Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Translation and Evaluation Branch, Atlanta, GA.
J Acquir Immune Defic Syndr. 2023 Jan 1;92(1):34-41. doi: 10.1097/QAI.0000000000003106.
Gay, bisexual, and other men who have sex with men (MSM) are disproportionately affected by HIV. This study reports data on HIV testing program outcomes among MSM tested for HIV in non-healthcare settings in the United States.
We analyzed Centers for Disease Control and Prevention's National HIV Prevention Program Monitoring and Evaluation data collected in 2019. Descriptive and multivariate robust Poisson regression analyses were conducted to summarize the patterns of HIV testing program outcomes [ie, positivity, linkage to HIV medical care within 30 days of diagnosis, interview for partner services (PS), and pre-exposure prophylaxis (PrEP) awareness and referral] by demographic characteristics, HIV prevalence, and testing site type.
A total of 123,251 HIV tests were conducted among MSM; of these, 1773 (1.4%) were newly diagnosed with HIV. Among MSM newly diagnosed with HIV, 75% were linked to HIV medical care and 80% were interviewed for PS. Among MSM who tested HIV-negative, 63% were aware of PrEP and 47% of those who were eligible for PrEP were referred to PrEP providers. Referral or linkage to services varied by demographic characteristics or other factors.
Linkage to HIV medical care and interview for PS among MSM newly diagnosed with HIV in non-healthcare settings were below national or funding program targets. Most MSM with risk factors for HIV infection were not referred to PrEP providers. Expanded efforts to address barriers to equitable access to services may help improve HIV-related outcomes among MSM and contribute to ending the HIV epidemic in the United States.
男同性恋者、双性恋者和其他与男性发生性关系的男性（MSM）受到艾滋病毒的影响不成比例。本研究报告了在美国非医疗保健环境中对艾滋病毒进行检测的 MSM 艾滋病毒检测项目结果的数据。
我们分析了 2019 年美国疾病控制与预防中心国家艾滋病毒预防计划监测和评估数据。采用描述性和多变量稳健泊松回归分析，按人口统计学特征、艾滋病毒流行率和检测地点类型总结艾滋病毒检测项目结果（即阳性、诊断后 30 天内与艾滋病毒医疗保健机构联系、咨询伴侣服务（PS）以及暴露前预防（PrEP）意识和转介）的模式。
共有 123251 名 MSM 进行了艾滋病毒检测；其中 1773 人（1.4%）新诊断出艾滋病毒。在新诊断出艾滋病毒的 MSM 中，75%与艾滋病毒医疗保健机构联系，80%接受了 PS 咨询。在艾滋病毒检测阴性的 MSM 中，63%知道 PrEP，有资格接受 PrEP 的人中有 47%被转介给 PrEP 提供者。服务的转介或联系因人口统计学特征或其他因素而异。
在非医疗保健环境中，新诊断出艾滋病毒的 MSM 与艾滋病毒医疗保健机构联系和接受 PS 咨询的比例低于国家或资助计划的目标。大多数有艾滋病毒感染风险因素的 MSM 未被转介给 PrEP 提供者。扩大努力解决公平获得服务的障碍可能有助于改善 MSM 的艾滋病毒相关结果，并有助于在美国终结艾滋病毒流行。
