Department of Clinical Epidemiology, Predictive Medicine and Public Health, University of Porto Medical School, Porto, Portugal; Institute of Public Health, University of Porto, Porto, Portugal.
HIV Med. 2013 Oct;14 Suppl 3:15-8. doi: 10.1111/hiv.12058.
OBJECTIVES: To describe HIV testing behaviour and context of MSM in Portugal participating in the European MSM Internet Survey (EMIS). METHODS: Data for the Portuguese sample were extracted and those for 5187 participants were analysed. Multivariate logistic regression models were fitted to quantify the association between participants' characteristics and HIV testing behaviour and context. RESULTS: Seventy-two percent of the participants had ever been tested for HIV and among those ever tested, 11% were diagnosed with HIV. Primary care was the most common testing setting for HIV-negative men (37%). Compared to those never tested, men who had ever taken an HIV test had higher educational level (aOR 1.89, 95% CI 1.67-2.14) and identified themselves as gay/homosexual more frequently (aOR 1.94 , 95% CI 1.70-2.20). HIV testing odds significantly increased with the number of sexual partners in the previous 12 months. Those who reported unprotected anal intercourse (UAI) with a partner of unknown or serodiscordant HIV status in the previous 12 months were less likely to report an HIV test (aOR 0.38, 95% CI 0.33-0.44). Among those never tested or who tested negative, 41% and 22% reported UAI with a partner of unknown or serodiscordant status in the previous 12 months, respectively. Among men with diagnosed HIV, 72% were currently on antiretroviral therapy and 58% reported an undetectable viral load. More than one third (38%) of those who had detectable or unknown/undisclosed viral load reported at least one episode of UAI with a partner of unknown or serodiscordant HIV status in the last 12 months. CONCLUSIONS: Actual interventions should focus on: improving testing uptake and counselling; increasing treatment coverage; achieving and maintaining an undetectable viral load; and intensifying prevention efforts focused on consistent condom use.
目的:描述葡萄牙男男性行为者(MSM)参与欧洲 MSM 互联网调查(EMIS)时的 HIV 检测行为和背景。
方法:提取葡萄牙样本的数据,对 5187 名参与者的数据进行分析。拟合多变量逻辑回归模型,以量化参与者特征与 HIV 检测行为和背景之间的关联。
结果:72%的参与者曾接受过 HIV 检测,在曾接受过检测的人群中,11%被诊断出 HIV 感染。初级保健是 HIV 阴性男性最常见的 HIV 检测场所(37%)。与从未接受过 HIV 检测的男性相比,曾接受过 HIV 检测的男性具有更高的教育水平(调整后的优势比[aOR]为 1.89,95%置信区间[CI]为 1.67-2.14),更频繁地认同自己是同性恋(aOR 为 1.94,95%CI 为 1.70-2.20)。HIV 检测的几率随着过去 12 个月的性伴侣数量的增加而显著增加。那些在过去 12 个月报告与伴侣发生无保护肛交(UAI)且伴侣 HIV 状态未知或不一致的男性,不太可能报告 HIV 检测(aOR 为 0.38,95%CI 为 0.33-0.44)。在从未接受过 HIV 检测或 HIV 检测呈阴性的男性中,分别有 41%和 22%在过去 12 个月报告与伴侣发生 UAI 且伴侣 HIV 状态未知或不一致。在被诊断出 HIV 的男性中,72%正在接受抗逆转录病毒治疗,58%报告病毒载量不可检测。超过三分之一(38%)的病毒载量可检测或未知/未披露的男性报告在过去 12 个月中至少有一次与 HIV 状态未知或不一致的伴侣发生 UAI。
结论:实际干预措施应侧重于:提高检测率和咨询服务;增加治疗覆盖率;实现并维持不可检测的病毒载量;加强针对持续使用安全套的预防措施。
J Int AIDS Soc. 2018-7