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澳大利亚男同性恋者和双性恋男性对艾滋病毒自我检测的了解与认识:从未进行检测者、检测情况欠佳者和检测情况理想者使用意愿的比较

Knowledge and awareness of HIV self-testing among Australian gay and bisexual men: a comparison of never, sub-optimal and optimal testers willingness to use.

作者信息

Dean Judith, Lui ChiWai, Mutch Allyson, Scott Michael, Howard Chris, Lemoire Jime, Crothers Anna, Fitzgerald Lisa, Williams Owain D

机构信息

a School of Public Health, Faculty of Medicine , The University of Queensland , Herston , Australia.

b Queensland AIDS Council , Brisbane , Australia.

出版信息

AIDS Care. 2019 Feb;31(2):224-229. doi: 10.1080/09540121.2018.1524120. Epub 2018 Sep 19.


DOI:10.1080/09540121.2018.1524120
PMID:30230360
Abstract

This paper explores the willingness to use and pay for HIV Self-testing (HIVST) among Australian gay and bisexual men (GBM). Bivariate and univariate multinominal logistic regression of data from an online survey was performed. Thirty-one (13%) had never HIV tested and 41.9% (88) were testing sub-optimally by Australian guidelines. Half (58.4%, 136) had never heard of HIVST, however, 56.2% (131) reported willingness to use HIVST, with sub-optimal (OR=2.13;  < 0.01) and never-testers (OR=2.01;  < 0.10) significantly more likely to do so than optimal-testers. Most were confident (51.7%, 119) or somewhat confident (29.1%, 67) accessing support following a reactive result, however, never-testers were significantly less confident compared to previous testers (OR=3.47; < 0.05). Less than a quarter (23.6%, 57) were willing to pay for a kit with AUD$15 ( = 0.9882) the estimated preferred price. This research confirms that HIVST is an important and accepted adjunct to established HIV testing modalities, particularly among sub-optimal and never-testers and that online (61.6%, 143) or clinic-based (61.6%, 143) dissemination are preferred. Research examining how best to disseminate HIVST in a range of safe and effective models needs to continue to ensure HIVST is part of a comprehensive strategy that facilitates usage and linkages to care.

摘要

本文探讨了澳大利亚男同性恋者和双性恋男性(GBM)使用和购买艾滋病毒自我检测(HIVST)的意愿。对一项在线调查的数据进行了双变量和单变量多项逻辑回归分析。31人(13%)从未进行过艾滋病毒检测,41.9%(88人)按照澳大利亚指南检测情况不理想。一半(58.4%,136人)从未听说过HIVST,然而,56.2%(131人)表示愿意使用HIVST,检测情况不理想者(比值比=2.13;<0.01)和从未检测者(比值比=2.01;<0.10)比检测情况理想者更有可能这样做。大多数人在得到阳性结果后获得支持时很有信心(51.7%,119人)或有些信心(29.1%,67人),然而,与之前的检测者相比,从未检测者的信心明显较低(比值比=3.47;<0.05)。不到四分之一(23.6%,57人)愿意花15澳元购买检测试剂盒(p=0.9882),这是估计的理想价格。这项研究证实,HIVST是现有艾滋病毒检测方式的一项重要且被接受的补充,特别是在检测情况不理想者和从未检测者中,并且在线(61.6%,143人)或基于诊所(61.6%,143人)的传播方式更受青睐。研究如何以一系列安全有效的模式最好地传播HIVST需要继续进行,以确保HIVST成为促进使用和与护理联系的综合战略的一部分。

相似文献

[1]
Knowledge and awareness of HIV self-testing among Australian gay and bisexual men: a comparison of never, sub-optimal and optimal testers willingness to use.

AIDS Care. 2019-2

[2]
Sexual and Social Network Correlates of Willingness to Self-Test for HIV Among Ever-Tested and Never-Tested Men: Implications for the Tanzania STEP Project.

AIDS Care. 2019-2

[3]
Integrated HIV self-testing (HIVST) service delivery in Queensland for policy and service development: study protocol.

AIDS Care. 2019-2

[4]
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[5]
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[6]
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[7]
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Int J Environ Res Public Health. 2021-10-26

[8]
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[9]
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Sex Transm Infect. 2017-9

[10]
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引用本文的文献

[1]
Trend and Associated Factors for Late and Advanced HIV Diagnoses in 2011-2022 in Melbourne, Australia.

J Med Virol. 2025-6

[2]
Level of knowledge and intention to use oral fluid HIV self-testing and associated factors among Ethiopian health care workers in southern Ethiopia.

AIDS Res Ther. 2024-8-24

[3]
HIV self-testing knowledge, attitudes, and practices among Asian-born gay, bisexual, and other men who have sex with men in Australia: a qualitative study.

Front Public Health. 2024

[4]
The association between HIV self-test awareness and recent HIV testing uptake in the male population in Gambia: data analysis from 2019-2020 demographic and health survey.

BMC Infect Dis. 2023-5-26

[5]
HIV self-testing for men who have sex with men in Sweden. A cross-sectional study concerning interest to use HIV self-tests.

Glob Health Action. 2022-12-31

[6]
Online HIV Self-Testing (HIVST) Dissemination by an Australian Community Peer HIV Organisation: A Scalable Way to Increase Access to Testing, Particularly for Suboptimal Testers.

Int J Environ Res Public Health. 2021-10-26

[7]
Increasing Testing Options for Key Populations in Burundi Through Peer-Assisted HIV Self-Testing: Descriptive Analysis of Routine Programmatic Data.

JMIR Public Health Surveill. 2021-9-30

[8]
HIV self-testing in Rwanda: awareness and acceptability among male clinic attendees in Kigali, Rwanda: A cross-sectional survey.

Heliyon. 2020-3-7

[9]
Bringing HIV Self-Testing to Scale in the United States: a Review of Challenges, Potential Solutions, and Future Opportunities.

J Clin Microbiol. 2019-10-23

[10]
Point-of-care testing (POCT) for HIV/STI targeting MSM in regional Australia at community 'beat' locations.

BMC Health Serv Res. 2019-2-2

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