Kwan Tsz Ho, Lee Shui Shan
Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong.
Stanley Ho Centre for Emerging Infectious Diseases, The Chinese University of Hong Kong, Postgraduate Education Centre, Prince of Wales Hospital, Room 205, Shatin, N.T., Hong Kong.
AIDS Behav. 2018 Apr;22(4):1150-1157. doi: 10.1007/s10461-017-1978-0.
HIV testing is the gateway to biomedical means of prevention and treatment. Identifying predictors of HIV testing is important to inform future preventive interventions. Of 444 men who have sex with men without known HIV infection enrolled in a study in Hong Kong, 64% had ever been HIV-tested. Testers were generally older, better educated, had a higher monthly income, and more likely self-identified as gay. Testers often used Internet and frequented saunas for sex networking, compared with non-testers attending bars, massage centres and public toilets. HIV testing habit also varied with the profile of body image type and preferred type in sex networking. Higher acceptance of pre-exposure prophylaxis (PrEP) was observed among testers. Overall, socioeconomic status played an important role in both HIV testing and access to PrEP. Interventions targeting sex networking venues and alternative means of testing provision are needed to increase coverage of HIV testing.
艾滋病毒检测是预防和治疗生物医学手段的切入点。确定艾滋病毒检测的预测因素对于指导未来的预防性干预措施很重要。在香港一项研究中纳入的444名不知感染艾滋病毒的男男性行为者中，64%曾接受过艾滋病毒检测。检测者一般年龄较大、受教育程度较高、月收入较高，且更有可能自我认定为同性恋。与前往酒吧、按摩中心和公共厕所的未检测者相比，检测者经常使用互联网并频繁光顾桑拿浴室进行性社交活动。艾滋病毒检测习惯也因身体形象类型和性社交活动中偏好类型的不同而有所差异。检测者对暴露前预防（PrEP）的接受度更高。总体而言，社会经济地位在艾滋病毒检测和获得PrEP方面都发挥着重要作用。需要针对性社交场所和提供检测的替代方式进行干预，以提高艾滋病毒检测的覆盖率。
