Chapin-Bardales Johanna, Sanchez Travis, Paz-Bailey Gabriela, Hageman Kathy, Spiller Michael W, Rolon-Colon Yadira, Miranda de Leon Sandra
From the *Department of Epidemiology, Emory University; †Division of HIV/AIDS Prevention, National Center for HIV, Hepatitis, STD and Tuberculosis, Centers for Disease Control and Prevention, Atlanta, GA; and ‡Department of Health, HIV/AIDS Surveillance Program, San Juan, Puerto Rico.
Sex Transm Dis. 2016 Jun;43(6):346-52. doi: 10.1097/OLQ.0000000000000451.
Annual human immunodeficiency virus (HIV) testing is considered a key strategy for HIV prevention for men who have sex with men (MSM). In Puerto Rico, HIV research has primarily focused on injection drug use, yet male-to-male sexual transmission has been increasing in recent years.
Cross-sectional data from the National HIV Behavioral Surveillance system collected in 2011 in San Juan, Puerto Rico, were analyzed to identify factors associated with HIV testing in the past 12 months (recent testing).
Overall, 50% of participants were tested recently. In the multivariate analysis, testing recently was associated with having multiple partners in the past 12 months (adjusted prevalence ratio [aPR] [≥4 vs 1 partner] = 1.5; 95% confidence interval [95% CI], 1.2-2.0), visiting a health care provider in the past 12 months (aPR, 1.4; 95% CI, 1.04-1.8), and disclosing male-male attraction/sex to a health care provider (aPR< 1.4; 95% CI, 1.1-1.7).
Human immunodeficiency virus testing was suboptimal among MSM in San Juan. Strategies to increase HIV testing among MSM may include promoting HIV testing for all sexually active MSM including those with fewer partners, increasing utilization of the healthcare system, and improving patient-provider communication.
每年进行人类免疫缺陷病毒（HIV）检测被视为男男性行为者（MSM）预防HIV的关键策略。在波多黎各，HIV研究主要集中在注射吸毒方面，但近年来男男性传播一直在增加。
对2011年在波多黎各圣胡安收集的国家HIV行为监测系统的横断面数据进行分析，以确定与过去12个月内HIV检测（近期检测）相关的因素。
总体而言，50%的参与者最近进行了检测。在多变量分析中，近期检测与过去12个月内有多个性伴侣（调整患病率比[aPR][≥4个伴侣与1个伴侣相比]=1.5；95%置信区间[95%CI]，1.2 - 2.0）、过去12个月内就诊于医疗服务提供者（aPR，1.4；95%CI，1.04 - 1.8）以及向医疗服务提供者披露男男性吸引/性行为（aPR<1.4；95%CI，1.1 - 1.7）有关。
圣胡安的男男性行为者中HIV检测情况不理想。提高男男性行为者中HIV检测率的策略可能包括促进对所有性活跃的男男性行为者进行HIV检测，包括性伴侣较少的那些人，提高医疗系统的利用率，以及改善患者与提供者之间的沟通。
