Stolte Ineke G, de Wit John B F, Kolader Marion E, Fennema Han S A, Coutinho Roel A, Dukers Nicole H T M
Health Service Amsterdam, Cluster of Epidemiology, Documentation and Health Promotion, Nieuwe Achtergracht 100, Amsterdam, The Netherlands.
Sex Transm Infect. 2007 Aug;83(5):387-91. doi: 10.1136/sti.2005.019133. Epub 2007 Feb 21.
To investigate HIV-testing behaviour and HIV prevalence among homosexual visitors of a sexually transmitted infection (STI) outpatient clinic, and to investigate determinants of unknown HIV status, and of HIV testing separately for men with unknown and negative HIV status.
Cross-sectional survey conducted from March 2002 to December 2003 among homosexual men with negative or unknown HIV status visiting the Amsterdam STI clinic.
A convenience sample of 1201 men with negative or unknown HIV status answered a written questionnaire about history of HIV testing, sexual risk behaviour and behavioural determinants (non-response, 35%). Information was matched to the STI registration system. Associations were determined using logistic regression.
817 men reported a negative HIV status, and 384 reported an unknown HIV status. The overall HIV prevalence among the 523 men who tested at new STI consultation was 2.8%. The proportion of men with unknown HIV status was relatively high among those diagnosed with infectious syphilis and those reporting unprotected anal intercourse with a casual partner. Their testing rates at new STI clinic visit were lower. Among men with an unknown HIV status, those aged <30 years and reporting risky sexual behaviour tested the least (OR 0.13, 95% CI 0.03 to 0.61).
Although HIV testing rates have increased, they are still lower than in other industrialised countries. Moreover, some men still undertake high-risk sex without knowing their own HIV status, which might pose a risk for ongoing HIV transmission. Therefore, more active testing promotion is needed.
调查性传播感染（STI）门诊同性恋就诊者的HIV检测行为及HIV流行情况，分别研究HIV状态未知的决定因素以及HIV状态未知和阴性男性的HIV检测决定因素。
2002年3月至2003年12月对前往阿姆斯特丹性传播感染诊所、HIV状态为阴性或未知的同性恋男性进行横断面调查。
便利抽样选取1201名HIV状态为阴性或未知的男性，让他们回答一份关于HIV检测史、性风险行为及行为决定因素的书面问卷（无应答率为35%）。信息与性传播感染登记系统进行匹配。采用逻辑回归确定关联。
817名男性报告HIV状态为阴性，384名报告HIV状态未知。在新进行性传播感染咨询时接受检测的523名男性中，总体HIV流行率为2.8%。在诊断为感染性梅毒的患者以及报告与偶然伴侣发生无保护肛交的人群中，HIV状态未知的男性比例相对较高。他们在新的性传播感染诊所就诊时的检测率较低。在HIV状态未知的男性中，年龄<30岁且报告有危险性行为的男性检测最少（比值比0.13，95%可信区间0.03至0.61）。
尽管HIV检测率有所上升，但仍低于其他工业化国家。此外，一些男性在不知道自己HIV状态的情况下仍进行高风险性行为，这可能会导致HIV持续传播。因此，需要更积极地推广检测。
