Bjørnshagen Vegar, Moseng Bera Ulstein, Ugreninov Elisabeth
Norwegian Social Research (NOVA), OsloMet Oslo Metropolitan University, Postboks 4, St.Olavs Plass, 0130, Oslo, Norway.
Gay & Lesbian Health Norway, Oslo, Norway.
AIDS Behav. 2020 Feb;24(2):568-579. doi: 10.1007/s10461-019-02484-x.
HIV self-testing reduces barriers associated with other HIV testing services, such as concerns about confidentiality and inconvenience. This article demonstrates who might benefit from this approach to HIV testing by describing the characteristics of men who have sex with men (MSM) who took interest in a Norwegian pilot project on HIV self-testing. Of the MSM users, 27% reported that they had never been tested for HIV. Not disclosing one's same-sex sexuality, particularly among non-gay-identified MSM, was associated with a higher probability of never having been tested for HIV and choosing to test with an HIV self-test because of its anonymity. Never having been tested for HIV was also associated with a higher probability of choosing to test with an HIV self-test due to anonymity. The results suggest that the HIV self-tests' ability to reach MSM who otherwise would not be tested is partly because it is an anonymous HIV testing alternative.
艾滋病毒自我检测减少了与其他艾滋病毒检测服务相关的障碍，比如对隐私和不便之处的担忧。本文通过描述对挪威艾滋病毒自我检测试点项目感兴趣的男男性行为者（MSM）的特征，展示了哪些人可能会从这种艾滋病毒检测方法中受益。在男男性行为者用户中，27%的人报告称他们从未接受过艾滋病毒检测。不透露自己的同性性行为身份，尤其是在未认同自己为同性恋的男男性行为者中，与从未接受过艾滋病毒检测以及因艾滋病毒自我检测的匿名性而选择进行自我检测的可能性较高有关。由于匿名性，从未接受过艾滋病毒检测也与选择进行艾滋病毒自我检测的可能性较高有关。结果表明，艾滋病毒自我检测能够覆盖那些原本不会接受检测的男男性行为者，部分原因在于它是一种匿名的艾滋病毒检测方式。
