Repeat HIV testing: high-risk behaviour or risk reduction strategy?
Repeat HIV testing: high-risk behaviour or risk reduction strategy?
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DOI：
10.1097/00002030-200003310-00010
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发表时间：
2000-03-31
期刊：
影响因子：
3.8
通讯作者：
Elford, J
中科院分区：
文献类型：
--
作者：
Leaity, S;Sherr, L;Elford, J
目的：要研究重复和首次HIV检测的特点，并考虑其影响HIV检测consultations.Methods：一个匿名的问卷调查完成了近1500人寻求1997年9月至1998年7月在同一天的HIV检测诊所在伦敦，英国之间的HIV检测。重复测试者是那些以前测试HIV阴性并再次返回休息的人。收集了过去3个月内自我报告的无保护插入性行为（UPS）以及寻求当前测试的原因的信息。在所有门诊就诊者中，721人（721/1446）是重复测试者：男同性恋者71.7%（337/470），异性恋者42.1%（208/494）和异性恋者38.6%（186/482）。重复测试与首次测试的UPS频率无显著差异（P>或等于0.06）。然而，男同性恋者（而不是异性恋男女）报告三次或三次以上以前的艾滋病毒检测更有可能报告高风险UPS（即与艾滋病毒状态为阳性或未知的伴侣）（42.2%）比那些有一个或两个或没有以前的测试（分别为25.3%和25.4%; P = 0.002）。超过一半的异性恋男女和三分之一的男同性恋者说，他们正在寻求目前的艾滋病毒检测，为新的关系做准备;这些比例在重复和首次检测之间没有显着差异（P > 0.1）。在这家伦敦艾滋病检测诊所，重复和第一次之间UPS的频率无显著差异，除了有三次或三次以上艾滋病毒检测史的男同性恋者外，他们报告的高风险性行为水平较高。对许多人来说，重复艾滋病毒检测已成为降低风险战略的一部分，以建立与固定伴侣的血清一致性。艾滋病毒检测咨询提供了解决高风险行为和加强个人减少风险战略的机会。(C)2000年利平科特威廉姆斯&威尔金斯。
Objective: To examine the characteristics of repeat and first-time HIV testers and consider their implications for HIV test counselling.Methods: An anonymous questionnaire was completed by nearly 1500 people seeking an HIV test between September 1997 and July 1998 at a same-day HIV testing clinic in London, United Kingdom. Repeat testers were those people who had previously tested HIV negative and were returning for another rest. Information was collected on self-reported unprotected penetrative sex (UPS) in the previous 3 months and reasons for seeking the present test.Results: Overall, 50.6% (721/1446) of all clinic attenders were repeat testers: gay men 71.7% (337/470), heterosexual men 42.1% (208/494) and heterosexual women 38.6% (186/482). No significant differences were found between repeat and first time testers in the frequency of UPS (P greater than or equal to 0.06). However, gay men (but not heterosexual men and women) reporting three or more previous HIV tests were significantly more likely to report higher-risk UPS (i.e. with a partner whose HIV status was either positive or unknown) (42.2%) than those who had had one-two or no previous tests (25.3 and 25.4%, respectively; P = 0.002). Over half the heterosexual men and women, and one third of gay men said they were seeking the current HIV test in preparation for a new relationship; these proportions did not differ significantly between repeat and first-time testers (P > 0.1).Conclusion: In this London HIV testing clinic, no significant differences were found in the frequency of UPS between repeat and first-time testers with the exception of gay men with a history of three or more previous HIV tests, who reported elevated levels of high-risk sexual behaviour. For many people, repeat HIV testing has become part of a risk reduction strategy to establish seroconcordance with a regular partner. HIV test counselling provides the opportunity both to address high-risk behaviour and to reinforce personal risk-reduction strategies. (C) 2000 Lippincott Williams & Wilkins.