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男男性行为者中艾滋病病毒检测依从性的预测因素:一项横断面研究。

Predictors of HIV testing adherence among men who have sex with men: a cross-sectional study.

作者信息

Sousa Laelson Rochelle Milanês, de Carvalho Raphael Augusto Gir, de Macêdo Rocha Daniel, Antonini Marcela, de Carvalho Filho Milton Jorge, Wiklander Maria, Gir Elucir, Reis Renata Karina

机构信息

Undergraduate Nursing Program, Coroatá Campus, Universidade Estadual do Maranhão. Coroatá, Maranhão, Brazil.

General and Specialized Nursing Department, Graduate Program in Fundamental Nursing, Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto and Undergraduate Nursing Program, Coroatá Campus, Universidade Estadual do Maranhão, Riberão Preto, Brazil.

出版信息

BMC Public Health. 2025 Jan 14;25(1):154. doi: 10.1186/s12889-024-21018-2.

Abstract

Men who have sex with men are a target group for HIV prevention and control. HIV testing is part of a broader combination prevention strategy. This study aimed to analyze the predictors for adherence to HIV infection testing among Brazilian men who have sex with men. A cross-sectional study was conducted with 1438 participants, online selected for convenience in all regions of Brazil. Binary logistic regression analysis was used to identify independent predictors of HIV testing in the study population. Adherence to the HIV test was high (80.1%). Had condomless anal intercourse in the last 12 months (Adjusted Odds Ratio [AOR]: 1,659; 95% Confidence Interval [CI]:1,12 - 2,43; p = 0,010), knew one place to seek HIV testing (AOR 6,158 [IC95%: 4,27 - 8,86]; p < 0,001), Received counselling on HIV testing by a health professional (AOR 3,389 [IC95%: 2,28 - 5,02]; p < 0,001), Have been diagnosed with STI (AOR 2,266 [IC95%: 1,41 - 3,62]; p < 0,001) and Knew someone living with HIV (AOR 1,86 [IC95%: 1,29 - 2,67]; p < 0,001) were independently associated with higher chances of HIV testing.

摘要

男男性行为者是艾滋病防控的目标群体。艾滋病毒检测是更广泛的综合预防策略的一部分。本研究旨在分析巴西男男性行为者坚持进行艾滋病毒感染检测的预测因素。对1438名参与者进行了一项横断面研究,为方便起见,在巴西所有地区通过网络进行了选择。采用二元逻辑回归分析来确定研究人群中艾滋病毒检测的独立预测因素。艾滋病毒检测的依从性较高(80.1%)。在过去12个月内有无保护肛交行为(调整优势比[AOR]:1.659;95%置信区间[CI]:1.12 - 2.43;p = 0.010)、知道一个进行艾滋病毒检测的地方(AOR 6.158[IC95%:4.27 - 8.86];p < 0.001)、接受过卫生专业人员关于艾滋病毒检测的咨询(AOR 3.389[IC95%:2.28 - 5.02];p < 0.001)、被诊断患有性传播感染(AOR 2.266[IC95%:1.41 - 3.62];p < 0.001)以及认识艾滋病毒感染者(AOR 1.86[IC95%:1.29 - 2.67];p < 0.001)均与更高的艾滋病毒检测几率独立相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36bc/11731535/0bde778393f9/12889_2024_21018_Fig1_HTML.jpg

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