MRC/CSO Social and Public Health Sciences Unit, Medical Research Council, 4 Lilybank Gardens, Glasgow G12 8RZ, UK.
Sex Transm Infect. 2013 May;89(3):223-30. doi: 10.1136/sextrans-2012-050605. Epub 2012 Oct 5.
To examine sexually transmitted infection (STI) testing and self-reported diagnoses among men who have sex with men (MSM), in Scotland.
Cross-sectional survey of seven Glasgow gay bars in July 2010 (n=822, 62% response rate); 693 are included in the analyses.
81.8% reported ever having had an STI test; 37.4% had tested in the previous 6 months; 13.2% reported having an STI in the previous 12 months. The adjusted odds of having ever tested were significantly higher for men who had 6+ sexual partners in the previous 12 months (adjusted OR=2.66), a maximum sexual health knowledge score (2.23), and had talked to an outreach worker/participated in counselling (1.96), and lower for men reporting any high-risk unprotected anal intercourse (UAI) in the previous 12 months (0.51). Adjusted odds of recent testing were higher for men who had 6+ sexual partners (2.10), talked to an outreach worker/participated in counselling (1.66), maximum sexual health knowledge (1.59), and higher condom use knowledge (1.04), and lower for men aged ≥ 25 years (0.46). Adjusted odds of having had an STI in the previous 12 months were higher for men who had 6+ sexual partners (3.96) and any high-risk UAI in the previous 12 months (2.24) and lower for men aged ≥ 25 years (0.57).
STI testing rates were relatively high, yet still below the minimum recommended for MSM at high risk. Consideration should be given to initiating recall systems for men who test positive for STIs, and to developing behavioural interventions which seek to address STI transmission.
研究男男性行为者（MSM）中性传播感染（STI）检测和自我报告的诊断情况。
2010 年 7 月对苏格兰格拉斯哥的 7 家同性恋酒吧进行横断面调查（n=822，应答率为 62%）；对 693 名参与者进行了分析。
81.8%的人报告曾有过性传播感染检测；37.4%的人在过去 6 个月内进行过检测；13.2%的人在过去 12 个月内患有性传播感染。与过去 12 个月内有 6 个或以上性伴侣（调整后的比值比[OR]为 2.66）、性健康知识最高得分（调整后的 OR 为 2.23）、与外展工作人员交谈/参加咨询（调整后的 OR 为 1.96）的男性相比，有过性传播感染检测的调整后比值显著更高；与过去 12 个月内有任何高风险无保护肛交（UAI）的男性相比（调整后的 OR 为 0.51），有过性传播感染检测的调整后比值显著更低。最近检测的调整后比值与过去 12 个月内有 6 个或以上性伴侣（调整后的 OR 为 2.10）、与外展工作人员交谈/参加咨询（调整后的 OR 为 1.66）、性健康知识最高得分（调整后的 OR 为 1.59）、更高的 condom 使用知识（调整后的 OR 为 1.04）的男性更高；与年龄≥25 岁的男性相比（调整后的 OR 为 0.46），最近检测的调整后比值更低。过去 12 个月内患有性传播感染的调整后比值与过去 12 个月内有 6 个或以上性伴侣（调整后的 OR 为 3.96）和任何高风险 UAI（调整后的 OR 为 2.24）的男性更高；与年龄≥25 岁的男性相比（调整后的 OR 为 0.57），过去 12 个月内患有性传播感染的调整后比值更低。
性传播感染检测率相对较高，但仍低于高危男男性行为者的最低推荐检测率。对于性传播感染检测阳性的男性，应考虑启动召回系统，并制定旨在解决性传播感染传播问题的行为干预措施。
