男男性行为者中 HIV 自我检测的促进因素和障碍：一项定性研究。
Facilitators and Barriers of HIV Self-Testing Among Chinese Men Who Have Sex With Men: A Qualitative Study.
机构信息
Ci Zhang, MSN, RN, is a Doctoral Student, Xiangya School of Nursing, Central South University, Changsha, Hunan, China. Xianhong Li, PhD, RN, is a Professor, Xiangya School of Nursing, Central South University, Changsha, Hunan, China. MarySue V. Heilemann, PhD, RN, FAAN, is an Associate Professor, School of Nursing, University of California at Los Angeles, Los Angeles, California, USA. Xi Chen, MPH, MD, is a Vice Director, Hunan Provincial Center for Diseases Control and Prevention, Changsha, Hunan, China. Honghong Wang, PhD, RN, FAAN, is a Professor, Xiangya School of Nursing, Central South University, Changsha, Hunan, China. Deborah Koniak-Griffin, EdD, RN, FAAN, is a Professor, School of Nursing, University of California at Los Angeles, Los Angeles, California, USA.
出版信息
J Assoc Nurses AIDS Care. 2021;32(5):599-609. doi: 10.1097/JNC.0000000000000218.
HIV self-testing (HIVST) could increase HIV testing. However, HIVST uptake rate among Chinese men who have sex with men (MSM) is low. We conducted qualitative interviews with 23 MSM, 4 workers from community-based organizations, and 7 officials from both provincial Centers for Disease Control and Prevention and affiliated city-level Centers for Disease Control and Preventions to explore facilitators and barriers of HIVST among Chinese MSM. Eight barriers were identified, including fear of being duped by a fake test, concern for cost, fear of disclosing sexual orientation, limited access, lack of consulting services, biosafety concerns, lack of policy support, and concern for lost opportunities to link men to care. Five facilitators were identified, including convenience, confidentiality, easy operation, partner HIV testing, and peers' influence. Officials and scholars should urgently address structural barriers and provide accessible, affordable, and high-quality HIVST services that are accompanied by counseling to develop culturally appropriate HIVST guidelines.
HIV 自我检测（HIVST）可以增加 HIV 检测。然而，中国男男性行为者（MSM）中 HIVST 的采用率较低。我们对 23 名 MSM、4 名社区组织工作人员和 7 名来自省级疾病预防控制中心和相关市级疾病预防控制中心的官员进行了定性访谈，以探讨 HIVST 在我国 MSM 中面临的促进因素和障碍。确定了 8 个障碍，包括担心被假测试欺骗、担心成本、担心披露性取向、获取途径有限、缺乏咨询服务、生物安全问题、缺乏政策支持以及担心失去与男性建立联系的机会。确定了 5 个促进因素，包括方便、保密、易于操作、伴侣 HIV 检测和同伴的影响。官员和学者应紧急解决结构性障碍，提供可及、负担得起和高质量的 HIVST 服务，并辅以咨询，制定文化上适宜的 HIVST 指南。
Zotero 插件