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在八个欧洲国家招募的男男性行为者中,对 HIV 自我采样检测试剂盒的知识、实际和潜在使用情况。

Knowledge, actual and potential use of HIV self-sampling testing kits among MSM recruited in eight European countries.

机构信息

CIBER Epidemiologia y Salud Publica (CIBERESP), Madrid, Spain.

Primary Health Care Management of East Valladolid, Valladolid, Spain.

出版信息

HIV Med. 2018 Feb;19 Suppl 1:27-33. doi: 10.1111/hiv.12593.

Abstract

AIM

To describe the knowledge as well as current and potential use of self-sampling kits among men who have sex with men (MSM) and to analyse their preferred biological sample and result communication method.

METHODS

We analyse data of MSM of HIV negative or unknown serostatus from an online survey conducted in eight countries (Belgium, Denmark, Germany, Greece, Portugal, Romania, Slovenia and Spain) between April and December 2016. It was advertised mainly in gay dating websites. We conduct a descriptive analysis of the main characteristics of the participants, and present data on indicators of knowledge, use and potential use of HIV self-sampling as well as their preferences regarding blood or saliva sample and face or non-face-to-face result communication by country of residence.

RESULTS

A total of 8.226 participants of HIV negative or unknown serostatus were included in the analysis. Overall, 25.5% of participants knew about self-sampling (range: 18.8-47.2%) and 1.1% had used it in the past (range: 0.3-8.9%). Potential use was high, with 66.6% of all participants reporting that they would have already used it if available in the past (range: 62.1-82.1%). Most (78.6%) reported that they would prefer using a blood-based kit, and receiving the result of the test through a non-face-to-face-method (70.8%), even in the case of receiving a reactive result.

CONCLUSION

The high potential use reported by MSM recruited in eight different European countries suggests that self-sampling kits are a highly acceptable testing methodology that could contribute to the promotion of HIV testing in this population.

摘要

目的

描述男男性行为者(MSM)对自我采样检测包的了解程度,以及其当前和潜在的使用情况,并分析他们对生物样本和结果沟通方式的偏好。

方法

我们分析了 2016 年 4 月至 12 月期间在八个国家(比利时、丹麦、德国、希腊、葡萄牙、罗马尼亚、斯洛文尼亚和西班牙)进行的一项在线调查中 HIV 阴性或未知血清状态的 MSM 数据。该调查主要在男同性恋约会网站上做广告。我们对参与者的主要特征进行了描述性分析,并按居住地国家报告了有关 HIV 自我采样的知识、使用和潜在使用指标,以及他们对血液或唾液样本和面对面或非面对面结果沟通方式的偏好。

结果

共纳入了 8226 名 HIV 阴性或未知血清状态的参与者。总体而言,25.5%的参与者了解自我采样(范围:18.8-47.2%),1.1%的参与者过去曾使用过自我采样(范围:0.3-8.9%)。潜在使用率很高,所有参与者中有 66.6%表示,如果过去有这种检测包,他们已经会使用(范围:62.1-82.1%)。大多数(78.6%)表示他们更愿意使用基于血液的检测包,并通过非面对面的方式接收检测结果(70.8%),即使收到阳性结果也是如此。

结论

在八个不同的欧洲国家招募的 MSM 报告的高潜在使用率表明,自我采样检测包是一种高度可接受的检测方法,可能有助于促进该人群的 HIV 检测。

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