澳大利亚墨尔本男同性恋、双性恋和其他男男性行为者的 HIV 检测比较回顾性分析。

A comparative, retrospective analysis of HIV testing among gay, bisexual and other men who have sex with men in Melbourne, Australia.

机构信息

Public Health Discipline, Burnet Institute, Melbourne, Victoria.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria.

出版信息

Aust N Z J Public Health. 2019 Oct;43(5):419-423. doi: 10.1111/1753-6405.12903. Epub 2019 May 29.

DOI:10.1111/1753-6405.12903

PMID:31141274

Abstract

OBJECTIVE

PRONTO!, a peer-led rapid HIV-testing service in Melbourne, Australia, opened to improve HIV testing among gay and bisexual men (GBM). We compared client characteristics and return testing among GBM testing at PRONTO! with GBM testing at Melbourne Sexual Health Centre (MSHC).

METHODS

All GBM attending PRONTO! and MSHC for HIV testing between August 2013 and April 2016 were included. We describe the number of tests, percentage of clients who returned during follow-up, the mean number of tests and median time between tests at the two services.

RESULTS

At PRONTO!, 33% of 3,102 GBM and at MSHC 50% of 9,836 GBM returned for a further HIV test at least once. The mean number of tests per client was 1.7 and 2.5 at PRONTO! and MSHC (p<0.01), respectively. A majority of clients at both services reported behaviours that would recommend up to quarterly testing, however, the median time between tests was 20.0 and 17.0 weeks at PRONTO! and MSHC (p<0.01), respectively.

CONCLUSIONS

A greater proportion of clients returned and returned frequently at MSHC compared to PRONTO!, however, at both services HIV testing frequency was suboptimal. Implications for public health: Novel HIV testing services should provide convenient and comprehensive sexual health services.

摘要

目的

澳大利亚墨尔本的 PRONTO! 是一个由同行主导的快速 HIV 检测服务，旨在提高男同性恋和双性恋者（GBM）的 HIV 检测率。我们比较了在 PRONTO! 和墨尔本性健康中心（MSHC）接受 HIV 检测的 GBM 患者的特征和复诊检测情况。

方法

纳入 2013 年 8 月至 2016 年 4 月期间在 PRONTO! 和 MSHC 接受 HIV 检测的所有 GBM 患者。我们描述了两个服务机构的检测数量、复诊患者比例、每个患者的平均检测数量以及两次检测之间的中位数时间。

结果

在 PRONTO!，33%的 3102 名 GBM 和 MSHC 中 50%的 9836 名 GBM 至少复诊一次进行了进一步的 HIV 检测。PRONTO! 和 MSHC 每位患者的平均检测次数分别为 1.7 次和 2.5 次（p<0.01）。大多数患者在两个服务机构都报告了需要进行季度检测的行为，但 PRONTO! 和 MSHC 之间的两次检测中位数时间分别为 20.0 和 17.0 周（p<0.01）。