Tao Jun, Li Ming-ying, Qian Han-Zhu, Wang Li-Juan, Zhang Zheng, Ding Hai-Feng, Ji Ya-Cheng, Li Dong-liang, Xiao Dong, Hazlitt Melissa, Vermund Sten H, Xiu Xiangfei, Bao Yugang
Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, Tennessee, United States of America.
Xicheng District Center for Disease Control and Prevention, Beijing, China.
PLoS One. 2014 Jul 22;9(7):e102812. doi: 10.1371/journal.pone.0102812. eCollection 2014.
The coverage of HIV testing among Chinese men who have sex with men (MSM) remains low after the scale-up of free HIV testing at government-sponsored testing sites. We evaluated the feasibility of home-based HIV self-testing and the willingness to be HIV tested at community-based organizations (CBO).
We recruited MSM via on-line advertisement, where they completed an on-line informed consent and subsequent questionnaire survey. Eligible MSM received HIV rapid testing kits by mail, performed the test themselves and reported the result remotely.
Of the 220 men taking a home-based HIV self-testing, 33 MSM (15%) were seropositive. Nearly 65% of the men reported that they were willing to take HIV testing at CBO, while 28% preferred receiving free HIV testing in the government programs at local Centers for Disease Control and Prevention (CDC). Older and lower-income MSM, those who self-reported homosexual orientation, men with no history of sexually transmitted diseases and a lower number of sexual partners in the past six months were associated with preference for taking HIV testing at CBOs. The top three self-reported existing barriers for HIV testing were: no perception of HIV risk (56%), fear of an HIV positive result being reported to the government (41%), and fear of a positive HIV test result (36%).
Home-based HIV self-testing is an alternative approach for increasing the coverage of HIV testing among Chinese MSM. CBO-based HIV testing is a potential alternative, but further studies are needed to evaluate its feasibility.
在中国，随着政府资助的检测点扩大免费艾滋病毒检测规模，男男性行为者（MSM）中的艾滋病毒检测覆盖率仍然较低。我们评估了家庭艾滋病毒自我检测的可行性以及在社区组织（CBO）进行艾滋病毒检测的意愿。
我们通过在线广告招募男男性行为者，他们在网上完成知情同意书及后续问卷调查。符合条件的男男性行为者通过邮件收到艾滋病毒快速检测试剂盒，自行进行检测并远程报告结果。
在220名进行家庭艾滋病毒自我检测的男性中，33名（15%）血清学呈阳性。近65%的男性报告称他们愿意在社区组织进行艾滋病毒检测，而28%的男性更倾向于在当地疾病预防控制中心（CDC）的政府项目中接受免费艾滋病毒检测。年龄较大、收入较低的男男性行为者，自我报告为同性恋取向者，无性传播疾病史者以及过去六个月性伴侣数量较少者更倾向于在社区组织进行艾滋病毒检测。自我报告的艾滋病毒检测的三大现有障碍是：未意识到艾滋病毒风险（56%）、担心艾滋病毒检测呈阳性结果会被报告给政府（41%）以及害怕艾滋病毒检测结果呈阳性（36%）。
家庭艾滋病毒自我检测是提高中国男男性行为者艾滋病毒检测覆盖率的一种替代方法。基于社区组织的艾滋病毒检测是一种潜在的替代方法，但需要进一步研究以评估其可行性。
