Lippman Sheri A, Périssé André R S, Veloso Valdiléa G, Sullivan Patrick S, Buchbinder Susan, Sineath R Craig, Grinsztejn Beatriz
Cad Saude Publica. 2014 Apr;30(4):724-34. doi: 10.1590/0102-311x00008913.
The Brazilian HIV/AIDS epidemic is concentrated among men who have sex with men (MSM), however HIV testing rates among MSM are not commensurate with their risk. Strategies to expand early diagnosis may include use of self-conducted home-based testing kits, which are now available for purchase in the US. In April 2011 we conducted a survey with Brazilian MSM using Facebook to assess HIV testing preferences and acceptability of home-based testing. Among 356 previously tested, HIV-negative MSM, 47% reported a preference for home-based testing, 27% preferred clinic-based testing, and 26% had no preference. Less frequent testers and those who had considered testing but failed to test were more likely to prefer home-based testing. Close to 90% reported that they would use self-test kits; 62% and 54% said they would use home-based testing to make choices about unprotected sex with regular and new partners, respectively. Concerns included difficulty to understand the tests (32%) and receiving results alone (23%). Overall, home-based testing may appeal to MSM and result in increased testing frequency. Research on feasibility and utilization of self-tests in practice is needed.
巴西的艾滋病毒/艾滋病疫情集中在男男性行为者（MSM）中，然而男男性行为者的艾滋病毒检测率与其风险并不相称。扩大早期诊断的策略可能包括使用自行操作的家庭检测试剂盒，这种试剂盒目前在美国可以购买到。2011年4月，我们通过脸书对巴西男男性行为者进行了一项调查，以评估他们对艾滋病毒检测的偏好以及对家庭检测的接受程度。在356名之前接受过检测且艾滋病毒呈阴性的男男性行为者中，47%的人表示更喜欢家庭检测，27%的人更喜欢诊所检测，26%的人没有偏好。检测频率较低的人以及那些考虑过检测但未进行检测的人更有可能更喜欢家庭检测。近90%的人表示他们会使用自测试剂盒；62%和54%的人表示他们会分别使用家庭检测来决定是否与固定和新伴侣进行无保护性行为。担忧包括难以理解检测（32%）和独自接收结果（23%）。总体而言，家庭检测可能会吸引男男性行为者，并导致检测频率增加。需要对自测在实际中的可行性和利用率进行研究。
