛交（aOR 5.99，CI 3.04至11.77））和较少的社会参与（包括较少外出（aOR 1.93，CI 1.55至2.40））也与从未接受过测试有关。此外，36.1%从未接受过艾滋病毒检测的男男性行为者报告说，他们的高风险性行为可能使他们面临艾滋病毒风险。男男性行为者自己进行风险评估，为他们选择艾滋病毒检测提供信息。然而，从未接受过检测的男男性行为者可能有感染艾滋病毒的风险，因此仍然是艾滋病毒干预措施的重要目标。
Men who have sex with men (MSM) who are unaware of their HIV infection are more likely to infect others, and unable to receive treatment. Therefore, we aimed to identify the proportion and characteristics of Dutch MSM who never tested for HIV. In 2010, the European MSM Internet Survey (EMIS) recruited 174 209 men from 38 countries through an anonymous online questionnaire in 25 languages. We analysed data from participants living in the Netherlands (N=3787). The outcome we investigated was having never (lifetime) been tested for HIV. A total of 770 MSM (20.4%) had never been tested for HIV. In multivariate regression analyses, not being from Amsterdam (adjusted OR, aOR 1.54, CI 1.17 to 2.03), with low education (aOR 1.28, CI 1.04 to 1.57) and low knowledge on HIV-testing (aOR 2.23, CI 1.37 to 3.64) were significantly associated with never having tested. Lower sexual risk (including having fewer sexual partners (aOR 2.19, CI 1.57 to 3.04) and no anal intercourse (aOR 5.99, CI 3.04 to 11.77)), and less social engagement (including being less out (aOR 1.93, CI 1.55 to 2.40)) were also associated with having never been tested. Additionally, 36.1% of MSM who never tested for HIV reported high-risk sexual behaviour that may have put them at HIV risk. MSM make their own risk assessments that inform their choices about HIV-testing. Nevertheless, MSM who were never tested may have been at risk for HIV, and remain important to target for HIV interventions.