Lack of HIV testing and awareness of HIV infection among men who have sex with men, Beijing, China
Lack of HIV testing and awareness of HIV infection among men who have sex with men, Beijing, China
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DOI：
10.1521/aeap.2006.18.1.33
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发表时间：
2006-02-01
影响因子：
1.8
通讯作者：
Mandel, JS
中科院分区：
文献类型：
--
作者：
Choi, KH;Lui, H;Mandel, JS
在中国，男男性行为者(MSM)感染艾滋病毒的风险很高。然而，人们对他们的艾滋病毒检测行为知之甚少。从2001年9月到2002年1月，我们通过社交网络和男男性接触者场所招募了482名男性。我们进行了艾滋病毒检测和咨询，以及匿名、标准化的面对面采访。82%的参与者在研究之前从未进行过艾滋病毒检测。不进行检测的最常见原因是认为感染HfV的风险较低(72%)、不知道检测地点的位置(56%)、担心检测结果呈阳性(54%)、担心人们知道他是同性恋(47%)、担心检测结果泄露机密(47%)。我们确定了五个与HfV检测有统计学意义的独立相关因素：年龄较大，拥有大学学位，更“外向”(向人们披露MSM活动)，通过社交网络招募，以及终生有性传播疾病史。在我们研究中检测出HfV阳性的15名参与者(3.1%)中，14名(93%)在接受测试之前并不知道自己的状况。北京男男性接触者中HIV检测的流行率很低；在我们的研究中，几乎所有HIV阳性的男性都没有意识到他们的感染。我们的发现表明，迫切需要在北京男男性接触者中推广艾滋病毒检测。
In China, men who have sex with men (MSM) are at high risk for HIV. However, little is known about their HIV testing behavior. From September 2001 to January 2002, we recruited 482 men through social networks and MSM venues. We conducted HIV testing and counseling, and anonymous, standardized face-to-face interviews. Eighty-two percent of participants had never tested for HIV before the study. The most common reasons for not testing were perceived low risk of HfV infection (72%), not knowing the location of test sites (56%), fear of positive test results (54%), fear of people learning about his homosexuality (47%), and fear of breach of confidentiality about test results (47%). We identified five statistically significant independent correlates of having been tested for HfV: being older, having a college degree, being more "out" (disclosing MSM activities to people), being recruited through social networks, and having a lifetime history of sexually transmitted diseases. Of 15 participants (3.1%) who tested positive for HfV in our study, 14 (93%) did not know their status before being tested in the study. The prevalence of HIV testing among MSM in Beijing is low; almost all HIV-positive men in our study were unaware of their infection. Our findings suggest an urgent need to promote HIV testing among MSM in Beijing.