Bailey A C, Roberts J, Weatherburn P, Hickson F C I, Reid D S, Fisher M, Dean G
Department of Sexual Health and HIV, BSUH NHS Trust, Royal Sussex County Hospital, UK.
Sex Transm Infect. 2009 Apr;85(2):145-7. doi: 10.1136/sti.2008.032359. Epub 2008 Dec 5.
Results of a community HIV testing pilot (fasTest) targeting men who have sex with men (MSM) in Brighton are reported and service users are compared with those testing in genitourinary medicine (GUM) clinics. FasTest offers rapid HIV testing in a weekly evening drop-in session staffed by GUM professionals in a community organisation. It was prospectively evaluated from November 2004 to March 2006 using a self-completed paper questionnaire assessing demographics, previous use of GUM, HIV testing history and sexual behaviour. Follow-up through GUM/HIV services was monitored. A simplified questionnaire was completed by MSM accessing the GUM clinic over the same time period. Men were included in the analysis if they identified as gay or bisexual or had recent sex with a man, tested for HIV and received a result. In both the fastest and GUM groups, men reported high rates of unprotected anal sex in the last 3 months. fasTest clients were significantly younger and less likely to test positive for HIV. This difference was independent of age and HIV testing history. There was no difference in rates of recent infection between the two. We conclude that community HIV testing is feasible and reaches the target group of high risk MSM.
报告了在布莱顿针对男男性行为者（MSM）开展的一项社区艾滋病毒检测试点（fasTest）的结果，并将服务使用者与在性传播疾病诊所（GUM）进行检测的人进行了比较。FasTest在一个社区组织中，由性传播疾病专业人员在每周一次的晚间即到即测活动中提供快速艾滋病毒检测。从2004年11月至2006年3月，使用一份自我填写的纸质问卷对其进行前瞻性评估，问卷内容包括人口统计学信息、之前对性传播疾病服务的使用情况、艾滋病毒检测史和性行为。通过性传播疾病/艾滋病毒服务进行了随访监测。在同一时期，对到性传播疾病诊所就诊的男男性行为者完成了一份简化问卷。如果男性自认为是同性恋或双性恋，或近期与男性发生过性行为，接受了艾滋病毒检测并得到结果，则将其纳入分析。在快速检测组和性传播疾病诊所组中，男性均报告在过去3个月中无保护肛交的发生率较高。FasTest的客户明显更年轻，艾滋病毒检测呈阳性的可能性更小。这种差异与年龄和艾滋病毒检测史无关。两组之间近期感染率没有差异。我们得出结论，社区艾滋病毒检测是可行的，并且能够覆盖高危男男性行为者这一目标群体。
