Vutthikraivit Possawat, Lertnimitr Buncha, Chalardsakul Piyawat, Imjaijitt Worarachanee, Piyaraj Phunlerd
J Med Assoc Thai. 2014 Feb;97 Suppl 2:S207-14.
Without the safety and effective vaccine for HIV the HIVvoluntary counseling testing (VCT) has been documented as a central component ofcomprehensive HIV prevention strategies targeting individual risk reduction by modified high risk behaviors. However, the coverage of HIV testing among men who have sex with men (MSM) is suboptimal. Moreove, the information regarding to factors associated with HIV testing among young Thai MSM are limited and not well understood.
This study aimed to evaluate the prevalence and factors associated with HIV testing among young MSM in Bangkok, Thailand.
A cross-sectional study was conducted in Bangkok. Descriptive statistics were presented with crude- and adjusted-odds ratios with 95% confidence interval and the logistic regression models were used to identify factors associated with prior HIV testing.
Fifty-six participants were enrolled into study and 51.8% of men previously had an HIV test. After adjusting for potential confounders, logistic regression revealed that older age was positively associated with HIV testing (AOR = 14.4, 95% CI 1.88-111.22) while perceived at low riskfor HIV infection was inversely association with HIV testing (AOR = 0.1, 95% CI 0.02-0.94).
Young MSM in Thailand are at risk for HIV infection and uptake of HIV testing is suboptimal. Understanding the motivators and barriers to HIV testing are essential to planning and improving the effective HIVprevention interventions-relevance to HIV-serostatus.
由于缺乏安全有效的艾滋病毒疫苗,艾滋病毒自愿咨询检测(VCT)已被证明是全面艾滋病毒预防策略的核心组成部分,旨在通过改变高危行为降低个人风险。然而,男男性行为者(MSM)中的艾滋病毒检测覆盖率并不理想。此外,关于泰国年轻男男性行为者中与艾滋病毒检测相关因素的信息有限且了解不足。
本研究旨在评估泰国曼谷年轻男男性行为者中艾滋病毒检测的患病率及相关因素。
在曼谷进行了一项横断面研究。描述性统计采用粗比值比和调整后的比值比以及95%置信区间,并使用逻辑回归模型来确定与既往艾滋病毒检测相关的因素。
56名参与者被纳入研究,51.8%的男性此前进行过艾滋病毒检测。在对潜在混杂因素进行调整后,逻辑回归显示年龄较大与艾滋病毒检测呈正相关(调整后的比值比[AOR]=14.4,95%置信区间1.88 - 111.22),而认为感染艾滋病毒风险较低与艾滋病毒检测呈负相关(AOR = 0.1,95%置信区间0.02 - 0.94)。
泰国年轻男男性行为者存在艾滋病毒感染风险,艾滋病毒检测的接受度不理想。了解艾滋病毒检测的动机和障碍对于规划和改进有效的艾滋病毒预防干预措施(与艾滋病毒血清学状态相关)至关重要。