HIV 阳性男男性行为者向社交和性接触者分发 HIV 自检试剂。
Distribution of HIV Self-tests by HIV-Positive Men Who Have Sex with Men to Social and Sexual Contacts.
机构信息
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, Sexually Transmitted Disease, and Tuberculosis Prevention, 1600 Clifton Rd., MS E-46, Atlanta, GA, 30333, USA.
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
出版信息
AIDS Behav. 2019 Apr;23(4):893-899. doi: 10.1007/s10461-018-2277-0.
Abstract
HIV-positive men who have sex with men (MSM) were recruited on www.Facebook.com and www.Poz.com to give HIV self-tests to their contacts. Study participants completed a baseline survey, were given two self-tests, and completed a survey 2 months later. Of 133 eligible men, 40 (30%) completed both surveys. Most participants were 30-54 years old and non-Hispanic white. Some had a detectable viral load (n = 4), had condomless anal sex with male partners of negative or unknown status (n = 17), and had met anal sex partners at gay dating websites (n = 23). Of 80 self-tests given to participants, 59 (74%) were distributed, primarily to non-Hispanic white MSM, 30-54 years old who were friends. Participants reported results from 31 distributed tests; 2 sex partners of participants had positive results. Participants indicated these two persons were unaware of their infections. Expanding recruitment websites might reach non-white MSM. Unrecognized infections were identified through online recruitment and self-test distribution via HIV-positive persons.
摘要
研究招募了在 Facebook 和 Poz 网站上注册的 HIV 阳性男男性接触者，让他们将 HIV 自检包分发给自己的性伴侣。研究参与者完成了基线调查，收到了两份自检包，并在两个月后完成了一份调查。在 133 名符合条件的男性中，有 40 名（30%）完成了两次调查。大多数参与者年龄在 30-54 岁，为非西班牙裔白人。其中一些人的病毒载量可检测到（n=4），与阴性或未知状态的男性伴侣发生过无保护的肛交（n=17），并在男同性恋约会网站上结识了肛交伴侣（n=23）。在分发给参与者的 80 份自检包中，59 份（74%）被分发出去，主要是分发给非西班牙裔白人、30-54 岁的男性朋友。参与者报告了 31 份分发的自检结果；其中 2 名参与者的性伴侣结果呈阳性。参与者表示这两个人不知道自己被感染了。扩大招募网站可能会接触到非裔美国男性。通过在线招募和 HIV 阳性人士分发自检包发现了未被识别的感染。
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