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前往艾滋病病毒保密检测诊所与匿名检测诊所的客户特征。

Characteristics of clients attending confidential versus anonymous testing clinics for human immunodeficiency virus.

作者信息

Levi I, Modan B, Blumstein T, Luxenburg O, Yehuda-Cohen T, Shasha B, Lotan A, Bundstein A, Barzilai A, Rubinstein E

机构信息

Infectious Disease Unit, Sheba Medical Center, Tel-Hashomer, Israel.

出版信息

Isr Med Assoc J. 2001 Mar;3(3):184-7.

Abstract

OBJECTIVES

To compare risk behavior between subjects attending anonymous and confidential clinics for human immunodeficiency virus testing, and to assess whether anonymous testing results in a higher accrual of persons at risk for HIV.

METHODS

An anonymous questionnaire that addressed sociodemographic and risk behavior aspects was administered to 140 subjects attending an anonymous clinic and 124 attending a confidential clinic in the Tel Aviv area. A logistic regression analysis was used to compare the effects of various behavioral factors on the probability of attending each clinic.

RESULTS

Chronological age, age at first sexual intercourse, and the percent of married subjects were similar in both clinics. However, there was a significant difference in the sex ratio and in educational attainment (85.0% versus 55.6% were males, P < 0.001; and 58% vs. 34% had over 12 years of education, P < 0.001, in the anonymous and confidential clinics respectively). There was a striking difference between the two clinics with regard to sexual experience characteristics: of the subjects reaching the anonymous clinic 21.4% were homosexual and 10.0% bisexual versus a total of 2.6% in the confidential clinic. A logistic regression analysis, comparing the effects of various behavioral factors on the probability of attending each clinic, showed that gender (male), high education, homosexuality, number of partners and sexual encounter with sex workers were the strongest predictors for selecting anonymous HIV examination.

CONCLUSIONS

Individuals at high risk for HIV, such as homosexuals and bisexuals, prefer to attend an anonymous clinic.

摘要

目的

比较在匿名诊所和保密诊所进行人类免疫缺陷病毒检测的受试者之间的风险行为,并评估匿名检测是否会使更多艾滋病高危人群前来检测。

方法

对特拉维夫地区一家匿名诊所的140名受试者和一家保密诊所的124名受试者进行了一项涉及社会人口统计学和风险行为方面的匿名问卷调查。采用逻辑回归分析比较各种行为因素对前往每家诊所可能性的影响。

结果

两家诊所受试者的实际年龄、首次性交年龄和已婚受试者比例相似。然而,性别比例和受教育程度存在显著差异(匿名诊所和保密诊所的男性比例分别为85.0%和55.6%,P<0.001;接受过12年以上教育的比例分别为58%和34%,P<0.001)。两家诊所在性经验特征方面存在显著差异:前往匿名诊所的受试者中,21.4%为同性恋者,10.0%为双性恋者,而在保密诊所这一比例总计为2.6%。一项比较各种行为因素对前往每家诊所可能性影响的逻辑回归分析表明,性别(男性)、高学历、同性恋、性伴侣数量以及与性工作者发生性接触是选择匿名艾滋病毒检测的最强预测因素。

结论

艾滋病高危人群,如同性恋者和双性恋者,更倾向于前往匿名诊所。

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