No Place Like Home? Disentangling Preferences for HIV Testing Locations and Services Among Men Who Have Sex with Men in China
No Place Like Home? Disentangling Preferences for HIV Testing Locations and Services Among Men Who Have Sex with Men in China
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DOI：
10.1007/s10461-018-2366-0
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发表时间：
2019-04-01
影响因子：
4.4
通讯作者：
Tucker, Joseph D.
中科院分区：
文献类型：
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作者：
Pan, Stephen W.;Durvasula, Maya;Tucker, Joseph D.
在中国，一些卫生部门和同性恋社区组织已经开始提供家庭艾滋病毒检测试剂盒，以提高男男性行为者（MSM）的检测率。然而，中国男男性行为者的HIV检测偏好和家庭检测动机尚不清楚。采用单项评估和离散选择实验（DCE）对803名男男性行为者（MSM）的HIV检测偏好进行评估。在单项评估和DCE中，参与者表示强烈倾向于由卫生专业人员进行免费和匿名测试。这两种方法也表明，幼稚的测试人员更喜欢家庭测试。然而，在之前的测试者中，单项评估表明“家”是最首选的测试地点（与医院或诊所相比），而DCE表明在控制匿名性后，“家”是最不首选的测试地点。如果不保持匿名，HIV家庭检测对以前检测过的中国MSM的吸引力可能有限。
In China, some health departments and gay community-based organizations have begun to offer home-based HIV testing kits in order to augment test uptake among men who have sex with men (MSM). However, HIV test preferences and motivations for home-testing among MSM in China are not well understood. The HIV testing preferences of 803 MSM throughout China were evaluated using single-item assessment and a discrete choice experiment (DCE). In both the single-item assessment and DCE, participants expressed strong preference for free and anonymous testing by health professionals. Both approaches also indicated that naive testers most prefer home testing. However, among previous testers, the single-item assessment indicated that "home" was the most preferred testing location (vs. hospital or clinic), while the DCE indicated that "home" was the least preferred testing location after controlling for anonymity. HIV home-testing may have limited appeal to previously tested Chinese MSM if anonymity is not maintained.