Goense Cornelia J D, Evers Ymke J, Hoebe Christian J P A, Crutzen Rik, Dukers-Muijrers Nicole H T M
Department of Sexual Health, Infectious Diseases and Environmental Health, South Limburg Public Health Service, Heerlen, Netherlands.
Department of Social Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, Netherlands.
Front Reprod Health. 2022 Aug 15;4:967770. doi: 10.3389/frph.2022.967770. eCollection 2022.
The COVID-19 pandemic has temporarily disrupted access to clinic-based sexual health care for men who have sex with men (MSM) in the Netherlands. The importance of home-based sexual health care has been underpinned as an extension of clinic-based care. This paper aims to assess intention to use, and acceptability of home-based sexual health care among MSM who previously attended clinic-based sexual health care. In November 2020, 424 MSM who had attended an STI clinic pre-pandemic were invited to participate in an online survey; 154 MSM completed the survey (response 36%). Intention to use self-sampling STI/HIV tests was assessed (median; scale 0-100) and compared across sociodemographic and sexual behavior characteristics by Kruskal-Wallis H tests. Descriptive analyses provided insights in acceptability of home-based sexual health care. Of participants (median age 47), 60.4% (93/154) tested for STI/HIV in the past 6 months, most of them attended a clinic. The median score on intention to use self-sampling tests was 86.5 (SD = 33.4) and did not differ by sociodemographic or sexual behavioral characteristics (all -values > 0.1). Participants were positive toward online sexual health counseling (median attitude = 75.0, SD = 29.6) and their main preferred topics were PrEP use and STI/HIV testing. MSM who attended clinic-based care expressed intention to use self-sampling tests and a positive attitude toward online sexual health counseling. Home-based sexual health care elements are not currently integrated within Dutch clinic-based sexual health care and should be considered an addition for continued provision of care and extended reach of MSM.
新冠疫情暂时扰乱了荷兰男男性行为者（MSM）获得基于诊所的性健康护理的途径。家庭性健康护理作为基于诊所护理的延伸，其重要性得到了强化。本文旨在评估曾接受基于诊所性健康护理的男男性行为者对家庭性健康护理的使用意愿和可接受性。2020年11月，邀请了424名在疫情前曾到性传播感染诊所就诊的男男性行为者参与一项在线调查；154名男男性行为者完成了调查（回复率36%）。评估了使用自我采样性传播感染/艾滋病毒检测的意愿（中位数；范围0 - 100），并通过Kruskal-Wallis H检验比较了不同社会人口学和性行为特征的情况。描述性分析提供了关于家庭性健康护理可接受性的见解。在参与者（中位年龄47岁）中，60.4%（93/154）在过去6个月内进行了性传播感染/艾滋病毒检测，其中大多数人去了诊所。使用自我采样检测的意愿中位数为86.5（标准差 = 33.4），在社会人口学或性行为特征方面没有差异（所有p值>0.1）。参与者对在线性健康咨询持积极态度（中位态度 = 75.0，标准差 = 29.6），他们主要感兴趣的主题是暴露前预防（PrEP）的使用和性传播感染/艾滋病毒检测。接受基于诊所护理的男男性行为者表示有使用自我采样检测的意愿，并对在线性健康咨询持积极态度。目前，荷兰基于诊所的性健康护理中尚未整合家庭性健康护理要素，应考虑将其作为持续提供护理和扩大男男性行为者服务范围的补充。
