艾滋病毒检测和管理：来自全国范围内的亚裔/太平洋岛民男男性行为人群的样本研究结果。
HIV testing and management: findings from a national sample of Asian/Pacific islander men who have sex with men.
机构信息
Emory University, Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Atlanta, GA 30322, USA.
出版信息
Public Health Rep. 2012 Mar-Apr;127(2):186-94. doi: 10.1177/003335491212700207.
OBJECTIVES
We examined reasons for and barriers to participating in HIV voluntary counseling and testing for Asian/Pacific Islander (A/PI) men who have sex with men (MSM) in the U.S.
METHODS
We collected data between June 2007 and September 2009 in a study known as Men of Asia Testing for HIV, using a cross-sectional community-based participatory design. This national study was conducted in seven U.S. metropolitan cities through a coalition of seven community-based organizations.
RESULTS
Participants included 445 self-identified A/PI MSM aged ≥18 years. Perception of being at risk was the number one reason for testing behaviors. For first-time testers, structural barriers (e.g., language barriers with health professionals) and fear of disclosure (e.g., sexual orientation not known to parents) were deterrents for nontesting in the past. Among previously known HIV-positive men, 22% were not seeing a doctor and 19% were not taking any HIV medications.
CONCLUSIONS
HIV testing, care, and treatment policies would be less than optimal without addressing barriers to testing, including stigma related to sexual orientation, among A/PI MSM.
目的
我们研究了美国与性行为男性（MSM）发生性关系的亚裔/太平洋岛民（A/PI）男性参与艾滋病毒自愿咨询和检测的原因和障碍。
方法
我们于 2007 年 6 月至 2009 年 9 月期间在一项名为“亚洲男性艾滋病毒检测”的研究中收集了数据，该研究采用了横断面社区参与式设计。这项全国性研究通过七个社区组织联盟在美国七个大都市区进行。
结果
参与者包括 445 名自我认同的 A/PI MSM，年龄在 18 岁及以上。对处于危险中的认知是检测行为的首要原因。对于初次检测者，结构障碍（例如，与卫生专业人员的语言障碍）和对披露的恐惧（例如，父母不知道自己的性取向）过去曾阻止他们进行检测。在以前已知的 HIV 阳性男性中，22%的人不去看医生，19%的人不服任何 HIV 药物。
结论
如果不解决 A/PI MSM 检测中的障碍，包括与性取向相关的耻辱感，艾滋病毒检测、护理和治疗政策将不尽如人意。
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