Fang Yuan, Zhang Yuzhou, Wang Zixin, Ip Mary, Li Jinghua, Lau Joseph T F
a Centre for Health Behavioural Research, JC School of Public Health and Primary Care, Faculty of Medicine , The Chinese University of Hong Kong , Hong Kong , People's Republic of China.
b Tulane University School of Public Health and Tropical Medicine , New Orleans , LA , USA.
AIDS Care. 2019 Feb;31(2):193-198. doi: 10.1080/09540121.2018.1510100. Epub 2018 Aug 15.
Male client of female sex workers (MCFSW) is a sizable population transmitting HIV from high-risk population to female general population in China. This study was to investigate the prevalence of taking up any forms of HIV testing in lifetime and in the past year among MCFSW in Hong Kong. Factors associated with uptake of any forms HIV testing in the past year were also investigated. A cross-sectional survey was conducted. Participants were Hong Kong Chinese males aged ≥18 years, and self-reported had patronized at least one female sex workers (FSW) in the last six months. A total of 303 MCFSW recruited online (n = 160) or from venues (n = 143) completed the self-administered questionnaire. Logistic regression was used for data analysis. The prevalence of taking up any forms of HIV testing in lifetime and last year was 49.2% and 23.8%, respectively. Adjusting for these background variables, scale scores representing perceived severity of HIV infection (AOR: 1.17), perceived benefits of HIV testing (AOR: 1.18) and perceived self-efficacy in taking up HIV testing (AOR: 1.36) were significantly and positively associated with uptake of any forms of HIV testing in the last year, while negative associations were found for the Perceived Psychological Barrier Scale (AOR= 0.88) and the Perceived Logistical Barrier Scale (AOR: 0.78). MCFSW in Hong Kong reported low uptake of HIV testing. Health promotion is urgently needed. Modifying perceptions related to the Health Belief Model are potential useful strategies. The potential of using HIV self-testing to increase HIV testing coverage among MCFSW should also be considered.
男性性工作者的男性客户(MCFSW)是中国将艾滋病毒从高危人群传播到女性普通人群的一个相当规模的群体。本研究旨在调查香港MCFSW一生中及过去一年接受任何形式艾滋病毒检测的流行情况。还调查了与过去一年接受任何形式艾滋病毒检测相关的因素。进行了一项横断面调查。参与者为年龄≥18岁的香港中国男性,且自我报告在过去六个月内至少光顾过一名女性性工作者(FSW)。通过网络招募了160名及从场所招募了143名MCFSW,共303名完成了自填式问卷。采用逻辑回归进行数据分析。一生中及去年接受任何形式艾滋病毒检测的流行率分别为49.2%和23.8%。在对这些背景变量进行调整后,代表对艾滋病毒感染感知严重性的量表得分(比值比:1.17)、艾滋病毒检测感知益处的量表得分(比值比:1.18)以及接受艾滋病毒检测的感知自我效能的量表得分(比值比:1.36)与过去一年接受任何形式艾滋病毒检测显著正相关,而感知心理障碍量表(比值比=0.88)和感知后勤障碍量表(比值比:0.78)则呈负相关。香港的MCFSW报告的艾滋病毒检测接受率较低。迫切需要开展健康促进工作。改变与健康信念模型相关的认知是潜在的有用策略。还应考虑利用艾滋病毒自我检测来提高MCFSW中艾滋病毒检测覆盖率的潜力。
Curr HIV/AIDS Rep. 2019-12