Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention (CDC), 1600 Clifton Road, NE, Mailstop E-40, Atlanta, GA, 30333, USA.
Division of Violence Prevention, CDC, Atlanta, GA, USA.
AIDS Behav. 2018 Jun;22(6):1932-1943. doi: 10.1007/s10461-017-1935-y.
Using the HIV Incident Risk Index for men who have sex with men-an objective and validated measure of risk for HIV acquisition, and self-perceptions of belief and worry about acquiring HIV, we identified individuals who underestimated substantial risk for HIV. Data from a racially/ethnically diverse cohort of 324 HIV-negative episodic substance-using men who have sex with men (SUMSM) enrolled in a behavioral risk reduction intervention (2010-2012) were analyzed. Two hundred and fourteen (66%) SUMSM at substantial risk for HIV were identified, of whom 147 (69%, or 45% of the total sample) underestimated their risk. In multivariable regression analyses, compared to others in the cohort, SUMSM who underestimated their substantial risk were more likely to report: a recent sexually transmitted infection diagnosis, experiencing greater social isolation, and exchanging sex for drugs, money, or other goods. An objective risk screener can be valuable to providers in identifying and discussing with SUMSM factors associated with substantial HIV risk, particularly those who may not recognize their risk.
利用男性同性性行为者的艾滋病毒感染风险指数——一种客观和经过验证的艾滋病毒感染获取风险指标，以及自我感知的感染艾滋病毒的信念和担忧，我们确定了那些低估了大量艾滋病毒风险的人。对 2010 年至 2012 年期间参加行为风险降低干预的 324 名艾滋病毒阴性、偶有使用药物的男性同性性行为者（SUMSM）的种族/民族多样化队列中的数据进行了分析。确定了 214 名（66%）有大量 HIV 感染风险的 SUMSM，其中 147 名（69%，或占总样本的 45%）低估了他们的风险。在多变量回归分析中，与队列中的其他人相比，低估其重大风险的 SUMSM 更有可能报告：最近诊断出性传播感染、经历更大的社会隔离、以及用性换取毒品、金钱或其他商品。客观的风险筛查器可以为提供者提供有价值的信息，帮助他们识别和讨论与大量 HIV 风险相关的因素，特别是那些可能没有意识到自己风险的人。
