Chiu ChingChe J, Young Sean D
a Department of Family Medicine , University of California, Los Angeles (UCLA) , Los Angeles , CA , USA.
AIDS Care. 2016;28(3):289-93. doi: 10.1080/09540121.2015.1090533. Epub 2015 Oct 7.
High levels of HIV stigma are one of the main difficulties in engaging African-American and Latino men who have sex with men (MSM) in HIV testing. The availability of home HIV test and the possibility of self-testing in private may improve uptake and counteract stigma. This paper sought to determine the correlates of requesting home HIV test kits among a sample of MSM social media users. The odds of participants requesting a test kit were significantly associated with using social networks to seek sexual partners (aOR: 2.47, 95% CI: 1.07-6.06) and thinking it is easier to use social networks for seeking sexual partners (1.87, 1.2-3.12), uncertain HIV status (4.29, 1.37-14.4), and having sex under the influence of alcohol (2.46, 1.06-5.77). Participants who had not been tested for more than 6 months were more likely to request a test kit than those who were tested in the past 6 months (2.53, 1.02-6.37). Participants who frequently talked to others about having sex with men online were less likely to request a test kit (0.73, 0.56-0.92). By reaching people over social media and offering them access to test kits, we were able to reach at-risk individuals who were uncertain about their HIV status and had not been regularly tested. The findings of the study will help to inform future HIV testing interventions.
对男同性恋者进行艾滋病毒检测时,高度的艾滋病毒污名化是让非裔美国人和拉丁裔男同性恋者参与检测的主要困难之一。家用艾滋病毒检测产品的可得性以及私下自行检测的可能性,可能会提高检测参与率并消除污名化。本文旨在确定男同性恋社交媒体用户样本中申请家用艾滋病毒检测试剂盒的相关因素。参与者申请检测试剂盒的几率与利用社交网络寻找性伴侣(调整后比值比:2.47,95%置信区间:1.07 - 6.06)、认为利用社交网络寻找性伴侣更容易(1.87,1.2 - 3.12)、艾滋病毒感染状况不明(4.29,1.37 - 14.4)以及在酒精影响下发生性行为(2.46,1.06 - 5.77)显著相关。未进行检测超过6个月的参与者比在过去6个月内接受检测的参与者更有可能申请检测试剂盒(2.53,1.02 - 6.37)。经常在网上与他人谈论与男性发生性行为的参与者申请检测试剂盒的可能性较小(0.73,0.56 - 0.92)。通过社交媒体联系人群并为他们提供检测试剂盒,我们能够接触到那些艾滋病毒感染状况不明且未定期接受检测的高危个体。该研究结果将有助于为未来的艾滋病毒检测干预措施提供参考。
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