HIV testing trends among gay men in Scotland, UK (1996-2005): implications for HIV testing policies and prevention.

HIV testing trends among gay men in Scotland, UK (1996-2005): implications for HIV testing policies and prevention.
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DOI:
10.1136/sti.2008.033886
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发表时间:
2009-12
影响因子:
3.6
通讯作者:
Hart GJ
Hart GJ
中科院分区:
医学2区
文献类型:
--
作者:
Williamson LM;Flowers P;Knussen C;Hart GJ

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为了研究苏格兰男同性恋者在10年期间艾滋病毒检测行为的趋势。格拉斯哥和爱丁堡商业同性恋场所的七项横断面调查(1996-2005年)。9613名男性完成了匿名的自填问卷(平均回复率为70%)。在这些分析中包括的8,305名受访者中,艾滋病毒检测在1996年至2005年间从49.7%增加到57.8%(p<0.001)。最近(在调查的日历年或之前)做过测试的男性比例从1996年的28.4%上升到2005年的33.2%,与那些最近没有测试过的男性和从未测试过的男性相比(调整后的优势比为1.31,95%可信区间为1.13至1.52)。然而,在曾经的测试者中,最近的测试率没有增加。最近的测试随着年龄的增长而减少:25岁以下的人中有31.3%,25-34岁的人中有30.3%,35-44岁的人中有23.2%,44岁以上的人中有21.2%。在报告前一年有两个或更多无保护肛交伴侣的男性中,只有41.4%的人最近进行过检测。苏格兰男同性恋者的艾滋病毒检测在1996年至2005年期间有所增加,这与苏格兰政府的政策变化相一致,即在生殖泌尿外科诊所进行常规的、选择退出的检测。测试率仍然很低,与其他地方近乎普遍的测试水平相比,相形见绌。最近艾滋病毒检测率在各年龄段的有限变化和下降表明,很少有男性重复或定期检测。此外,还需要创新努力,以增加男同性恋者接受定期艾滋病毒检测的程度。
To examine trends in the HIV testing behaviour of gay men in Scotland over a 10-year period. Seven cross-sectional surveys in commercial gay venues in Glasgow and Edinburgh (1996–2005). 9613 men completed anonymous, self-completed questionnaires (70% average response rate). Among 8305 respondents included in these analyses, HIV testing increased between 1996 and 2005, from 49.7% to 57.8% (p<0.001). The proportion of men who had tested recently (in the calendar year of, or immediately before, the survey) increased from 28.4% in 1996 to 33.2% in 2005, when compared with those who have tested but not recently, and those who have never tested (adjusted odds ratio 1.31, 95% CI 1.13 to 1.52). However, among ever testers, there was no increase in rates of recent testing. Recent testing decreased with age: 31.3% of the under 25, 30.3% of the 25–34, 23.2% of the 35–44 and 21.2% of the over 44 years age groups had tested recently. Among men reporting two or more unprotected anal intercourse partners in the previous year, only 41.4% had tested recently. HIV testing among gay men in Scotland increased between 1996 and 2005, and corresponds with the Scottish Government policy change to routine, opt-out testing in genitourinary medicine clinics. Testing rates remain low and compare unfavourably with near-universal testing levels elsewhere. The limited change and decline across age groups in recent HIV testing rates suggest few men test repeatedly or regularly. Additional, innovative efforts are required to increase the uptake of regular HIV testing among gay men.
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