瑞典男男性行为者的 HIV 自我检测。一项关于使用 HIV 自我检测意愿的横断面研究。

HIV self-testing for men who have sex with men in Sweden. A cross-sectional study concerning interest to use HIV self-tests.

机构信息

Division of Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Malmö, Sweden.

Clinical Infection Medicine, Department of Translational Medicine, Lund University, Malmö, Sweden.

出版信息

Glob Health Action. 2022 Dec 31;15(1):2021631. doi: 10.1080/16549716.2021.2021631.

DOI:10.1080/16549716.2021.2021631

PMID:35289717

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8928837/

Abstract

BACKGROUND

HIV self-testing (HIVST) has been found to have high acceptability among men who have sex with men (MSM) internationally and might contribute to increase testing frequencies, but many countries, including Sweden, lack policies for using HIVST.

OBJECTIVE

To examine interest to use and willingness to pay for HIVST, and associated factors, among MSM attending HIV testing venues in Sweden.

METHOD

This cross-sectional study analyzed data from a self-administered survey, consisting of 33 questions, collected at six HIV testing venues in Sweden in 2018. The sample consisted of sexually active men who have sex with men, aged ≥ 18 years, and not diagnosed with HIV. Data were analyzed descriptively and by univariable and multivariable logistic regression.

RESULT

Among 663 participants (median age 33 years), 436 respondents (65.8%) expressed interest to use HIVST. Among those interested, less than half, 205 (47.0%), were willing to pay for HIVST. Being interested in HIVST was found to be negatively associated with being in the 55 years or older age group (AOR 0.31, CI 0.14-0.71), and having had syphilis, rectal chlamydia, or rectal gonorrhea in the preceding 12 months (AOR 0.56, CI 0.32-0.99). In the sample of MSM interested in HIVST, willingness to pay was positively associated with being in the age groups 35-44 years (AOR 2.94, CI 1.40-6.21), 45-54 years (AOR 2.82, CI 1.16-6.90), and 55 years or above (AOR 3.90, CI 1.19-12.81), and negatively associated with being single (AOR 0.56, CI 0.36-0.88).

CONCLUSION

This study found high interest for HIVST in a sample of MSM in Sweden. However, HIVST offered at a cost is likely to negatively affect uptake among MSM broadly, compared with free availability.

摘要

背景

国际上已发现艾滋病毒自检（HIVST）在男男性行为者（MSM）中具有很高的可接受性，并且可能有助于提高检测频率，但包括瑞典在内的许多国家缺乏使用 HIVST 的政策。

目的

在瑞典的艾滋病毒检测场所检测 MSM 对 HIVST 的使用意愿和支付意愿，以及相关因素。

方法

这项横断面研究分析了 2018 年在瑞典六个艾滋病毒检测场所收集的一份自我管理调查的 33 个问题的调查数据。样本由年龄≥18 岁、未被诊断为艾滋病毒的活跃性男男性行为者组成。数据进行了描述性分析以及单变量和多变量逻辑回归分析。

结果

在 663 名参与者中（中位年龄 33 岁），436 名受访者（65.8%）表示有兴趣使用 HIVST。在感兴趣的人群中，不到一半，即 205 人（47.0%）愿意为 HIVST 付费。研究发现，对 HIVST 感兴趣与年龄在 55 岁或以上的人群呈负相关（AOR 0.31，CI 0.14-0.71），并且在过去 12 个月中曾患有梅毒、直肠衣原体或直肠淋病的人群也呈负相关（AOR 0.56，CI 0.32-0.99）。在对 HIVST 感兴趣的 MSM 样本中，支付意愿与年龄在 35-44 岁（AOR 2.94，CI 1.40-6.21）、45-54 岁（AOR 2.82，CI 1.16-6.90）和 55 岁或以上（AOR 3.90，CI 1.19-12.81）的人群呈正相关，与单身人群呈负相关（AOR 0.56，CI 0.36-0.88）。