School of Nursing, The University of Hong Kong.
J Sex Res. 2019 Oct;56(8):1023-1030. doi: 10.1080/00224499.2018.1541961. Epub 2018 Dec 10.
The methodological issues of using self-reported human immunodeficiency virus (HIV) testing history to determine HIV infection status are understudied. This study aimed to assess the disparities between HIV testing history and self-reported HIV status, with a specific objective of estimating the prevalence of self-reported HIV-negative status in sexually active students who had never had an HIV test (inaccurate self-disclosure). Participants were recruited from four Hong Kong universities; 255 students were included in the analysis, with 16.1% of participants being men who have sex with men (MSM). Overall, 81.6% of participants reported they never had been tested for HIV, with inaccurate self-disclosure by 65.9% of participants. Among participants who used condoms inconsistently, only 20.2% had had HIV tests, with inaccurate self-disclosure by 66.7% of subjects. Among MSM students, only 36.6% had had HIV tests, with inaccurate self-disclosure by 61.0% of participants. Among MSM students who used condoms inconsistently, only 35.1% had had HIV tests, with inaccurate self-disclosure by 62.2% of participants. The findings raise concerns about the use of self-reported HIV status in clinical practice and research. The low prevalence of HIV testing found suggests that interventions to promote HIV testing should be continued.
使用自我报告的人类免疫缺陷病毒 (HIV) 检测史来确定 HIV 感染状况的方法学问题研究不足。本研究旨在评估 HIV 检测史与自我报告 HIV 状况之间的差异，具体目标是估计从未接受过 HIV 检测的性活跃学生中自我报告 HIV 阴性状态的流行率（不准确的自我披露）。参与者从香港的四所大学招募；共有 255 名学生被纳入分析，其中 16.1%的参与者为男男性行为者 (MSM)。总体而言，81.6%的参与者报告他们从未接受过 HIV 检测，其中 65.9%的参与者存在不准确的自我披露。在使用 condom 不规律的参与者中，只有 20.2%接受过 HIV 检测，其中 66.7%的受试者存在不准确的自我披露。在 MSM 学生中，只有 36.6%接受过 HIV 检测，其中 61.0%的参与者存在不准确的自我披露。在使用 condom 不规律的 MSM 学生中，只有 35.1%接受过 HIV 检测，其中 62.2%的参与者存在不准确的自我披露。这些发现引起了对临床实践和研究中使用自我报告的 HIV 状况的关注。发现 HIV 检测的低流行率表明，应继续采取干预措施来促进 HIV 检测。
