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与洛杉矶县男男性行为者(BMSM)中艾滋病毒检测史相关的因素。

Factors associated with HIV-testing history among Black men who have sex with men (BMSM) in Los Angeles County.

机构信息

California State University, Long Beach, School of Social Work, 1250 Bellflower, SPPA 132, Long Beach, CA 90840, USA.

出版信息

Behav Med. 2013;39(3):52-9. doi: 10.1080/08964289.2013.779565.

Abstract

Black men who have sex with men (BMSM) are disproportionately affected with HIV, and nearly half are unaware of their status. Those unaware of their status are more likely to engage in risky behavior; thus, HIV-testing uptake is crucial. This study explored correlates of past-two-year HIV-testing history. BMSM (n = 102) completed self-administered questionnaires. Fisher exact test indicated that BMSM at clubs/bars and Gay Pride events had higher rates of being tested within the past two years (86%-65%) than did participants who responded to online advertisements (44%, p < .001). Among those untested for HIV, slightly half reported receptive anal sex without a condom (48%, p = .033), used the Internet seeking sex (54%, p < .001), low HIV knowledge (52%, p = .005), and less education. Literacy and tailored online interventions might be worth considering to increase HIV-testing uptake.

摘要

男男性行为者(BMSM)中艾滋病毒感染比例过高,其中近一半人不知道自己的感染状况。那些不知道自己感染状况的人更有可能从事危险行为;因此,进行 HIV 检测非常关键。本研究旨在探讨过去两年 HIV 检测史的相关因素。102 名 BMSM 完成了自我管理的问卷调查。Fisher 精确检验表明,在俱乐部/酒吧和同性恋自豪日活动中,过去两年内接受过检测的 BMSM 比例高于回应在线广告的参与者(86%-65%,p<.001)。在未接受 HIV 检测的人群中,略一半的人报告有过无保护措施的肛交(48%,p=.033),使用互联网寻找性伴侣(54%,p<.001),HIV 知识水平较低(52%,p=.005),以及受教育程度较低。提高 HIV 检测率可能值得考虑提高文化水平和定制在线干预措施。

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