Kalichman S C, Schaper P E, Belcher L, Abush-Kirsh T, Cherry C, Williams E A, Nachimson D, Smith S
Psychology Department, Georgia State University, Atlanta 30303, USA.
AIDS Educ Prev. 1997 Jun;9(3 Suppl):41-51.
HIV antibody testing is a critical facet of national AIDS prevention strategies and increasing numbers of persons are tested each year. Research has shown that a significant number of men who have sex with men are repeatedly tested for HIV antibodies, and many are tested regularly every 6 months. This study investigated the prevalence of repeat testing (having been tested three or more time) and regular testing (having been tested three or more times and getting tested every 6 months), and their association to testing attitudes and sexual behaviors. We found that 66% of 253 HIV seronegative gay and bisexual men surveyed at a large gay pride festival had been repeatedly tested, and 47% were tested regularly. Repeat testing was associated with knowing people with HIV or AIDS, whereas regular testing was associated with younger age and not being in an exclusive sexual relationship. Both repeat and regular testers held more positive health-related attitudes about testing than nonrepeat and nonregularly tested men, respectively. Contrary to previous research, repeat testing was not associated with unprotected anal intercourse or unprotected oral sex. However, both repeat and regular testing were positively related to condom use during anal intercourse as well as having multiple protected anal intercourse partners. We therefore conclude that both repeat testing and higher rates of condom use reflect positive health attitudes and that repeat testing may function to meet the needs of some men who have sex with men.
艾滋病毒抗体检测是国家艾滋病预防策略的一个关键方面，每年接受检测的人数不断增加。研究表明，相当数量的男男性行为者会反复进行艾滋病毒抗体检测，许多人每6个月定期检测一次。本研究调查了重复检测（检测三次或以上）和定期检测（检测三次或以上且每6个月检测一次）的流行情况，以及它们与检测态度和性行为的关联。我们发现，在一个大型同性恋骄傲节上接受调查的253名艾滋病毒血清阴性的男同性恋者和双性恋者中，66%的人曾反复检测，47%的人定期检测。重复检测与认识艾滋病毒感染者或艾滋病患者有关，而定期检测与年龄较小和没有排他性性关系有关。与未重复检测和不定期检测的男性相比，重复检测者和定期检测者对检测持有更积极的与健康相关的态度。与之前的研究相反，重复检测与无保护肛交或无保护口交无关。然而，重复检测和定期检测都与肛交时使用避孕套以及有多个有保护措施的肛交伴侣呈正相关。因此，我们得出结论，重复检测和更高的避孕套使用率都反映了积极的健康态度，并且重复检测可能起到满足一些男男性行为者需求的作用。
