British Columbia Centre for Excellence in HIV/AIDS, 505-1200 Burrard St., Vancouver, BC, V6Z 2C7, Canada.
Department of Medicine, University of British Columbia, Vancouver, Canada.
AIDS Behav. 2019 Feb;23(2):347-358. doi: 10.1007/s10461-018-2259-2.
Earlier HIV diagnosis allows for improved treatment outcomes and secondary prevention. It is recommended that all individuals know their HIV status and that those at higher risk test more frequently. Using a representative community sample of gay, bisexual, and other men who have sex with men (GBMSM), we aimed to: (1) determine the proportion of GBMSM who have tested in the past 2 years, (2) determine reasons for testing and never having tested, and (3) explore correlates of testing. Of 535 eligible participants, 80.0% reported having had an HIV test in the past 2 years, most commonly as part of a regular testing schedule. The most common reason for not testing was low perceived HIV risk. Bisexual and older GBMSM, as well as those who lived outside of Vancouver, were less likely to have tested in the past 2 years. Rapid point-of-care testing may help improve testing rates and was shown to effectively engage some hard-to-reach GBMSM (e.g., those who had not tested for other STIs) in this sample.
早期诊断艾滋病可以改善治疗效果和二级预防。建议所有人群了解自己的艾滋病病毒感染状况，高风险人群应更频繁地进行检测。本研究使用代表性的男同性恋、双性恋和其他男男性行为者（MSM）社区样本，旨在：（1）确定在过去 2 年内接受过检测的 MSM 比例；（2）确定接受检测和从未接受过检测的原因；（3）探讨检测的相关因素。在 535 名符合条件的参与者中，80.0%报告在过去 2 年内接受过 HIV 检测，最常见的是作为常规检测计划的一部分。未检测的最常见原因是低艾滋病毒风险感知。双性恋和年龄较大的 MSM，以及居住在温哥华以外地区的 MSM，在过去 2 年内接受检测的可能性较小。即时检测可能有助于提高检测率，并已证明可以有效地让一些难以接触到的 MSM（例如，那些未接受过其他性传播感染检测的 MSM）参与到检测中来。
