巴西库里蒂巴男性中的艾滋病毒检测
HIV Testing among men in Curitiba, Brazil.
作者信息
Szwarcwald Celia Landmann, Damacena Giseli Nogueira, Miranda Raquel Lima, Pascom Ana Roberta Pati, Júnior Aristides Barbosa
机构信息
a Institute of Communication and Information Science and Technology in Health , Oswaldo Cruz Foundation , Rio de Janeiro , Brazil.
b Division of Global HIV & TB , Centers for Disease Control and Prevention , Brasília , Brazil.
出版信息
AIDS Care. 2018 Jan;30(1):56-58. doi: 10.1080/09540121.2017.1363370. Epub 2017 Sep 21.
In 2015, a community-wide intervention was launched in the city of Curitiba to evaluate the uptake of multiple HIV testing. A three-stage cluster sampling of 4800 men aged 15-64 years was selected in Curitiba. Logistic regression models were used to establish driving factors of HIV testing over the past 12 months. In the total sample, 49.5% have tested for HIV once in lifetime and 18.7% in the last 12 months. Among MSM, the proportions were much higher: 75.9% and 47.8% respectively. In the multivariate analysis, a significantly higher likelihood of HIV testing was found for young men (15-24 years), men with better educational level, those with more than 6 casual partners, and MSM compared to heterosexual men. The results indicate that the intervention to increase HIV diagnosis has substantially expanded MSM access to HIV testing.
2015年，库里蒂巴市开展了一项全社区干预措施，以评估多次HIV检测的接受情况。在库里蒂巴市，采用三阶段整群抽样法选取了4800名年龄在15至64岁之间的男性。使用逻辑回归模型确定过去12个月内HIV检测的驱动因素。在总样本中，49.5%的人曾进行过一次HIV检测，18.7%的人在过去12个月内进行过检测。在男男性行为者中，这一比例要高得多，分别为75.9%和47.8%。在多变量分析中，发现与异性恋男性相比，年轻男性（15至24岁）、教育水平较高的男性、有6个以上性伴侣的男性以及男男性行为者进行HIV检测的可能性显著更高。结果表明，增加HIV诊断的干预措施大幅扩大了男男性行为者获得HIV检测的机会。
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