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Integrating HIV Testing as an Outcome of STD Partner Services for Men Who Have Sex with Men

机译：将艾滋病毒检测整合为性伴侣的性病伴侣服务的一项成果

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Men who have sex with men (MSM) with bacterial sexually transmitted diseases (STDs) are at elevated risk for HIV infection, but often do not test for HIV at time of STD diagnosis. We instituted and evaluated a program promoting HIV testing through STD partner services (PS). In May 2012, health departments in Washington State modified STD PS programs with the objective of providing PS to all MSM with early syphilis, gonorrhea, or chlamydial infection and ensuring that those without a prior HIV diagnosis tested for HIV infection. We used chi-square tests and logistic and log-binomial regression to compare the percentage of MSM who received PS, HIV tested, and were newly HIV diagnosed before (January 1, 2010 to April 30, 2012) and during the revised program (May 1, 2012 to August 31, 2014). Among MSM without a prior HIV diagnosis, 2008 (62%) of 3253 preintervention and 3712 (76%) of 4880 during the intervention received PS (p < 0.001). HIV testing among PS recipients increased from 63% to 91% (p < 0.001). PS recipients were more likely to be newly HIV diagnosed than nonrecipients during the preintervention (2.5% vs. 0.93%, p = 0.002) and intervention periods (2.4% vs. 1.4%, p = 0.050). The percentage of MSM with newly diagnosed HIV infection who had a concurrent STD diagnosis increased from 6.6% to 13% statewide (p < 0.0001). Among all MSM with bacterial STDs, 61 (1.9%) preintervention and 104 (2.1%) during the intervention were newly diagnosed with HIV infection (adjusted relative risk = 1.34, p = 0.07). In conclusion, promoting HIV testing through STD PS is feasible and increases HIV testing among MSM. Our findings suggest that integrating HIV testing promotion into STD PS may increase HIV case finding.
机译：与患有细菌性传播疾病（STD）的男性（MSM）发生性关系的男性感染HIV的风险较高，但在性病诊断时通常不进行HIV检测。我们制定和评估了一项通过性病合作伙伴服务（PS）促进艾滋病毒检测的计划。 2012年5月，华盛顿州卫生部门对STD PS计划进行了修改，目的是向所有患有梅毒，淋病或衣原体感染的MSM提供PS，并确保未事先诊断出HIV的人对HIV进行了检测。我们使用卡方检验以及logistic和对数二项回归分析来比较接受PS，接受HIV检测以及在修订计划之前（2010年1月1日至2012年4月30日）新诊断出HIV的MSM的百分比2012年1月1日至2014年8月31日）。在没有HIV早期诊断的MSM中，干预期间2008年接受干预的3253名患者（62％）和4880名接受干预的3712名（76％）接受了PS（p <0.001）。 PS接受者的艾滋病毒检测率从63％增加到91％（p <0.001）。在接受干预前（2.5％vs. 0.93％，p = 0.002）和干预期间（PS％接受者）（2.4％vs. 1.4％，p = 0.050），PS接受者比非接受者更容易被新诊断为HIV。在全州范围内，同时诊断为STD的新诊断为HIV感染的MSM的百分比从6.6％增加到13％（p <0.0001）。在所有患有细菌性病的MSM中，干预前的新诊断为61（1.9％），干预期间为104（2.1％）（校正后相对危险度= 1.34，p = 0.07）。总之，通过STD PS促进艾滋病毒检测是可行的，并且可以增加MSM中的艾滋病毒检测。我们的研究结果表明，将艾滋病毒检测促进措施纳入性病PS可能会增加艾滋病毒病例的发现。

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