接受性伴侣的 HIV 血清学检测结果告知后再发生性行为：一项针对中国男男性行为者的在线调查结果。
Receiving HIV Serostatus Disclosure from Partners Before Sex: Results from an Online Survey of Chinese Men Who Have Sex with Men.
机构信息
University of North Carolina at Chapel Hill Project-China, Guangzhou, 510095, China.
SESH Study Group, Guangzhou, China.
出版信息
AIDS Behav. 2018 Dec;22(12):3826-3835. doi: 10.1007/s10461-018-2062-0.
HIV serostatus disclosure before sex can facilitate serosorting, condom use and potentially decrease the risk of HIV acquisition. However, few studies have evaluated HIV serostatus disclosure from partners before sex. We examined the rate and correlates of receiving HIV serostatus disclosure from regular and casual male partners before sex among an online sample of men who have sex with men (MSM) in China. An online cross-sectional study was conducted among MSM in eight Chinese cities in July 2016. Participants completed questions covering sociodemographic information, sexual behaviors, HIV testing (including HIV self-testing) history, self-reported HIV status, and post-test violence. In addition, participants were asked whether they received HIV serostatus disclosure from their most recent partners before sex. Overall, 2105 men completed the survey. Among them, 85.9% were never married, and 35.4% had high school or less education. A minority (20.6%, 346/1678; 17.8%, 287/1608) of men received HIV serostatus disclosure from their most recent regular and casual male partners, respectively. Multivariate analysis indicated that participants who ever self-tested for HIV were more likely to have received HIV status disclosure from regular [adjusted OR (aOR) = 1.92, 95% CI 1.50-2.44] and casual (aOR = 2.34, 95% CI 1.80-3.04) male partners compared to never self-tested participants. Compared to participants who had not received HIV status disclosure from regular partners, participants who received disclosure from regular male partners had higher likelihood in experiencing post-test violence (aOR = 5.18, 95% CI 1.53-17.58). Similar results were also found for receiving HIV serostatus disclosure from casual partners. This study showed that HIV serostatus disclosure from partners was uncommon among Chinese MSM. Interventions and further implementation research to facilitate safe disclosure are urgently needed for MSM.
HIV 血清阳性状态披露可以促进血清分类、使用安全套，并可能降低 HIV 感染的风险。然而，很少有研究评估过性伴侣在性行为前的 HIV 血清阳性状态披露情况。我们在中国的一个在线男男性行为者（MSM）样本中，研究了常规和偶然的男性性伴侣在性行为前向他们披露 HIV 血清阳性状态的比率和相关因素。
2016 年 7 月，在中国的八个城市进行了一项在线横断面研究。参与者完成了涵盖社会人口学信息、性行为、HIV 检测（包括 HIV 自我检测）史、自我报告的 HIV 状态以及检测后暴力的问题。此外，参与者被问到他们是否在性行为前从最近的伴侣那里收到过 HIV 血清阳性状态披露。
总的来说，有 2105 名男性完成了调查。其中，85.9%从未结婚，35.4%受过高中或以下教育。少数男性（20.6%，346/1678；17.8%，287/1608）从最近的常规和偶然的男性伴侣那里收到了 HIV 血清阳性状态披露。多变量分析表明，曾经自我检测过 HIV 的参与者更有可能从常规伴侣（调整后的比值比[aOR] = 1.92，95%置信区间[CI] 1.50-2.44）和偶然伴侣（aOR = 2.34，95% CI 1.80-3.04）那里收到 HIV 状态披露。与从未自我检测过的参与者相比，从常规伴侣那里收到 HIV 状态披露的参与者更有可能经历检测后暴力（调整后的比值比[aOR] = 5.18，95% CI 1.53-17.58）。从偶然伴侣那里收到 HIV 血清阳性状态披露的参与者也有类似的结果。
这项研究表明，在中国的 MSM 中，伴侣之间的 HIV 血清阳性状态披露并不常见。需要采取干预措施并进一步开展实施研究，以促进 MSM 安全披露。
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