Jin F Y, Prestage G, Law M G, Kippax S, Van de Ven P, Rawsthorne P, Kaldor J M, Grulich A E
National Centre in HIV Epidemiology and Clinical Research, Sydney, Australia.
HIV Med. 2002 Oct;3(4):271-6. doi: 10.1046/j.1468-1293.2002.00121.x.
To describe time trends and other predictors of recent HIV testing among homosexual men enrolled in behavioural surveillance studies in Australia.
Repeated cross-sectional studies during the period 1996-2001 in Australian capital cities. Men were recruited from a variety of community-based settings, including gay community outdoor events, sex on premises venues, and social venues. They underwent a brief self-administered questionnaire in which they reported their HIV status, HIV-testing history, sexual behaviour and demographic information.
Questionnaires were returned for 22,161 HIV-negative or status-unknown participants. While 85.3% had ever tested for HIV, 57.6% had tested in the last 12 months. Recent testing was greater in those living in Sydney, in younger men, in gay-identified men, in gay community-attached men, in those who reported unprotected anal intercourse and a higher number of sexual partners, and in partners of HIV-positive men. Although recent testing declined from 1996 to 2001, this trend was no longer significant when adjusted for other testing predictors.
In Australia, HIV testing among gay men decreased slightly from 1996 to 2001, but the trend was not significant when adjusted for other predictors. Testing levels were highest among those at highest risk of HIV infection, and lowest among non gay-identified and non gay-community attached homosexual men.
描述参与澳大利亚行为监测研究的男同性恋者近期艾滋病毒检测的时间趋势及其他预测因素。
1996年至2001年期间在澳大利亚首都城市开展重复横断面研究。从各种社区场所招募男性,包括同性恋社区户外活动、场所内性行为场所和社交场所。他们接受了一份简短的自填问卷,报告自己的艾滋病毒状况、艾滋病毒检测史、性行为和人口统计学信息。
共收到22161名艾滋病毒阴性或状况不明参与者的问卷。虽然85.3%的人曾接受过艾滋病毒检测,但57.6%的人在过去12个月内进行过检测。居住在悉尼的人、年轻男性、自我认同为同性恋的男性、与同性恋社区有联系的男性、报告有无保护肛交及性伴侣数量较多的人以及艾滋病毒阳性男性的伴侣近期检测率更高。尽管从1996年到2001年近期检测率有所下降,但在对其他检测预测因素进行调整后,这一趋势不再显著。
在澳大利亚,男同性恋者中的艾滋病毒检测率在1996年至2001年期间略有下降,但在对其他预测因素进行调整后,该趋势并不显著。艾滋病毒感染风险最高的人群检测水平最高,而非自我认同为同性恋且与同性恋社区无联系的男同性恋者检测水平最低。