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不同的检测地点之间是否存在差异?一项针对挪威男男性行为者低门槛艾滋病毒检测服务的横断面研究。

Are there any differences between different testing sites? A cross-sectional study of a Norwegian low-threshold HIV testing service for men who have sex with men.

作者信息

Moseng Bera Ulstein, Bjørnshagen Vegar

机构信息

Gay and Lesbian Health Norway, Oslo, Norway.

出版信息

BMJ Open. 2017 Oct 6;7(10):e017598. doi: 10.1136/bmjopen-2017-017598.

Abstract

OBJECTIVE

To describe a Norwegian low-threshold HIV testing service targeting men who have sex with men (MSM).

DESIGN AND SETTING

After the HIV testing consultation, all users of the HIV testing service were invited to answer the study questionnaire. The study setting included the sites where testing was performed, that is, the testing service's office in Oslo, cruising areas, bars/clubs and in hotels in other Norwegian cities.

PARTICIPANTS

MSM users of the testing service.

PRIMARY AND SECONDARY OUTCOME MEASURES

Data were collected on demographics, HIV testing and sexual behaviour as well as the participant's motivations for choosing to take an HIV test at this low-threshold HIV testing service. The data are stratified by testing site.

RESULTS

1577 HIV testing consultations were performed, the study sample consisted of 732 MSM users. 11 tested positive for HIV. 21.7% had a non-western background, 27.1% reported having a non-gay sexual orientation. 21.9% had 10 or more male sexual partners during the last year, 27.9% reported also having had a female sexual partner. 56.4% reported having practised unprotected anal intercourse during the last 6 months. 20.1% had never tested for HIV before. Most of these user characteristics varied by testing sites.

CONCLUSIONS

The Norwegian low-threshold testing service recruits target groups that are otherwise hard to reach with HIV testing. This may indicate that the testing service contributes to increase HIV testing rates among MSM in Norway.

摘要

目的

描述一项针对男男性行为者(MSM)的挪威低门槛HIV检测服务。

设计与背景

在HIV检测咨询后,邀请HIV检测服务的所有用户回答研究问卷。研究背景包括进行检测的场所,即奥斯陆检测服务办公室、巡游区域、酒吧/俱乐部以及挪威其他城市的酒店。

参与者

检测服务的男男性行为者用户。

主要和次要观察指标

收集了有关人口统计学、HIV检测和性行为的数据,以及参与者选择在这项低门槛HIV检测服务中进行HIV检测的动机。数据按检测地点分层。

结果

进行了1577次HIV检测咨询,研究样本包括732名男男性行为者用户。11人HIV检测呈阳性。21.7%有非西方背景,27.1%报告有非同性恋性取向。21.9%在过去一年中有10个或更多男性性伴侣,27.9%报告也有女性性伴侣。56.4%报告在过去6个月中有无保护肛交行为。20.1%以前从未进行过HIV检测。这些用户特征大多因检测地点而异。

结论

挪威的低门槛检测服务招募了其他方式难以进行HIV检测的目标群体。这可能表明该检测服务有助于提高挪威男男性行为者中的HIV检测率。

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