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首页> 外文期刊>Journal of the International Aids Society >Interest in the ‘Test and Treat’ strategy for HIV prevention among men who have sex with men living in Bangkok
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Interest in the ‘Test and Treat’ strategy for HIV prevention among men who have sex with men living in Bangkok

机译：与住在曼谷的男人发生性关系的男人对预防艾滋病的“测试和治疗”策略的兴趣

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Background The current HIV epidemic in Thailand is primarily driven by new cases among men who have sex with men (MSM). HPTN052 study demonstrated 96% efficacy of immediate antiretroviral therapy (ART) to reduce HIV transmission among serodiscordant heterosexual couples. As a result, universal HIV testing and immediate ART has emerged as a strategy to reduce HIV transmission in certain at‐risk populations. The acceptability of this strategy, however, is unknown in MSM. Methods From August 2011‐March 2012, we conducted a cross‐sectional study using self‐administered questionnaires to assess attitudes towards universal HIV testing and immediate ART among MSM VCT clients in Bangkok. Participants were asked to complete the questionnaires prior to and after knowing their HIV status. The study was approved by the Institutional Review Board of the Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Results Of 342 MSM, the median age (IQR) was 26 (22–31) years, and 34.2% had bachelor's degree or higher. Previous HIV testing was reported by 69.9%, 35.2% of which had HIV testing annually. The most common reasons for previous HIV testing included perceived risk behaviors (63.6%), annual health checkup (26.4%), and partner's request (13.8%). Prior to receiving pre‐test counseling, 74.4% expressed interest to get regular HIV testing. Health benefits from testing (59.6%), free testing (36.5%), and speedy service (35.7%) were the most common persuasive reasons to come for regular HIV testing. Longevity (73.1%) and prevention of HIV transmission to others (58.4%) were reasons for interest in immediate ART (if tested positive) program while costs (37.0%) and life‐long burden (36.7%) were cited as main barriers. Among MSM who tested HIV‐positive (n=45, 13.2%), the interest to participate in immediate ART program was very high both before and after knowing their HIV status (86.7% vs 93.3%, p=0.371). Among HIV‐negative MSM, the interest to participate in regular HIV testing program significantly increased after knowing HIV status (83.4% vs 77.0%, p Conclusions MSM in Bangkok showed high level of interest in the “Test and Treat” strategy for HIV prevention. Knowing one's HIV status affected the interest to access regular HIV testing program.
机译：背景技术当前泰国的艾滋病毒流行主要是由男男性接触者中的新病例驱动的。 HPTN052研究表明，立即抗逆转录病毒疗法（ART）可以减少血清中的异性恋夫妇之间的HIV传播，达到96％的疗效。结果，普遍的艾滋病毒检测和即时抗病毒治疗已成为减少某些高危人群中艾滋病毒传播的战略。但是，这种策略的可接受性在MSM中未知。方法从2011年8月至2012年3月，我们使用自我管理的问卷进行了一项横断面研究，以评估曼谷MSM VCT客户对普遍HIV检测和即时抗病毒治疗的态度。要求参与者在知道自己的HIV状况之前和之后填写问卷。这项研究已经泰国曼谷朱拉隆功大学医学院的机构审查委员会批准。结果342名MSM的中位年龄（IQR）为26（22-31）岁，并且34.2％的拥有大学学历或更高。据报告，以前的艾滋病毒检测率为69.9％，其中每年35.2％进行了艾滋病毒检测。先前进行HIV检测的最常见原因包括感知到的危险行为（63.6％），年度健康检查（26.4％）和伴侣的要求（13.8％）。在接受测试前咨询之前，74.4％的人表示有兴趣定期进行HIV检测。定期进行HIV检测的最常见的说服原因是，检测带来的健康益处（59.6％），免费检测（36.5％）和快速服务（35.7％）。长寿（73.1％）和防止艾滋病毒传播给他人（58.4％）是人们对即时抗病毒治疗（如果测试呈阳性）感兴趣的原因，而成本（37.0％）和终身负担（36.7％）被认为是主要障碍。在检测出HIV阳性的MSM中（n = 45，13.2％），在知道自己的HIV状况前后，参加即时抗病毒治疗的兴趣都很高（86.7％vs 93.3％，p = 0.371）。在艾滋病毒阴性的男男性接触者中，了解艾滋病毒状况后，参加常规艾滋病毒检测计划的兴趣显着增加（83.4％对77.0％，p）结论曼谷的男男性接触者对预防艾滋病的“测试与治疗”策略表现出很高的兴趣。知道自己的艾滋病毒状况影响了参加常规艾滋病毒检测程序的兴趣。

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