Prestage Garrett, Brown Graham, Keen Phillip
The Kirby Institute, University of New South Wales, Kensington, Australia.
Sex Health. 2012 Nov;9(5):453-8. doi: 10.1071/SH12033.
To investigate the barriers to HIV testing among Australian gay men.
An online survey was conducted to explore reasons for avoiding and delaying testing for HIV; 519 non-HIV-positive men completed the online survey.
Most non-HIV-positive men (92.9%) had been tested for HIV, with 75.4% indicating they had been tested in the previous year. The most common reasons for avoiding or delaying testing were a belief that they had not done anything risky (41.2%) and the need to return for a second clinic visit to receive results (40.3%). Among men who engaged in unprotected anal intercourse with casual partners (UAIC), those who had not been recently tested were more likely to cite the lack of any symptoms as reasons for not having tested (adjusted odds ratio: 2.34; 95% confidence interval: 1.03-5.31; P=0.041).
For men who do not engage in risky sex, the decision not to test is probably reasonable, but those who engage in non condom-based risk reduction may be at some increased risk and should be encouraged to test relatively often. Changes to Australia's national HIV testing policy may ameliorate some of the need to return for second clinic visits to receive results, but the policy still requires full implementation, including the introduction of rapid point-of-care HIV testing to Australia. Among men who engage in UAIC, there appears to be a particular need for information about the benefits of early treatment after HIV diagnosis and about the relative likelihood of experiencing HIV seroconversion illness.
调查澳大利亚男同性恋者进行HIV检测的障碍。
开展一项在线调查，以探究避免和推迟HIV检测的原因；519名未感染HIV的男性完成了该在线调查。
大多数未感染HIV的男性（92.9%）曾进行过HIV检测，其中75.4%表示他们在上一年进行过检测。避免或推迟检测的最常见原因是认为自己没有做任何危险行为（41.2%）以及需要再次到诊所就诊以获取检测结果（40.3%）。在与临时伴侣发生无保护肛交（UAIC）的男性中，近期未进行检测的人更有可能将没有任何症状作为未检测的原因（调整后的优势比：2.34；95%置信区间：1.03 - 5.31；P = 0.041）。
对于未进行危险性行为的男性，不进行检测的决定可能是合理的，但那些采取非基于避孕套的风险降低措施的人可能会面临一定程度的更高风险，应鼓励他们更频繁地进行检测。澳大利亚国家HIV检测政策的改变可能会减少一些再次到诊所就诊以获取检测结果的需求，但该政策仍需全面实施，包括在澳大利亚引入快速即时HIV检测。在参与UAIC的男性中，似乎特别需要了解HIV诊断后早期治疗的益处以及发生HIV血清转化疾病的相对可能性等信息。
