Horwood Jeremy, Ingle Suzanne M, Burton David, Woodman-Bailey Adam, Horner Paddy, Jeal Nikki
School of Social and Community Medicine, University of Bristol, Bristol, UK.
University of Bristol Medical School, University of Bristol, Bristol, UK.
Int J STD AIDS. 2016 Mar;27(4):273-80. doi: 10.1177/0956462415580504. Epub 2015 Apr 22.
Guidelines highlight the need to increase HIV testing among men who have sex with men (MSM) and novel point-of-care testing provides new possibilities for delivery of care. However, it is unclear how point-of-care testing should be used to best effect. This study aimed to increase understanding of sexual risk-taking behaviour, service use, and attitudes to point-of-care testing among MSM sauna clients. Data were collected within two saunas for MSM in south west England using a self-completion survey (n = 134). Though this sample of MSM sauna clients are at high risk of acquiring a sexually transmitted infection, the testing frequency among the majority of those reporting unprotected anal intercourse is not in keeping with national guidelines. For almost all participants the introduction of rapid point-of-care testing for both genital and blood-borne infection was likely to increase testing and for the majority NHS specialist services was the preferred setting.
指南强调了增加男男性行为者（MSM）中艾滋病毒检测的必要性，新型即时检测为提供护理带来了新的可能性。然而，尚不清楚即时检测应如何才能发挥最佳效果。本研究旨在加深对MSM桑拿浴室顾客的性冒险行为、服务使用情况以及对即时检测态度的理解。在英格兰西南部的两个男男性行为者桑拿浴室中，通过自我填写调查问卷（n = 134）收集了数据。尽管这个MSM桑拿浴室顾客样本感染性传播感染的风险很高，但大多数报告有不安全性行为的人其检测频率并不符合国家指南。对于几乎所有参与者来说，引入针对生殖器和血源性感染的快速即时检测可能会增加检测，并且对于大多数人来说，国民保健服务（NHS）专科服务是首选的检测场所。
