Bien Cedric H, Muessig Kathryn E, Lee Ramon, Lo Elaine J, Yang Li Gang, Yang Bin, Peeling Rosanna W, Tucker Joseph D
University of North Carolina-Project China, Guangzhou, China; Mount Sinai School of Medicine, New York, United States of America.
University of North Carolina-Project China, Guangzhou, China; Gillings School of Global Public Health, University of North Carolina, Chapel Hill, United States of America.
PLoS One. 2015 Apr 13;10(4):e0124161. doi: 10.1371/journal.pone.0124161. eCollection 2015.
Health services for men who have sex with men (MSM) are inadequate in many areas around the world. HIV and syphilis test uptake remain suboptimal among MSM in China and many other regions. To inform the development of more comprehensive sexually transmitted disease (STD) testing programs among MSM, we collected descriptive data on MSM testing practices and preferences.
MSM in two large urban Chinese cities were recruited through community-based organizations and clinics to participate in semi-structured interviews. We purposively sampled MSM across a range of sociodemographic characteristics and testing history, and assessed preferences for HIV and syphilis testing in the context of facilitators and barriers to testing and previous testing experiences. Each interview transcript was coded and thematically analyzed using Atlas.ti 7.0.
35 MSM were interviewed. Confidentiality and privacy were the most important factors influencing participants' decisions about whether and where to get tested. Men preferred rapid testing (results available within 30 minutes) compared to conventional tests where results take several hours or days to return. Participants described concerns about quality and accuracy of rapid tests offered in non-clinical settings such as community-based organizations. Men preferred testing service providers who were MSM-friendly, non-discriminatory, and medically trained. Preferred service center environments included: convenient but discrete location, MSM-friendly atmosphere, and clean/standard medical facilities.
Our data highlight the need for HIV/syphilis testing services that are confidential and inclusive of MSM. Rapid testing in decentralized (i.e. peripheral health facilities and community-level, non-clinical venues) settings provides an opportunity to reach individuals who have not been tested before, but must be accompanied by quality assurance systems and technical competence. Implementation research could further evaluate HIV/syphilis testing programs responsive to MSM preferences.
A qualitative study of MSM in South China found that men preferred rapid STD testing at MSM-focused test centers, but were concerned about test quality assurance and confidentiality.
在世界许多地区，男男性行为者（MSM）的卫生服务不足。在中国和许多其他地区，男男性行为者中艾滋病毒和梅毒检测的接受度仍不理想。为了为制定更全面的男男性行为者性传播疾病（STD）检测计划提供信息，我们收集了有关男男性行为者检测行为和偏好的描述性数据。
通过社区组织和诊所招募了中国两个大城市的男男性行为者参与半结构化访谈。我们有目的地抽取了具有一系列社会人口特征和检测史的男男性行为者样本，并在检测的促进因素和障碍以及以前的检测经历的背景下评估了对艾滋病毒和梅毒检测的偏好。每份访谈记录都进行了编码，并使用Atlas.ti 7.0进行了主题分析。
对35名男男性行为者进行了访谈。保密性和隐私是影响参与者决定是否以及在何处进行检测的最重要因素。与结果需要数小时或数天才能返回的传统检测相比，男性更喜欢快速检测（30分钟内出结果）。参与者描述了对在非临床环境（如社区组织）中提供的快速检测的质量和准确性的担忧。男性更喜欢对男男性行为者友好、不歧视且经过医学培训的检测服务提供者。首选的服务中心环境包括：位置便利但隐秘、对男男性行为者友好的氛围以及干净/标准的医疗设施。
我们的数据突出了对男男性行为者保密且包容的艾滋病毒/梅毒检测服务的需求。在分散（即周边卫生设施和社区层面的非临床场所）环境中进行快速检测为接触以前未接受检测的个体提供了机会，但必须伴有质量保证系统和技术能力。实施研究可以进一步评估符合男男性行为者偏好的艾滋病毒/梅毒检测计划。
对中国南方男男性行为者的一项定性研究发现，男性更喜欢在以男男性行为者为重点的检测中心进行快速性传播疾病检测，但担心检测质量保证和保密性。
