School of Medicine, University College Cork, Cork, Ireland.
School of Public Health, University College Cork, Cork, Ireland.
Sex Transm Infect. 2021 Aug;97(5):351-356. doi: 10.1136/sextrans-2020-054469. Epub 2020 Oct 26.
Poor knowledge regarding STI and HIV transmission, testing and treatment among men who have sex with men (MSM) may be contributing to their disproportionate burden of STIs. However, factors which predispose MSM to having this low knowledge are less understood.
The aim of this study was to identify factors associated with having lower knowledge of HIV and STI transmission, testing and treatment among MSM.
The MSM Internet Survey Ireland 2015 was a self-completed online national survey available to MSM living in Ireland. Thirteen factual statements were used to assess participants' knowledge of HIV and STI transmission, testing and treatment. Respondents were defined as having 'lower knowledge' if they indicated prior knowledge of fewer than 11 true statements. Multivariable-adjusted logistic regression was used to identify factors associated with having lower knowledge.
3090 MSM completed the survey, of whom 2905 (94%) were included in this study. Thirty-six per cent (n=1055) had lower knowledge of HIV and STI transmission, testing and treatment. The factors associated with having lower knowledge included being 18-24 years of age (vs >40 years; adjusted OR (aOR) 1.98, 95% CI 1.50 to 2.61), born in Ireland (vs outside Ireland; aOR 1.62, 95% CI 1.25 to 2.10) and being out to none of their contacts (vs out to most/all; aOR 1.69, 95% CI 1.20 to 2.37). Knowledge was also lower among those who never tested for HIV (vs tested negative within last 12 months; aOR 2.32, 95% CI 1.88 to 2.86) and among MSM who never visited an MSM-specific health promotion website (vs visited website; aOR 1.81, 95% CI 1.45 to 2.25).
A range of demographic factors, sexual health variables and use of MSM-specific sexual health promotion materials are associated with low knowledge regarding HIV and STI transmission, testing and treatment among MSM in Ireland. Engagement with the main national MSM-specific sexual health promotion website was associated with higher knowledge levels.
男男性行为者（MSM）对性传播感染（STI）和艾滋病毒传播、检测和治疗的知识匮乏，这可能导致他们感染 STI 的负担不成比例。然而，导致 MSM 知识匮乏的因素还不太清楚。
本研究旨在确定与 MSM 对 HIV 和 STI 传播、检测和治疗的低知识水平相关的因素。
爱尔兰 2015 年男男性行为者互联网调查是一项面向居住在爱尔兰的 MSM 的自我完成的在线全国性调查。使用 13 个事实陈述来评估参与者对 HIV 和 STI 传播、检测和治疗的知识。如果参与者表示之前只知道不到 11 个正确的陈述，则将其定义为“知识水平较低”。采用多变量调整后的逻辑回归来确定与低知识水平相关的因素。
3090 名 MSM 完成了调查，其中 2905 名（94%）被纳入本研究。36%（n=1055）对 HIV 和 STI 传播、检测和治疗的知识水平较低。与低知识水平相关的因素包括年龄 18-24 岁（vs ＞40 岁；调整后的比值比（aOR）1.98，95%CI 1.50 至 2.61）、出生在爱尔兰（vs 出生在爱尔兰以外；aOR 1.62，95%CI 1.25 至 2.10）和与大多数/所有联系人没有透露（vs 透露给大多数/所有联系人；aOR 1.69，95%CI 1.20 至 2.37）。从未接受过 HIV 检测（vs 在过去 12 个月内检测结果为阴性；aOR 2.32，95%CI 1.88 至 2.86）和从未访问过男男性行为者特定健康促进网站（vs 访问过网站；aOR 1.81，95%CI 1.45 至 2.25）的 MSM 知识水平也较低。
在爱尔兰，一系列人口统计学因素、性健康变量和使用男男性行为者特定的性健康促进材料与 MSM 对 HIV 和 STI 传播、检测和治疗的低知识水平相关。参与主要的国家男男性行为者特定的性健康促进网站与较高的知识水平相关。
