Center for AIDS Prevention Studies, University of California San Francisco, UCSF Mail Code 0886, 550 16th Street, 3rd Floor, San Francisco, CA, 94158-2549, USA.
Division of Communicable Disease Control & Prevention, Alameda County Public Health Department, Oakland, CA, USA.
AIDS Behav. 2018 Aug;22(8):2387-2412. doi: 10.1007/s10461-018-2083-8.
More than 30 years into the HIV epidemic, men who have sex with men (MSM) continue to be disproportionately impacted. It is estimated that worldwide nearly half of MSM infected with HIV are unaware of their status, making HIV testing along with early linkage to care crucial to HIV prevention efforts. However, there remain significant barriers to HIV testing among MSM, due largely to complex issues of layered stigma that deter MSM from accessing traditional, clinic-based testing. We conducted a review and synthesis of the literature on strategies to increase uptake of HIV testing among MSM. We found that social network-based strategies, community-based testing, HIV self-testing, and modifications to the traditional clinic-based model can effectively reach a subset of MSM, but success was often context-specific and there are significant gaps in evidence. We provide recommendations for increasing HIV testing rates and status awareness among MSM.
在艾滋病病毒流行 30 多年后，男男性行为者（MSM）仍然受到不成比例的影响。据估计，全世界近一半感染艾滋病毒的男男性行为者不知道自己的状况，因此艾滋病毒检测以及尽早与护理机构联系对于艾滋病毒预防工作至关重要。然而，男男性行为者进行艾滋病毒检测仍然存在重大障碍，这主要是由于多层次耻辱感等复杂问题，阻止了男男性行为者接受传统的诊所检测。我们对增加男男性行为者接受艾滋病毒检测的策略进行了回顾和综合分析。我们发现，基于社交网络的策略、社区检测、艾滋病毒自我检测以及对传统诊所模式的修改，可以有效地接触到一部分男男性行为者，但成功往往是特定于具体情况的，而且证据存在重大差距。我们为提高男男性行为者的艾滋病毒检测率和知晓率提供了建议。
Int J Environ Res Public Health. 2024-8-27
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